Align Clinic
  • Home
  • Locations
    • AC San Mateo, CA >
      • Inside AC SM
      • Our Practitioners >
        • Grant Wood
        • Steve Baum
        • Miguel Bustamante
      • Advanced Technology
      • Stanford Children's Health Partnership
      • Local Hotels
      • Contact Us
      • Team Members
    • AC Green Bay, WI >
      • Inside Wisconsin
      • Patient Testimonials
      • Contact Us
      • Emery Maloney
    • AC The Woodlands, TX
    • AC Fort Lauderdale, FL
  • The WCR Brace
    • Case Presentations >
      • Infantile Idiopathic Scoliosis
      • Juvenile Idiopathic Scoliosis
      • Adolescent Idiopathic Scoliosis
      • Switching to a WCR Brace
      • Adult Scoliosis Bracing
      • Neuromuscular Scoliosis
      • Treating Upper Thoracic Curves
    • Brace Articles
    • Patient Testimonials >
      • Grant's Testimonials
      • Paul's Testimonials
    • WCR Partner Testimonials
    • Grant's MS Thesis
    • Our Patients
    • Patients and Sports
    • Patients and Hobbies
    • Brace colors
    • Scoliosis Fashion
  • Patient Resources
    • WCR Brace Clinics >
      • USA Clinics
      • China Clinics
      • Canada Clinics
      • Australia Clinics
      • WCR Brace Clinic Finder
    • WCR Certified Practitioners
    • Professional Contacts & References
    • Forms & Insurance
    • Clinical Photos and X-rays
    • Scoliosis Rehab PT, CA
    • Blog
  • Events
    • Brace Clinic Calendar
    • Sosort 2022 - San Sebastian, Spain
    • Past Events >
      • Advancements in Conservative Treatment of Scoliosis 2018 >
        • Award for Advancements in the Conservative Treatment of Scoliosis
      • Past USA WCR Clinics and Conferences
      • Advancements in Conservative Treatment Of Scoliosis 2017
      • Shanghai Clinic
      • AAOP Meetings
      • BSPTS Schroth PT Training
    • Past SOSORT Conferences >
      • sosort2019 San Francisco - CA
      • SOSORT2018 Dubrovnik/Croatia
      • SOSORT2017 Lyon/France
      • SOSORT2016 Canada
    • Northeast Region Re-Align Clinic
  • Services
    • Scoliosis & Spine Online Learning
    • Prosthetics
    • Orthotics >
      • Pediatric Orthotics
      • Cranial Remolding Band
  • Hope's EmbraceĀ® Undershirts
  • Wall Grids
  • WCR Brace Fitting Evaluation
  • For PTs/Orthotists
  • WCR Measurement Order Form
  • Masterclass Conferences
  • Careers

The Align Clinic Blog
​ Your Home For Orthotic and Prosthetic Knowledge

How to Take Care of Your Above-Knee Prosthetics

3/22/2021

2 Comments

 
Picture

​Prosthetics are a beautiful medical invention that helps amputees in moving around. They perform the functions of a real leg, and at times, look like one.


Some users will need crutches or a walker when using a prosthetic leg. However, most can manage without any extra support. There are many aspects to be considered before you get one.
​

Here’s what you need to know if you plan to take the above the knee prosthetics route.

1. They Might Not Help

Many aspects come into play here. Your residual limb should be mobile, and there needs to be enough soft tissue to act as a cushion. If you have a circulation disorder, then a prosthetic may not be for you.

2. They Take Time

Above the knee, prosthetics are not quickly adopted since there’s no knee joint. You’ll face issues like perennial sweating, weakness in the limb, and phantom pain.
​ 

Following your rehabilitation plan is critical here. Rest assured, your prosthetist and physical therapist will help you overcome the issues in this phase.

3. They Need Customization

There are different types of above knee prostheses, but they are not one-size-fits-all.
​

Parts, like the socket and suspension system, are molded according to your residual limb. Hence, you need to make frequent trips to the prosthetist to get the measurements right

4. There’s Always a Newer Model

Even if you buy the best above knee prosthetic leg today, it might become obsolete within a year.
​ 

Prosthetic limb technology is advancing at a rapid pace. Microprocessor joints and integration surgeries have increased the sensory reception and range of motion.

Parts of an Above the Knee Prosthesis

It’s time to understand what are the different parts of this device. There are four major components in most modern-day prosthetics - socket, knee, pylon, and foot. 
Let’s start with the easier ones first:
​
  • Foot: It’s designed to take the shape of your functional leg’s foot. Unless you’re going for a high-end prosthesis, its function is simply to follow the body’s gait.
  • Pylon: It’s a light-weight shaft that connects the knee and foot seamlessly. In more recent models, the pylon is adjustable and comes with shock-absorbers.
  • Knee: This is an important part that determines the cost of the above knee prosthetics. You can choose a device from the market based on your activity levels and budget. The most straightforward kind of knee is a single-axis one, whereas the most advanced one has microprocessors and offers intelligent sensors.

