Limb Salvage vs. Amputation: When Is Saving the Limb Not the Best Outcome?
When should a limb be saved—and when might amputation provide a better quality of life?
On this episode of We’re Not Stumped, Mike Bolland talks with podiatric surgeon Dr. Danny Ghannoum about limb salvage, diabetic foot complications, Charcot neuroarthropathy, bone infections, and the difficult decisions that can lead to lower-limb amputation.
Dr. Ghannoum explains how diabetes, peripheral neuropathy, poor circulation, foot ulcers, and osteomyelitis can put a limb at risk. He also shares complex patient cases that illustrate an important point: saving a limb isn’t always the same as achieving the best outcome for the patient.
The conversation explores advances in limb salvage and reconstructive surgery, including bone fusion techniques, while emphasizing the importance of considering each patient’s lifestyle, goals, and quality of life when making treatment decisions.
Mike and Dr. Ghannoum also discuss patient advocacy and second opinions, with Dr. Ghannoum encouraging patients to take an active role as the “quarterback” of their healthcare team.
Topics include:
- Limb salvage vs. amputation
- Diabetes and amputation risk
- Peripheral neuropathy
- Charcot foot / Charcot neuroarthropathy
- Diabetic foot ulcers and infections
- Osteomyelitis
- Below-the-knee amputation
- Limb reconstruction and fusion
- Patient advocacy and second opinions
- Quality of life when making treatment decisions
We’re Not Stumped shares conversations about limb loss, limb difference, prosthetics, adaptive living, advocacy, and the people working to improve outcomes for the limb loss community.
Listen on Apple Podcasts
Watch on YouTube
Listen on Spotify
Host Mike Bolland welcomes Whitney Lavender — Miss Wheelchair Tennessee 2026, author, advocate, and host of the Wits Grit podcast — for an inspiring conversation about resilience, purpose, and overcoming unimaginable challenges. After a devastating fall led to a diagnosis of Complex Regional Pain Syndrome (CRPS), Whitney faced years of severe pain, countless treatments, and ultimately bilateral leg amputations. Rather than allowing adversity to define her, she rebuilt her life and discovered a new purpose through advocacy, storytelling, and empowering others. Whitney’s story is a powerful reminder that our greatest challenges can sometimes reveal strengths we never knew we had.
Ever since announcing his return to competitive bowling, Mike Bolland has been getting one question after another from friends, bowlers, podcast listeners, and people discovering his story for the first time. In this episode of We’re Not Stumped, Mike answers the top three questions he keeps hearing: 🎳 How did he start bowling? 🎳 Why did he walk away from the sport? 🎳 Why is he coming back now at 61 years old? Mike shares the story behind becoming the first person with limb loss to compete on the PBA Tour, the life experiences that pulled him away from bowling, and how volunteering with Arizona Disabled Sports unexpectedly helped inspire his comeback journey toward the PBA60 World Championship.
What happens when you step back into something you once loved… years later? In this episode of the We’re Not Stumped podcast, Mike Bolland shares the story behind his bowling comeback — from being the first person with limb loss to compete on the PBA Tour to stepping back onto the lanes with a new purpose. But this isn’t just about bowling. It's about shedding light on the things that are important to him - this podcast, his nonprofit and Enable Review. It’s never too late to chase something meaningful.
