Merck Manual

Please confirm that you are a health care professional

honeypot link

Edema of the Residual Limb


Jan J. Stokosa

, CP, American Prosthetics Institute, Ltd

Last full review/revision Jan 2021| Content last modified Jan 2021
Click here for Patient Education

Even after the residual limb matures 18 to 24 months post amputation, edema can still occur. Having a well-fitting prosthesis socket is the best way to maintain a consistent residual-limb size and volume. Measures that can be used when not wearing the prosthesis include applying external compression with

  • Elastic bandaging

  • An elastic compression garment

  • The viscoelastic interface used when wearing the prosthesis

It also helps to follow a consistent nutrition and exercise program and do exercise and/or physical therapy to maintain muscle mass. Edema is much less of a problem when the amputation procedure is done in a way that preserves some active function of the transected muscle.

In hot and humid weather, the residual limb may swell and sweat, making the prosthesis hard to put on. Showering, or immersing the residual limb in cold water for 3 to 5 minutes, and patting it dry immediately before putting the prosthesis on may help. After the prosthesis has been on for 5 to 15 minutes, it should be removed and immediately put back on. This strategy helps get the residual limb properly positioned within the socket. If cold immersion is not readily available, wrapping the residual limb with an elastic bandage or wearing the viscoelastic interface and elevating the limb for 20 minutes or more helps.

Although prosthetic suspension systems that hold the prosthesis in place using vacuum (created by an electric or mechanical vacuum pump) might be expected to cause edema, they do not when the socket fits optimally.

Click here for Patient Education
NOTE: This is the Professional Version. CONSUMERS: Click here for the Consumer Version
Professionals also read
Test your knowledge
Overview of Exercise
Prior to beginning an aerobic exercise, which of the following activities seems to be most effective for facilitating safe exercise? 
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID
Download the Manuals App iOS ANDROID

Also of Interest