Suspension Liners and Skin Rashes
Custom Prosthetic Services Ltd.
Description
Collection
Title:
Suspension Liners and Skin Rashes
Creator:
Custom Prosthetic Services Ltd.
Date:
5/14/2001
Text:
I have had a few amputee clients reporting red welts and a hive like
rashes after using suspension liners and associated gel sheaths in their
trans tibial prostheses. The Liner materials differed for each client,
and skin tests were negative for yeast and allergic reactions.
Mechanical irritants such as fiberglass particles were not evident. The
one common element reported by the clients was that the liners felt
'hot'.
Scrupulous hygiene and avoidance of the liners helped to resolve the
skin rashes. Some clients found that they were able to resume use of
the liners after a period of time.
By chance I happened upon an article by a medical columnist/physician
answering a question posed by a person inquiring about exercise induced
rashes. To be brief, the physician suggested that the condition may be
cholinergic urticaria. The rise in body temperature caused by exercise
leads to the release of the neurotransmitter acetycholine, which
precipitates the release of histamine, which produces an itchy rash of
red dots. Typically the rash goes away within 30 minutes to 4 hours
after a person stops exercising.
The physician suggested drinking cold water to cool the body, exercising
in an air-conditioned environment, and the use of specific
antihistamines to address this condition. He also stated that many
people with cholinergic urticaria are freed from its grip in a few
years.
I am wondering if anyone else has noticed similar heat related rashes
occurring with their clients who use suspension liners, or have any
further knowledge about this cholinergic urticaria condition? Please
email me if you would like a copy of the medical column. I would be
happy to collect and post your replies.
Geoffrey Hall, B.Sc., C.P.( c )
rashes after using suspension liners and associated gel sheaths in their
trans tibial prostheses. The Liner materials differed for each client,
and skin tests were negative for yeast and allergic reactions.
Mechanical irritants such as fiberglass particles were not evident. The
one common element reported by the clients was that the liners felt
'hot'.
Scrupulous hygiene and avoidance of the liners helped to resolve the
skin rashes. Some clients found that they were able to resume use of
the liners after a period of time.
By chance I happened upon an article by a medical columnist/physician
answering a question posed by a person inquiring about exercise induced
rashes. To be brief, the physician suggested that the condition may be
cholinergic urticaria. The rise in body temperature caused by exercise
leads to the release of the neurotransmitter acetycholine, which
precipitates the release of histamine, which produces an itchy rash of
red dots. Typically the rash goes away within 30 minutes to 4 hours
after a person stops exercising.
The physician suggested drinking cold water to cool the body, exercising
in an air-conditioned environment, and the use of specific
antihistamines to address this condition. He also stated that many
people with cholinergic urticaria are freed from its grip in a few
years.
I am wondering if anyone else has noticed similar heat related rashes
occurring with their clients who use suspension liners, or have any
further knowledge about this cholinergic urticaria condition? Please
email me if you would like a copy of the medical column. I would be
happy to collect and post your replies.
Geoffrey Hall, B.Sc., C.P.( c )
Citation
Custom Prosthetic Services Ltd., “Suspension Liners and Skin Rashes,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/216626.
