We list the Essentials out for those adjusting to a new prosthesis:
1) The patient must stand straight, and their knee and waist should be straight. Patient should not have the feeling of leaning forward or backward.
2) The origin of force on the load-bearing body should be equally 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 obvious pain in almost any area, even if it is rubbed red, Even if there is a small quantity of pain, it should be evenly distributed.
If it’s a free variety of forward motion, this is essential for going up and down stairs together with going uphill and downhill.
4) Walking depends mostly on the knee. But if the residual limb is long, it swings along with the prosthesis, This will make one’s stride more stable and natural.
5) Pay attention to the amount of the heel. When changing shoes, patient should attempt to keep the initial height of the prosthetic device. When you have not 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 in a 90-degree angle. The prosthesis should be extended slightly forward, that is, the degree between the foot and leg should be about 80 degrees. This is more acceptable for beginning to walk.
Heel adjustment method: when the heel is reduced, the body will always feel like it is moving backwards. At this time, it is appropriate to ditch the heel with a few thick moleskin (cut it into semi-circles roughly the size of half of the heel. You can use AB glue to make sure it sticks firmly and efficiently ). The knee obviously can’t stand up straight. Right now, the patient must replace their shoes for those who have a lower heel.
In addition, the first suggestion is selecting a slightly larger-sized shoe that is easy to put on and take off. The next thing is that you should place more emphasis on choosing a shoe with a firm and wear-resistant sole. The component 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 are 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:
Do not wear a new prosthesis for traveling (obviously except for all those new to prosthetic limbs). Therefore, you can’t immediately adapt to the new prosthesis. Once leaving your house, when you feel there’s some discomfort (like painful rubbing), there’s absolutely not any way to avoid it, you’ll need to live with this pain until your remaining limb adjusts to the new prosthesis.
After the installation of the initial prosthetic, the residual limb will atrophy rather quickly (especially if it is a recent amputation). Consequently, the individual should replace the initial prosthesis in a couple of years. It will reduce the patient’s financial burden if, when installing the second prosthesis, they can consider replacing just the upper half of the prosthetic socket. This will help maintain as much as possible of the parts other than the prosthetic socket. This will save a whole lot of money.
Three years later, the residual limb will become essentially fixed and unchangeable. The progression of atrophy will become relatively slow, while the stump will change only marginally.
Generally speaking, after the initial phase of adjustment, the individual has already become accustomed to the prosthesis. There shouldn’t be any pain or discomfort during a long walk. Therefore, it’s possible to naturally maintain a correct gait. In other words, the ideal situation is if the body replacements as little as possible while the patient is walking.