Gel Sock Responses
becky and yitzchak langer
Description
Collection
Title:
Gel Sock Responses
Creator:
becky and yitzchak langer
Date:
12/9/2014
Text:
Listserv.
Here are the Gel Sock Responses. Thank you very much for your input. I am
presently leaning toward a pelite liner with PTS suspension and perhaps a
suspension sleeve. He will not maintain a gel sock and I think he will
destroy it or lose it.
---- becky and yitzchak langer < <Email Address Redacted> > wrote:
> Hi!
>
> I have a patient who is unable to use roll on liners. He has poor long
> term memory and everyday attempts to donn the liners like socks rather
than
> rolling them on. I was going to put him into PTB sockets with pelite
> liners but was wondering if anyone has tried a TSB socket with gel socks
> and a suspension sleeve. Why haven't I seen a gel sock interface instead
> of a pelite liner in the field?
>
> Thanks
> Yitzchak Langer, CPO
> Presque Isle Medical Technologies.
1) Hey Yitzchak,
I have a few patients wearing a gel socket liner/gel sock in a hard socket
or flexible inner socket. They have skin grafts and other issues like
sweating and while I tried agel roll on liner they are much more comfy in a
gel sock with sleeve suspension. Comfort Products makes a 3 and 5 ply and
Silipos make a 3-5 too. The Silipos is thicker and gives more padding. Wear
the gel sock with an addition fitting sock and it makes a very nice patient
interface in a BK leg.
Good Luck!
2) Comfort Products has gel prosthetic socks and I believe there are 3 or
4 other manufacturers as well.
3) Comfort makes a 3ply and 5ply gel sock, that I have used in a TSB socket
with suspension sleeve and did very well. The only problem is the gel tends
to work it's way through the sock and you get little silicone balls that
have to be removed from time to time.
Hope this helps,
4) Freedom Innovations had, and I'm guessing still have, a gel liner that
can be pulled on like a sock.
5) I have done it. Use the double socket gel liners from Silipos. It is a
cool max sock on the inside with gel sandwiched between a second cool max
sock. Other people make them too, some with cotton socks but I like the
cool max. You can get them in 3 ply and 5 ply. Comfort and Otto Bock, I
think make them as well.
6) Nu? There are many liners with reinforced outer fabrics. In general
the gel liners do a better job of offering protection, but that is not
want I want to address to you. You say this gentleman has poor
memory. Is he walking by himself without a helper? If he always uses
a helper then educate the helper to check the donning of his socks,
and prosthtetics before walking. I don't think your going to be able
to be PAID if you switch out the products you already fit him with.
Personally speaking with 3 decades of experience this patient will
always have some problem with donning due to his memory problems. So
educate, educate him and everyone around him. Also please note in
multiple places in his charts that his poor memory is causing him
problems with his prosthetics.
Hope that I helped.
7) Why not? Have several patients in Silipos or Angel socks instead of
liner and with sleeve. Mof, just retrofitted a pt yesterday with Silipos
gel socks. It does not really matter what you have inside the socket, it's
the sleeve that matters to seal it.
8) This will work - have used this approach several times.
9) There are several Gel Socks from manufacturers such as Silipos, Alps
and this one from Comfort that I like best.
<URL Redacted>
Good luck
10) Used to use gel socks as interface for all of my BK preparatories.
Used expulsion valve & gel knee sleeve...nothing different from using gel liner
except the gel socks take 36hrs to dry thoroughly! Do not put them in the
dryer, but have folks lay flat on a towel then next day, turn sock inside
out & lay another day. Sunny coutnertops help. Heat from radiators or
other forms not so good. Gel can move btwn layers of fabric with repeated
hanging to dry & gets lumpy with use of dryer. Hand wash, lay dry is the
best.
TSB sockets work well. Routinely provided (3) ea 3 & 5 ply gel socks
alnong with (3) ea regular socks 2,3&5plys. Got people all the way through
prep phase w/o issue.
11) Used to use gel socks as interface for all of my BK preparatories.
Used expulsion valve & gel knee sleeve...nothing different from using gel liner
except the gel socks take 36hrs to dry thoroughly! Do not put them in the
dryer, but have folks lay flat on a towel then next day, turn sock inside
out & lay another day. Sunny coutnertops help. Heat from radiators or
other forms not so good. Gel can move btwn layers of fabric with repeated
hanging to dry & gets lumpy with use of dryer. Hand wash, lay dry is the
best.