Socket:
In the initial phase, a diagnostic socket is implemented to check the alignment. It’s a plastic socket that is replaced by a laminated one in the later stage. The laminated one is usually made of carbon fiber and has a long life. If everything is in place, you can even get your favorite sports team’s logo embossed on it!

​

Maintenance

Picture

​If you’re still reading, you now understand the challenges of using prosthetics. Now that you’re ready to get one, you may be wondering how to take care of them.


Here are eight things you should know as a new prosthetics user:
​

     1. Washing your prosthesis daily is essential. Don’t use anything else apart from mild soap, and give the device enough time to dry. Regularly wiping the insides of the prosthesis will keep it free from bacterial infections.

     2. Prostheses are designed to be worn with shoes. If the heels are not of the same height, it may cause stability issues. You can choose to wear high heels or any other footwear only after informing your intentions to a prosthetist.

     3. Prosthetics socks are an integral part of your life now. Based on your doctor’s
recommendation, you can use a single-ply or multi-ply pair of socks. Ensure they fit perfectly and use the correct number of ply to avoid developing irritations. 

     4. The socket and liner are the root cause of skin infections. Follow the manufacturer’s hygiene instructions to ensure to provide the right kind of care. Importantly, do not try to trim or add pads to the socket since it might compromise the prosthesis’s safety.

     5. In the initial few months, you have to take up many exercises. It will expose your residual limb to many scenarios in a short span. That allows you to adjust to get the perfect fit. Don’t hesitate to ask the prosthetist for multiple changes.

     6. As an above the knee prosthetics user, you should not sleep with your limb on a pillow. You might get a hip flexion contracture, a condition that doesn’t let users straighten their hips. Instead, you can place a pillow between your legs to strengthen the outer thigh muscles.

     7. Always have a handy kit with spare stump socks, antibiotics, and ointments. That will be your emergency stock for when you need a change. Moreover, you’ll be needing different ply socks due to frequent volume changes in your limb.

    8. Periodic follow-ups are a must in the first year of usage. The doctors need to know if your body is accepting the prosthesis without causing any troubles. On the other hand, the prosthetists can make changes to the device if it isn’t comfortable to use.

Picture

Conclusion

The decision to get a prosthetic is determined by people's urge to have an everyday social life. Don’t rush through this process. Talk to a few users and understand how it makes their lives better. Understand every little intricacy about prosthetics, and make a well-informed decision.
​

Taking care of your above knee prosthetics may sound very tedious. In reality, it’s like managing dental braces or any other medical device. It all comes down to those little things you do regularly - cleaning, checking, fixing.

Ultimately, the decision to get a prosthesis should be based on mutual consent and understanding between you and the doctor.

Besides above the knee prosthetics, there are many types of prosthetics. Find out more about them in this guide by Align Clinic.



2 Comments

How to Deal With Your Child's Pectus Carinatum Condition

3/15/2021

0 Comments

 
Picture
Dealing with rare medical conditions is not an easy task, and the going gets tough when it’s your child. 

Pectus Carinatum is one such chest wall-related ailment that could harm your child’s health if left unattended. 

The condition’s name describes the malformation accurately. ‘Pectus’ means a bird’s breast, which indicates a bulged appearance. ‘Carinatum’ refers to the pointed keels of ancient Roman boats. Colloquially, it’s known as pigeon chest pain.

Pigeon chest causes the breast-bone to push forward, and it leads to unequal growth in other areas. Its symptoms include asthma, chest pain, tiredness, and shortness of breath, among others.
​
It's an issue that is mostly seen in teenagers and can be treated without little hassle. Here are a few things you need to understand to help your child beat this condition -
​

Its Prevalence

Studies suggest that nearly 5% of people are born with a mild form of Pectus Carinatum. Yet, it remains a rare disorder when compared to other chest wall conditions - Pectus Excavatum.

Nearly 80% of those born with this condition are male. You can detect its signs in the early stages, but its effects become visible only after your child turns eleven. It’s a genetic disorder, and depending on the severity, the condition may worsen as your child enters adulthood. 
​

The bottom line here is you need to be absolutely sure about the problem’s existence and severity. That brings us to the next section - diagnosis.
​


Diagnosing the Condition

A thorough physical examination is necessary to understand the intensity of the problem. The preliminary diagnosis involves the calculation of the chest’s depth with an X-ray. After measuring the diameter, they can determine if your child has Pectus Carinatum.

