Can Buerger’s Disease Be Cured By Amputation?
, my father has been suffering from the disease for 17 years and until now continues to get worse. There have been many amputations in the fingers u0026amp; feet but new wounds continue to appear and now there are wounds at 6 points. If previously the amputation was only limited to the finger did not heal, whether if the amputation by cutting more parts (eg up to the knee) then the flow of blood vessels is smoother so that it can heal? Please advise🙏🙏🙏
Hello Jonathan Sandro,
Buerger disease is a disorder of the blood vessels, especially the legs and arms. The blood vessels become inflamed and swell causing blockages so that the circulation of blood to the tissues at the ends of the blood vessels becomes disrupted and tissue death occurs (gangrene, necrosis, "rotten" tissue). Buerger's disease is closely correlated with smoking / tobacco.
Symptoms of Buerger's disease are:
Tingling / numbness in the hands or feet
The tips of the fingers turn pale or turn bluish red
Very severe pain in the legs and arms that appear during activity then disappear if rested.
Your toes and hands turn pale when in the cold air, you can see the difference in white and red.
Painful open wounds on the fingers or toes
The diagnosis of Buerger disease is done through physical examination and is supported by other examinations such as angiography and laboratory tests to confirm the diagnosis. Handling of buerger disease is done by stopping smoking, administering drugs to improve blood circulation (many types of drugs, require dosage by doctors, many side effects). Rotten limbs need amputation so that infections and gangrene that arises do not spread. Surgery to cut off certain nerve parts may be needed to relieve symptoms of very severe pain, especially on the legs and arms.
Some steps that need to be taken for complaints of buerger disease are:
Routine activities or sports
Caring for the skin, avoiding skin sores
Clean the skin of the hands and feet regularly, providing moisturizer
Avoid smoking / cigarette smoke
The decision to amputate at the higher part is generally based on consideration, that gradually the part will also rot / die and during that process your father will feel very heavy pain. Therefore, it is advisable to further consult with a doctor who will perform surgery if indeed the family is still confused or has not reached an agreement. Thus the explanation from me, may be useful.