Alpha Liner problem

Alpha Liner problem

Fellow Practitioners,

I have a 50 y/o active congenital B/K patient who I have tried to use 3mm
non-locking Alpha Liners with over the course of about three months. She
loves the comfort they offer, but after moderate to high activity or during
warm weather, the Alpha will actually slide down her thigh and begin
bunching up w/i the socket. This is obviously due to perspiration, which she
can attest to. She has tried a plethora of anti-perspirants in an attempt to
alleviate the problem: Dial, Suave, Arm & Hammer, and Mennon, but to no
avail. Has even tried Goldbond talcum powder, and J&J Baby Powder with and
w/o corn starch.

The liner is used in conjunction with a pelite liner and laminated socket
with standard PTB trimlines. The Alphas (size Medium) fit properly--I even
had to customize them due to being excessively tight. The prosthesis is
suspended with a Juzo sleeve. Her residual limb is mildly conical, bony
anteriorly, and 4 inches in length. The Alpha is cut 4 above the socket
wings. No air becomes trapped w'/i Alpha that I am aware of.

I have resorted to using Silipos gel socks which do work, but given she likes
the comfort of the Alpha liners better, I am trying to come up with a
solution.

Any suggestions?

Paul Rieth, CPO