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Lower Extremity Amputation Prevention (LEAP) can dramatically reduce lower extremity amputations in individuals with Hansen’s disease or any condition Date Last Reviewed: June Free LEAP Monofilaments and Print Publications.

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Advanced Search. Lower Extremity Amputation Prevention LEAP can dramatically reduce lower extremity amputations in individuals with Hansen’s disease or any condition that results in loss of protective sensation in the feet. The foundation of this prevention program is a foot screening that identifies those patients who have lost protective sensation. The initial plantar ulcer usually results from an injury to a foot that has lost sensation.

In the absence of protective sensation, even normal walking can result in such injuries. To help prevent foot problems, at-risk patients should be seen at least four times a year. This is to check their feet and shoes to help prevent foot problems from occurring. Once taught simple self-management techniques, the patient assumes personal responsibility and becomes a full partner with the health care team in preventing foot problems.

Every individual who has lost protective sensation must regularly and properly examine their feet on a daily basis. Studies have shown that daily self-inspection is the single most effective way to protect feet in the absence of the pain warning system. Early detection of foot injuries blister, redness, or swelling , callus or toe nail problems thick, tender, long, or discolored is necessary to prevent potentially more serious problems.

Some problems should be reported immediately to a health care provider while the patient can manage others if they have been taught simple, basic self-management techniques. A person with normal sensation in their feet can wear almost any shoe style with little risk of injury.

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