We list the Essentials out for those adjusting to a new prosthesis:
1) The individual must stand straight, and their waist and knee should be straight. Patient shouldn’t have the feeling of leaning backward or forward.
2) The source of force on the load-bearing body should be evenly distributed. This means that after placing on the prosthesis, the area of the knee at the mouth of the prosthetic socket, such as the lower portion of the prosthesis, should have no clear pain in almost any area, even if it is rubbed red, Even if there is a small quantity of pain, it ought to be evenly distributed.
3) Testing the side of the ankle: Shake back and forth several times while standing with the prosthesis stable like a pillar. If it has a free variety of forward movement, this is essential for going up and down stairs along with going uphill and downhill.
4) Walking depends mainly on the knee. But if the remaining limb is long, it swings along with the prosthesis, This can make one’s stride more stable and natural.
5) Pay attention to the level of the heel. When changing shoes, patient should attempt to keep the initial height of the prosthetic device. When you haven’t mastered the techniques of self-adjustment to your artificial limb, do not easily change the level of the heel.
Visual methods: After putting on shoes, patient stands at a 90-degree angle. The prosthesis should be extended slightly forward, that is, the degree between the leg and foot should be about 80 degrees. This is more acceptable for starting to walk.
Heel modification method: if the heel is reduced, the body will always feel like it’s moving backwards. At this time, it is acceptable to thicken the heel with some thick moleskin (cut it into semi-circles about the size of half of the heel. You can use AB glue to be sure it sticks firmly and efficiently ). The knee obviously cannot stand up straight. Right now, the patient should replace their shoes for those with a lower heel.
Additionally, the first suggestion is picking a slightly larger-sized shoe that is easy to wear and take off. The next thing is that you ought to place more emphasis on picking a shoe with a firm and wear-resistant sole. The part of a prosthetic limb most susceptible to wear and tear is that the only of its shoe, while the shoe’s instep is quite durable.
All new prostheses are like when you purchase new shoes. They’re initially very difficult, not particularly soft, and need breaking in. When you change into a new prosthesis, you obviously feel that the old one is better and easy to remove and wear. Therefore, please remember:
Don’t wear a new prosthesis for traveling (of course except for those new to prosthetic limbs). Therefore, you cannot instantly adapt to the new prosthesis. Once leaving your home, when you feel there is some discomfort (such as painful rubbing), there’s absolutely no way to avoid it, you’ll need to live with this pain until your remaining limb adjusts to the new prosthesis.
Following the installation of the primary prosthetic, the remaining limb will atrophy rather quickly (particularly if it is a recent amputation). Consequently, the patient should replace the first prosthesis in a year or two. It will reduce the patient’s economic burden if, when installing the second prosthesis, they could think about replacing just the top half of the prosthetic socket. This will help maintain as much as possible of the parts besides the prosthetic socket. This will save a whole lot of money.
Three years later, the thoracic will become essentially fixed and unchangeable. The development of atrophy will become relatively slow, while the stump will change only marginally.
Adults with moderate daily activity (excluding growing children and adolescents along with strong laborers) can wear a prosthesis for 3-5 years without a problem.
Generally speaking, after the first stage of adjustment, the individual has already become used to the prosthesis. Therefore, it is possible to naturally maintain a proper gait. To put it differently, the ideal situation is if the body replacements as little as possible while the patient is walking.