The X-rays will help identify scoliosis or other abnormalities leading to pigeon chest.
Here are a few other tests your doctor may recommend -
​
  • A computed tomography scan (CT scan) to get a picture of the heart’s function 
  • An echocardiogram (echo) or electrocardiogram (ECG) to check if the spine is curved
  • A pulmonary function test (spirometry) to find out if the lungs are functioning normally
Picture


​Treatment Methods

Many devices and techniques are used to subdue or eliminate Pectus Carinatum. The most common ones are - 

1. External Bracing
It has become a popular method of dealing with Pectus Carinatum in children.

Like orthodontics, your child would be expected to wear a customized brace under their regular clothes. Orthotists recommend that the children wear the brace for at least 14 hours a day.

It’s a less tedious option, but wearing a brace would need regular follow-up sessions. Additionally, your child may need multiple trips to the orthosis center to get the fit right.

2. Surgical Removal
Recent medical advancements make surgery one of the best available options. It’s inevitable in cases where there is discomfort in breathing or a threat to the heart.

While it’s ideal only for children in their teens, the younger ones might also need them if the case is severe. Do note that external braces could be a part of the surgery preparation routine. 

There are two widely-used surgical procedures to treat the condition - 

  1. Ravitch Procedure: Is an invasive method that involves making an incision in the chest. After going beneath the chest muscles, the cartilage bones causing the outward growth are removed.

  2. Reverse Nuss Procedure: Developed by Dr. Donald Nuss, a comparatively less-invasive procedure can be completed within two hours. A concave bar made of stainless steel is placed in the chest for around 2-3 years to stabilize the rib cage. Eventually, the protruding bone will go back to a normal position. 

After surgery, seri-strips might be used to heal the incision areas. Your child might be required to take painkillers during the recovery phase. 

While they can go to school 1-2 weeks after the surgery, strenuous physical activities have to be avoided. So, the little one cannot indulge in sports, run around during recess, or lift heavy books.

Attend all follow-up sessions so that the doctors can give a timely progress report of your child’s health. The postoperative phase may also need physiotherapy therapy for the strengthening of muscles.

3. Plastic Surgery
Instead of a grueling removal or reparation surgery, many take the cosmetic way. Plastic surgery can make the condition less prominent with minimal effort. Moreover, it does not disturb the bone’s natural growth.

Ideally, your child should not have any pre-existing conditions for this procedure to go smoothly.

4. Bodybuilding 
When there is a minor aberration, bulking up or building muscle can do an excellent job of covering the protrusion.

Consult your doctor or a sports medicine specialist to understand if the idea is viable for your child. Remember, your child shouldn’t be taking up hardcore exercises in early adolescence.

5. Yoga
No research establishes Yoga as a viable treatment option. But proponents of the exercise routine claim that Hatha Yoga can help those with Pectus carinatum condition.
​

Either way, Yoga is a harmless option to try. It can improve the flexibility of muscles and increase the breath-capacity of your kids. That, in turn, can help in reducing the usual symptoms of pigeon chest pain.

​
Picture


​Decision Making

When it comes to Pectus Carinatum, the UK’s NHS lays out the risks associated with surgeries. The list includes bleeding, extended observation periods, long-term discomfort, and few other complications.

Consult your family physician and an expert before zeroing on the treatment procedure. Rely on credible sources, cross-check the facts presented to you, and form an informed opinion. Ensure that your child and family members are on board before you go ahead with the treatment.

As a parent, you need to understand that it’s a genetic disorder, and there is not anything you can have done to prevent it. With the proper recourse, you and your child can overcome this hurdle.
​

Plan on getting a chest brace for your child? If that’s the case, here’s a guide that can help the little one adjust to it quickly.
0 Comments

Wearing an AFO for the First Time? Here's All the Info You Need

3/12/2021

0 Comments

 
Picture
Foot drop is a common symptom that could result from an injury or a serious condition like cerebral palsy, ALS, and other motor-neuron diseases. Usually, it warrants many exercise sessions at a physiotherapist or an orthopedic professional’s place.

But now, a one-stop solution has emerged for all such problems - wearing a foot-drop brace a.k.a. an AFO anklebrace.

Nearly 26% of orthosis users prefer an AFO over any other aid. These braces are finding so many takers due to factors such as convenience, adaptability, and availability.

