UMMS Affiliation

Department of Orthopedics and Physical Rehabilitation; School of Medicine

Publication Date


Document Type



Female Urogenital Diseases and Pregnancy Complications | Health Services Administration | Neoplasms | Orthopedics | Pain Management | Palliative Care | Pathological Conditions, Signs and Symptoms | Psychological Phenomena and Processes | Rehabilitation and Therapy | Surgical Procedures, Operative | Women's Health


Background: Cancer rehabilitation is a rapidly growing diverse field in physiatry. This case provides an example where rehabilitation physiatrists played a crucial role in the pain management, education, and rehabilitation before and after a palliative amputation. Due to her limited resources, both in her home country and in her local community, she could not access appropriate care that may have prevented the need for amputation. Though amputation is not generally accepted as the first line of treatment for pain, there have been several reports of palliative amputation in metastatic cancer patients. In particular, fore quarter amputations have been reported in metastatic breast cancer patients to manage pain and recurrent fractures.


mucinous ovarian cancer, pain management, cancer rehabilitation, metastatic bone disease, palliative amputation, physiatry

Rights and Permissions

Copyright 2019 The Author(s)

DOI of Published Version


Journal/Book/Conference Title

2019 Association of Academic Physiatrists Annual Meeting


Poster presentation at the 2019 Association of Academic Physiatrists Annual Meeting, Puerto Rico, February 19-23, 2019.

Lauren Hall is a medical student at UMass Medical School.