Stephen J. Schueler, M.D.

Overview Evaluation Treatment amputated part specialist tetanus Home Care pain in adults pain in children warning signs Underlying Cause Types

Toe Amputation Home Care

Home care of amputations may include:

  • Apply direct pressure to control bleeding:
    • Use a gauze or clean cloth directly on the wound.
    • Maintain constant pressure for at least 10 minutes.
    • Do not interrupt the pressure, in order to look at the wound.
  • Clean the wound:
    • Use mild soap and water.
    • Running water can help remove dirt.
    • Gently dab the wound with hydrogen peroxide to remove clotted blood.
    • Do not scrub the wound.
    • Remove dirt or foreign material from the wound.
  • Apply antibiotic ointment.
  • Cover the wound:
    • Use gauze or an elastic bandage.
  • Keep the wound clean and dry.
  • Rest the injured area.
  • Elevate the injured area.
  • Acetaminophen for pain
  • Ibuprofen for pain
  • Take prescribed medications as directed:
    • Don't skip doses of your medication. This makes them less effective.
    • Be aware of the common side effects that may be caused by your medication.

Ongoing care of amputations includes:
  • Wounds may be cleaned 2-3 times a day with mild soap, such as dilute baby shampoo.
  • Wounds to the foot need special care:
    • Clean foot wounds three to four times a day
    • Wear an open shoe.
  • Gently clean scabs on the face with a soft cloth and hydrogen peroxide:
    • Try not to cause bleeding.
    • Do not disturb dry scabs in other parts of the body.
  • Dry the wound gently, and completely, with a clean towel or gauze.
  • Apply an antibiotic ointment.
  • Cover the wound:
    • Use gauze or an elastic bandage.

Toe Amputation Pain in Adults

Medications commonly used to control pain and inflammation in adults with amputations include:

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Adult dosing is 2 regular strength (325 mg) every 4 hours or 2 extra-strength (500 mg) every 6 hours.
  • Maximum dose is 4,000 mg per day.
  • Avoid this drug if you have alcoholism, liver disease or an allergy to the drug. See the package instructions.
  • Common brand names include Tylenol, Panadol, and many others.





NSAID Precautions

Toe Amputation Pain in Children

Common medications used at home for pain and fever in children with amputations include:

Aspirin and most of the other nonsteroidal anti-inflammatory drugs (NSAIDS) are not used in children except under a doctor's care.

  • Acetaminophen decreases fever and pain, but does not help inflammation.
  • Dosing is 10-15 mg per kilogram (5-7 mg per pound) of body weight every 4-6 hours, up to the adult dose.
  • Do not exceed the maximum daily dose.
  • Acetaminophen products come in various strengths. Always follow the package instructions.
  • Avoid this drug in children with liver disease or an allergy to acetaminophen.
  • Common acetaminophen products include Tylenol, Panadol and many others.



Toe Amputation Warning Signs

Notify your doctor for amputations and any of the following:

Continue to Toe Amputation Underlying Cause

Last Updated: Nov 29, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Toe Amputation References
  1. Adani R, Marcoccio I, Tarallo L. Nail lengthening and fingertip amputations. Plast Reconstr Surg. 2003 Oct;112(5):1287-94. [14504512]
  2. Liang HW, Chen SY, Hsu JH, Chang CW. Work-related upper limb amputations in Taiwan, 1999-2001. Am J Ind Med. 2004 Dec;46(6):649-55. [15551379]
  3. McClure SK, Shaughnessy WJ. Farm-related limb amputations in children. J Pediatr Orthop. 2005 Mar-Apr;25(2):133-7. [15718888]
  4. Rosen RC. Digital amputations. Clin Podiatr Med Surg. 2005 Jul;22(3):343-63. [15978406]
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