We list out the essentials for those adjusting to a new prosthesis:
1) The patient should 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 pressure on the load-bearing body should be equally dispersed. This means that after placing on the prosthesis, the region of the knee at the mouth of the prosthetic socket, such as the lower part of the prosthesis, should have no obvious pain in any area, even if it is rubbed red, Even if there is a small amount of pain, it ought to be evenly distributed.
If it has a free range of forward movement, this is crucial for going up and down stairs together with going uphill and downhill.
4) Walking depends mostly 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 have not mastered the techniques of self-adjustment to your artificial limb, don’t 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, in other words, the level between the foot and leg should be about 80 degrees. This is more suitable for starting to walk.
Heel adjustment method: if the heel is reduced, the body will always feel like it is 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 effectively). The knee obviously can’t stand up straight. At this time, the patient must replace their shoes for anyone who have a lower heel.
In addition, the first suggestion is picking a slightly larger-sized shoe that is easy to put on and take off. The second is that you ought to place more emphasis on picking a shoe with a firm and wear-resistant sole. The component of a prosthetic limb most susceptible to wear and tear is that the sole of its shoe, while the shoe’s instep is very 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 to a new prosthesis, you clearly feel that the older one is better and easy to remove and put on. Therefore, please remember:
Do not wear a new prosthesis for traveling (of course except for all those new to prosthetic limbs). This is since the residual limb will change slightly over the course of many years (artificial limbs have a life cycle). The old and new prosthesis will have a certain degree of difference. Therefore, you can’t instantly adapt to the new prosthesis. Once leaving your house, when you feel there is some discomfort (such as painful rubbing), there is not any way to avoid it, You will have 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 (especially if it is a recent amputation). Therefore, the patient should replace the first prosthesis within a couple of years. It will lower the patient’s financial burden if, when installing the second prosthesis, they can consider replacing just the upper half of the prosthetic socket. This can help maintain as much as possible of these components other than the prosthetic socket. This will save a lot of money.
Three years later, the thoracic will become essentially fixed and unchangeable. The progression of atrophy will also become relatively slow, while the stump will change only slightly.
Adults with moderate daily activity (excluding growing children and teens together with strong laborers) can wear a prosthesis for 3-5 years with no problem.
In general, after the first phase of adjustment, the individual has already become used to the prosthesis. There should not be any pain or discomfort during a long walk. Therefore, it is possible to naturally maintain a proper gait. In other words, the ideal situation is if the body replacements as little as possible while the patient is walking.