A Case of Returning to Work as a Judo Therapist Despite Paraplegia and Right Above‐knee Amputation Caused by Kidney Cancer Surgery

[Purpose] This paper reports a case of support for returning to work, where open nephrectomy for left kidney cancer caused dissection limited to the abdominal aorta, resulting in incomplete paraplegia and right above‐knee amputation. [Patient and Methods] The patient was a 44-year-old male with left kidney cancer, who had been working as a practicing judo therapist. To help him return to work despite incomplete paraplegia and right above‐knee amputation as multiple disabilities, seating and interprofessional collaboration approaches were provided. [Results] Standard wheelchair use caused pressure pain in the sacral and coccygeal regions, making it difficult to expand the patient’s activities of daily living (ADL). To reduce such pain, evaluation to design a wheelchair was initiated in outpatient seating services. As conventional cushions did not suffice, a sponge foam sheet was shaped to fit the patient’s hip angle for pain relief. These approaches effectively reduced pain, and enabled the patient to perform ADL independently again. After home and workplace modifications, he returned to work as a judo therapist. [Conclusion] Wheelchair seating and home/workplace modifications were effective for the patient to return to work as a judo therapist.