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Amputation is a Journey Not a Destination

Author: Lynn DeCola
Amputation is a Journey Not a Destination

I’m an above-knee amputee with over 30 years of personal and professional experience in orthotics, prosthetics, and amputee care. I am a Certified Prosthetist Orthotist (CPO), Technician, Mental Health First Aider, and Amputee Coach.

Over the years, I’ve had the privilege of working with amputees in their homes, rehabilitation centres, and doctors’ offices and hospitals, giving me a well-rounded understanding of the challenges amputees face in everyday life. Today, I focus on helping amputees across North America through in-person and virtual appointments, as well as Zoom sessions, offering education, guidance, and peer support.

In this installment, I’m addressing amputation as a lifelong reality that reshapes how we move, adapt, and care for ourselves across every stage of life.

An amputation is not just a surgery. Too often, healthcare treats amputation as if the journey ends with surgery and rehab, as though once we have learned to use a prosthesis, the chapter is closed.

But the truth is, some amputees never even reach that point because their prosthesis may not fit, function, or suspend properly. And many in allied healthcare professions might not fully understand socket fit and alignment or how to recognize prosthetic problems versus amputation problems. On top of that, access to rehab is sometimes denied altogether, leaving amputees without the care that they need from the start.

Too often, instead of addressing the root causes of poor socket fit, suspension, or alignment, healthcare professionals suggest invasive surgeries that might have been avoided if prosthetic issues were properly identified and managed. At times, even medically-necessary sockets or components can be denied, which delays achieving proper fit and function.

This not only impacts mobility and comfort but also leads to overuse injuries in the rest of the body, and it takes a heavy toll on mental health. For amputees, the story continues every minute of every single day.

Our bodies change as we age. Socket fit changes, strength and balance fluctuate, and health conditions like diabetes, heart disease, or arthritis add new challenges. Our minds carry the weight of adjustment too, navigating grief, adaptation, identity, and the daily stress of living in a world built for non-disabled bodies.

The emotional side of amputation is just as real and lasting as the physical challenges, yet it is often overlooked. We are all different. Our journeys, our challenges, and our hopes are never the same, and our care should honour that.

This is not short-term care. This is a lifelong journey. What is missing is a holistic treatment plan that follows us through life. A plan that does not stop at discharge but continues throughout our lives as amputees to address physical, mental, and emotional health with the same priority… a plan that sees us not as patients, but as whole people whose lifelong needs evolve with time.

The truth is simple: amputation does not end at surgery. It is lifelong, and our healthcare should reflect that.

If you or someone you care about is facing amputation or prosthetic challenges, I invite you to join Amputees Preparing Amputees 4 Life (facebook.com/groups/872511703389474/) for guidance and support, or reach out to me directly at facebook.com/Improvingqualityoflifeafteramputation for affordable coaching.

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