Project Description


Surgery Done in


Leprosy and sometimes Diabetes causes damage to nerves supplying the limbs.

This leads to loss of sensation in the limbs and thereby loss of function. Nerve damage can lead to loss of sensation. So the affected person tends to ignore any injurious, painful stimulus . This leads to tissue injury, overuse and abuse of the limb leading to destruction of the limb.

Destruction to the limb can be in the form of wounds or ulcers along with or without




or a combination of all these. It can also lead to open wounds (ulcers), twisted joints or limbs which will ultimately make people “walk their way to amputations” of their fingers, toes, hands and legs.

Ulcer Dressing done for
Patients at SIHRLC,Karigiri

Plaster of Paris Cast applied
at SIHRLC, Karigiri

This can be prevented by routine health education and early diagnosis which includes arresting damage to the limbs and preventing recurrence of wounds by appropriate customized protective Microcellular Rubber (MCR) footwear and appliances for the hands.

Damage can be limited and corrected by surgeries and protective appliances.

Many of these measures were pioneered by Schieffelin Institute, Karigiri, where timely and appropriate medical intervention has saved many from amputation. This has sustained the lives of numerous people who hail from very low socio-economic background where their physical


Special Orthotics provided
SIHRLC, Karigiri