Veterans who use prosthetic limbs commonly suffer from skin problems such as scars that create discomfort and pain to the point that wearing the prosthesis is no longer tolerable. The Veteran must then discontinue prosthetic use to allow healing prior to wearing the limb again. Current treatments for skin problems include manual scar mobilization and massage, stretching, desensitization techniques, pain medication, prosthetic adjustment, steroid injection, scar excision and others. Most of these have not proven to be a long-term solution. A dermatologic procedure common in non-amputees for scar and skin lesion management, fractionated laser therapy, may be a long-term solution minimizing discomfort, pain and time out of the prosthesis. This preliminary study seeks to determine if fractional laser therapy can improve prosthetic use, and quality of life of Veterans with amputation who use lower limb prostheses.
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Change in Prosthesis Evaluation Questionnaire
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in 2 minute walk test
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in The Patient and Observer Scar Assessment Scale
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Optical Coherence Tomography
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Manchester Scar Scale
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Dermatology Life Quality Index
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Dermal Torque Meter
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Scar Photography
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits
Change in Prosthesis Limb User Survey - Mobility
Timeframe: Baseline and post Treatment LASER Visit (week 6), and 3 and 6 month follow up visits