My 2 Year Old Ankle Pain In Leg When Walking Techniques for Walking After the Installation of a Prosthetic Limb

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Techniques for Walking After the Installation of a Prosthetic Limb

We’ve listed the essentials for those adjusting to a new prosthesis:

1) The patient must be straight and the waist and knee must be straight. The patient should not have the sensation of leaning forward or backward.

2) The origin of the force on the load body must be uniformly distributed. This means that after putting on the prosthesis, the area of ​​the knee in the mouth of the prosthesis socket, including the lower part of the prosthesis, should not have obvious pain in any area, even if it is rubbed red, even if there is a small amount of pain, should be evenly distributed.

3) Ankle Side Test: Rock back and forth several times while standing with the prosthesis stable as a pillar. If you have a free range of forward motion, this is essential for going up and down stairs along with going up and down.

4) Walking depends mostly on the knee. However, if the residual limb is long, swing along with the prosthesis, this will make your step more stable and natural.

5) Pay attention to heel level. When changing shoes, the patient should try to maintain the initial height of the prosthetic device. If you have not mastered the techniques of self-adaptation to your artificial limb, do not easily change the level of the heel.

Visual methods: After putting on the shoes, the patient stands at a 90-degree angle. The prosthesis must extend slightly forward, that is to say, the degree between the leg and the foot must be about 80 degrees. This is more suitable for starting walking.

Heel adjustment method: If the heel is low, the body will always feel that it is moving backwards. Walking and standing for a long time stretches the knee, and it will be painful after walking a long distance. At this time, it is appropriate to thicken the heel with a thick moleskin (cut it into semi-circles about the size of half the heel. You can use AB glue to make sure it sticks firmly and effectively). If the heel is high, then the center of gravity of the body will always move forward involuntarily. The knee obviously cannot stand. At this time, the patient should replace his shoes with those with a lower heel.

Also, the first suggestion is to select a slightly larger size shoe that is easy to put on and take off. The second is that you should put more emphasis on choosing a shoe with a firm and wear-resistant sole. The part of a prosthetic limb most susceptible to wear and tear is the sole of your shoe, while the instep of the shoe is very durable.

Special reminder:

All new prostheses are like when you buy new shoes. They are initially very hard, not particularly soft, and require breaking. When you change to a new prosthesis, you obviously feel that the old one is better and easier to take off and put on. So remember:

Do not wear a new prosthesis for travel (except for those new to prosthetic limbs, of course). This is because the residual limb will change slightly over several years (artificial limbs have a life cycle). The old prosthesis and the new one will have a certain degree of difference. Therefore, you cannot immediately adapt to the new prosthesis. Once you leave your home, when you feel any discomfort (such as painful rubbing), there is no way to avoid it, you will have to live with this pain until your residual limb adjusts to the new prosthesis.

Tips:

After the initial prosthesis is fitted, the residual limb will atrophy quite quickly (especially if it is a recent amputation). Therefore, the patient should replace the first prosthesis in one or two years. It will reduce the patient’s financial burden if, when installing the second prosthesis, he can consider replacing only the upper half of the prosthetic socket. This will help keep as much of the parts other than the prosthetic socket as possible. This will save a lot of money.

Three years later, the residual limb will be essentially fixed and unchanging. The progression of atrophy will also be relatively slow, while the stump will only change slightly.

Adults with moderate daily activity (excluding growing children and adolescents along with heavy workers) can wear a prosthesis for 3-5 years without a problem.

In general, after the initial adjustment phase, the patient already gets used to the prosthesis. There should be no pain or discomfort during a long walk. Therefore, it is possible to naturally maintain a correct gait. In other words, the best situation is if the body shakes as little as possible while the patient walks.

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