Before you get one of them for your needs, read till the end to understand what it takes to use an AFO.​

Read More
0 Comments

Align Clinic - Exercises and Positions That People With Scoliosis Should Avoid

3/5/2021

1 Comment

 
Picture
Living with constant back pain can be exhausting. Unfortunately, back pain is one of the most common pains in the world. Discovering the source of back pain is crucial for finding the right treatment. But also for avoiding activities that can further damage your spine. 
​

Several things can cause back pain. Ranging from lumbar spondylosis to disk herniation and spinal stenosis, the diagnosis can vary. For people who have scoliosis, back pain can be just one indicator that it’s high time to visit a professional like an orthotist. 

Most people choose to ignore this pain and continue their life as usual. The most common misconception is that if you’re doing your exercises regularly, your back will get stronger and better over time. 

However, this isn’t true. 
Even though some exercises can help you with your back pain, others should be avoided entirely.


Read More
1 Comment

    Author

    Write something about yourself. No need to be fancy, just an overview.

    Archives

    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    May 2022
    April 2022
    March 2022
    February 2022
    January 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020

    Categories

    All

    RSS Feed

Picture
San Mateo, California
700 S Claremont St
Suite #105
San Mateo, CA 94402 
Hours: 8:30-5:30 M-F
​Phone: (650) 375-2231
Fax: (650) 627-4632
Green Bay, Wisconsin
445 Cardinal Lane
Suite #110
Green Bay, WI 54313
Hours: 8:30-5:30 M-F
Phone: (920) 940-5277
Fax: (844) 308-8462


Houston, Texas
1001 Medical Plaza Drive,
​Suite #130
The Woodlands, TX  77380
Hours: 8:30-5:30 M-F
​Phone: (346) 770-2970
Fax: (281) 419-1615
Fort Lauderdale, Florida
Florida Medical Center - North
4900 W. Oakland Park Blvd,
Suite #105
​Lauderdale Lakes, FL 33313
attention only by appointment
Phone:
(920) 940-5277
Fax: (844) 308-8462
Photos used under Creative Commons from shixart1985, wuestenigel
  • Home
  • Locations
    • AC San Mateo, CA >
      • Inside AC SM
      • Our Practitioners >
        • Grant Wood
        • Steve Baum
        • Miguel Bustamante
      • Advanced Technology
      • Stanford Children's Health Partnership
      • Local Hotels
      • Contact Us
      • Team Members
    • AC Green Bay, WI >
      • Inside Wisconsin
      • Patient Testimonials
      • Contact Us
      • Emery Maloney
    • AC The Woodlands, TX
    • AC Fort Lauderdale, FL
  • The WCR Brace
    • Case Presentations >
      • Infantile Idiopathic Scoliosis
      • Juvenile Idiopathic Scoliosis
      • Adolescent Idiopathic Scoliosis
      • Switching to a WCR Brace
      • Adult Scoliosis Bracing
      • Neuromuscular Scoliosis
      • Treating Upper Thoracic Curves
    • Brace Articles
    • Patient Testimonials >
      • Grant's Testimonials
      • Paul's Testimonials
    • WCR Partner Testimonials
    • Grant's MS Thesis
    • Our Patients
    • Patients and Sports
    • Patients and Hobbies
    • Brace colors
    • Scoliosis Fashion
  • Patient Resources
    • WCR Brace Clinics >
      • USA Clinics
      • China Clinics
      • Canada Clinics
      • Australia Clinics
      • WCR Brace Clinic Finder
    • WCR Certified Practitioners
    • Professional Contacts & References
    • Forms & Insurance
    • Clinical Photos and X-rays
    • Scoliosis Rehab PT, CA
    • Blog
  • Events
    • Brace Clinic Calendar
    • Sosort 2022 - San Sebastian, Spain
    • Past Events >
      • Advancements in Conservative Treatment of Scoliosis 2018 >
        • Award for Advancements in the Conservative Treatment of Scoliosis
      • Past USA WCR Clinics and Conferences
      • Advancements in Conservative Treatment Of Scoliosis 2017
      • Shanghai Clinic
      • AAOP Meetings
      • BSPTS Schroth PT Training
    • Past SOSORT Conferences >
      • sosort2019 San Francisco - CA
      • SOSORT2018 Dubrovnik/Croatia
      • SOSORT2017 Lyon/France
      • SOSORT2016 Canada
    • Northeast Region Re-Align Clinic
  • Services
    • Scoliosis & Spine Online Learning
    • Prosthetics
    • Orthotics >
      • Pediatric Orthotics
      • Cranial Remolding Band
  • Hope's EmbraceĀ® Undershirts
  • Wall Grids
  • WCR Brace Fitting Evaluation
  • For PTs/Orthotists
  • WCR Measurement Order Form
  • Masterclass Conferences
  • Careers