Cramping in Trans Tibial Client res. limb

Cramping in Trans Tibial Client res. limb

Award Prosthetics

5/30/2006

I have a male trans tibial client, age 35, weight 220lbs, med-high
activity level with a muscular residual limb - he underwent a traumatic
amputation in 1991. Recently he has been having problems with cramping
in the entire calf ares, mainly gastrocnemius muscle. He swims 3-4
times weekly and wants to start running. He also does limited biking,
hiking, golfing and other outdoor activities (lawn mowing, etc).

He is currently on a TSB socket design with OSSUR Original pin locking
liner and Modular III flex foot - which he has worn for the past 5
years. We have refit him with a TSB Stabilo pin locking liner &
Renegade foot. I have tried 3 different types of sockets; including
vacuum casting with lowering and raising the popliteal shelf and
proximal AP dimensions.
Would a 'Framed' socket with flexible insert and obturators in the
distal-mid posterior area work? Added obturators for the pre-tibial
area are also being considered.........

The cramping can come on anytime, even after moderate activities.
Medical testing to determine the cause have been non-conclusive. Any
help would be appreciated.

If you require any further information in order to provide any solutions
or suggestions please feel free to contact me or my assistant (Tracy).

Kind regards,

Tony van der Waarde, CP(c)
Certified Prosthetist

<Email Address Redacted>
www.awardprosthetics.com

P: 604-298-0236
F: 604-298-0254

solutions or suggestions please feel free to contact me or my assistant
(Tracy).<br>
<br>
Kind regards,<br>
<br>
Tony van der Waarde, CP(c)<br>
Certified Prosthetist<br>
<br>
<Email Address Redacted> <br>
www.awardprosthetics.com<br>
<br>
P:  604-298-0236<br>
F:  604-298-0254<br>
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