What if surgery and virtual reality could dramatically reduce phantom limb pain?
On this episode of We’re Not Stumped, host Mike Bolland sits down with Dr. Glenn Gaston, orthopedic hand and upper-extremity surgeon, to explore groundbreaking innovations in amputee care — including the Starfish Procedure and a virtual reality treatment for phantom limb pain.
Dr. Gaston shares how a life-changing patient experience led him to build a dedicated amputee clinic and push beyond century-old methods of care. We dive into:
- The Starfish Procedure — restoring individual finger control for partial hand amputees
- A non-opioid VR therapy that reduces phantom limb pain by up to 50% in a single session
- Targeted Muscle Reinnervation (TMR) and advances in prosthetic control
- How VR retrains the brain after limb loss
- Osseointegration and emerging sensory prosthetic technology
- The international Brecon Conference coming to Charlotte this April
- Arms for All and expanding access to upper-limb prosthetics – https://armsforall.org/
Dr. Gaston also shares his journey into amputee care, the inspiration behind his innovations, and why collaboration between surgeons, prosthetists, therapists, and mental health professionals is shaping the future of limb loss recovery.
If you or someone you love is living with limb loss, chronic pain, or exploring prosthetic options — this conversation offers real hope and cutting-edge insight.
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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.
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