BK Running Responses 3

Sharon Toscano

Description

Title:

BK Running Responses 3

Creator:

Sharon Toscano

Date:

7/25/2007

Text:

Consider a removable waist belt and fork strap with elastic between socket
and waist.
Greg Straub, CPO
Asheville, NC

Of the patients that I've setup with running legs the easiest addition is a
simple fork strap to a waist belt. It is the most dependable and unlike the
sleeve does not increase the weight or the feeling of the thigh being too
hot. I usually use a padded waist belt with an elastic tab on the fork
strap. Sometimes simple and old fashion works better. you could also try a
suspension cuff but it does promote wear and tear on you liner if your not
wearing socks.
Good luck,
Carey Glass CPO FAAOP


Two products that may help: Drysol or Certain Dry. Drysol requires a
prescription, Certain dry does not. I once had a rock climber that used
Drysol and he said he did not sweat for 2 days, obviously that is not
appropriate use. Definitely read the instructions on use, you may even
consult with your physician or pharmacist about the products.
Good luck with your running,
Kevin gardner, CP


Try the Ossur Endurance Sleeve and possibly a size
smaller then indicated.

Andrew Sawers


I would try ALPS anti-perspirant for about 2 weeks apply 2 times a day and
see if perspiration is decreased. I would also add some supracondylar
support into your socket design to utilize your anatomy to help increase
suspension.
Aaron Fitzsimmons, CP, OTR
Executive Director, Prosthetics


Try CERTAIN DRY for Hyperhidrosis (excessive sweating) this product can be
gotten on a trial basis from DSE healthcare solutions 800-225-0066. I have
tried this product with a patient of mine who is a bilateral Ak that uses
gel liners and it worked wonders.
Brian Pinkston C.P./L.P.

Have you tried anytype of antiperspirent on the residual limb? A couple of
suggestions would be DRYSOL or CERTAIN DRY. Usuallys these are applied at
night following cleansing of the residual limb.
Another suggestion would be a waist belt and fork strap with elastic. Good
luck.

Todd E. McAllister, C.P., FAAOP


I would look at having the socket modified to have an adjustable anterior
posterior demension. Dory Selinger is a world class cyclist and wears this
type of socket www.doryselinger.com . Hope that helps.
Brent Wright CP

Have your prosthetist make a removable waist belt and fork suspension strap.

A bit cumbersome, initially, but far more stable and predictable.
Warren R Mays, CPO

the key word to your problem is the perspiration if you cant control it you
will continue to have the save problem there are a number of ways to try to
control the perspiration if you are totally against suction then you would
be against vacuum which is truly the only way to control the perspiration
with the use of chemicals like antiperspirant, you should also look at the
type of liner that you wear as different material can increase the amount of
perspiration, the intimacy of our socket fit, the tighter the better, these
are a few things I would consider when trying to control this problem
Stephen J. Smith, B.Sc.
Prosthetist

Have you tried the Ossur Seal-In liner??

For high activity you can try a pelvic belt with fork strap. I have
used on active patients. It temporarily attaches to prosthesis via
velcro stap. Not only gives you added suspension but also increases
extension monent, thereby relieveing some pressure on distal ant/tib.
Good Luck
Morris Gallo, LPO

try the guys over at prosthetic innovations tim miek and chris they have
come up with some very innovative things. they can be reached at
610-447-8777

mike keeneLO

I've had patient's use anit-perspirant w/ good results. I've also had
patient's use Knit Rite's Liner Liners, which is a sock that goes under the
liner. Most people love them after trying them. Hope this helps.
Chase Brown, CPO

I'd say change the liner. i have no idea what you have now, but if it's
alpha liner, then i'm not surprised. next would have been to get a liner
with custom matrix.

switch from shuttle lock to lanyard.
maybe combine lanyard with KISS attachment.
*partial* suction can be done either.

i do not think your problem is relevant to suspension. more to
hyperhidrosis. try certain dri - see attached - and let us know how it
works.

change in diet might help either. try desert folks drink - salted tea maybe
half an hour before run. keeps fluids inside. i am, quite safely, assuming
that you replenish fluids as you run. try not to - it just increases
perspiration. drink amply before run, maybe 40 minutes, and then do not
drink while running. takes some time to acclimate. mostly mental thing. i
exercise fairly heavy, and do not drink before or during at all, and am
still around. sort of have fun watching folks showing at gym with virtually
gallon sized bottles of water.

try single ply sock between skin and liner. maybe even 2 ply. i never had
anyone losing their leg, though did this many times.
try rubbing skin with rubbing alcohol several times a day. i think it does
reduce perspiration some.
sincerely,
lesko, lcpo

*My liner is **ESP** and I love it I haven't had much success with any other

ones. I will ask them about a custom matrix though, I will let you know how
the Cetain Dri works..*

My first suggestion would be to use an antipersperant spray (alps makes one)
which is best used at night...let dry completely. If you put it on right
before you put the leg on, the pores open up with heat and it causes lots of
issues. After a while, it should limit the sweating, or at least allow you
to go longer. Donnie

It sounds like your problem is perspiration and NOT suspension. I've had a
patient who suffered from profuse sweating and her roll on liner would slip
down as it sounds like your does. She decided to try using an
anti-perspirant called ODABAN that she saw on T.V. from Bracey's
Pharmaceuticals in the U.K. Her cost was $18 and allegedly you apply the
product nightly and eventually (after a month of use) your leg begins to
sweat less until it is no longer a problem. It worked really well for her.
Look online for the product or e-mail me back for more info.


There is also a product on the market called Certain Dri that has been
recommneded by the O&P profession.
Hope this is useful.
Respectfully,
Joe Brenner, C.P.

*Everyone thanks for your help. I am always open to suggestions, if any one
has any more questions contact me at <Email Address Redacted> *
*Thanks*
*Brooke* <*Brooke*@oandp.com>

                          

Citation

Sharon Toscano, “BK Running Responses 3,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/228382.