TSB sockets work well. Routinely provided (3) ea 3 & 5 ply gel socks
alnong with (3) ea regular socks 2,3&5plys. Got people all the way through
prep phase w/o issue.
12) Unless your patient has very sensitive skin you might be better off
using a PTS style with pelite liner and if necessary a suspension sleeve.
For patients who have memory challenges the simpler the better. Gel scoks
are not always easy to apply properly with these patients. Gel socks and
liners without pins have been used for years but you are still dealing with
a challenged patient in terms of applying the prosthesis each time the same
one.
13) Wouldn't you just have to roll on the gel sock like a liner? I think
Ottobock urethane liners are OK to lube-up and push on like a sock. I've
had better luck with treating them like a roll-on so I don't have our folks
do that. The trouble is he probably wouldn't burp all of the air out if
he can't remember to roll the liners on. I'm not sure how the gel sock
would work differently than a gel liner so I would normally have thought
pelite liner or hard fit are the only remaining options. I'd love to know
what you go with. Good luck!
Here are the Gel Sock Responses. Thank you very much for your input. I am
presently leaning toward a pelite liner with PTS suspension and perhaps a
suspension sleeve. He will not maintain a gel sock and I think he will
destroy it or lose it.
---- becky and yitzchak langer < <Email Address Redacted> > wrote:
> Hi!
>
> I have a patient who is unable to use roll on liners. He has poor long
> term memory and everyday attempts to donn the liners like socks rather
than
> rolling them on. I was going to put him into PTB sockets with pelite
> liners but was wondering if anyone has tried a TSB socket with gel socks
> and a suspension sleeve. Why haven't I seen a gel sock interface instead
> of a pelite liner in the field?
>
> Thanks
> Yitzchak Langer, CPO
> Presque Isle Medical Technologies.
1) Hey Yitzchak,
I have a few patients wearing a gel socket liner/gel sock in a hard socket
or flexible inner socket. They have skin grafts and other issues like
sweating and while I tried agel roll on liner they are much more comfy in a
gel sock with sleeve suspension. Comfort Products makes a 3 and 5 ply and
Silipos make a 3-5 too. The Silipos is thicker and gives more padding. Wear
the gel sock with an addition fitting sock and it makes a very nice patient
interface in a BK leg.
Good Luck!
2) Comfort Products has gel prosthetic socks and I believe there are 3 or
4 other manufacturers as well.
3) Comfort makes a 3ply and 5ply gel sock, that I have used in a TSB socket
with suspension sleeve and did very well. The only problem is the gel tends
to work it's way through the sock and you get little silicone balls that
have to be removed from time to time.
Hope this helps,
4) Freedom Innovations had, and I'm guessing still have, a gel liner that
can be pulled on like a sock.
5) I have done it. Use the double socket gel liners from Silipos. It is a
cool max sock on the inside with gel sandwiched between a second cool max
sock. Other people make them too, some with cotton socks but I like the
cool max. You can get them in 3 ply and 5 ply. Comfort and Otto Bock, I
think make them as well.
6) Nu? There are many liners with reinforced outer fabrics. In general
the gel liners do a better job of offering protection, but that is not
want I want to address to you. You say this gentleman has poor
memory. Is he walking by himself without a helper? If he always uses
a helper then educate the helper to check the donning of his socks,
and prosthtetics before walking. I don't think your going to be able
to be PAID if you switch out the products you already fit him with.
Personally speaking with 3 decades of experience this patient will
always have some problem with donning due to his memory problems. So
educate, educate him and everyone around him. Also please note in
multiple places in his charts that his poor memory is causing him
problems with his prosthetics.
Hope that I helped.
7) Why not? Have several patients in Silipos or Angel socks instead of
liner and with sleeve. Mof, just retrofitted a pt yesterday with Silipos
gel socks. It does not really matter what you have inside the socket, it's
the sleeve that matters to seal it.
8) This will work - have used this approach several times.
9) There are several Gel Socks from manufacturers such as Silipos, Alps
and this one from Comfort that I like best.
<URL Redacted>
Good luck
10) Used to use gel socks as interface for all of my BK preparatories.
Used expulsion valve & gel knee sleeve...nothing different from using gel liner
except the gel socks take 36hrs to dry thoroughly! Do not put them in the
dryer, but have folks lay flat on a towel then next day, turn sock inside
out & lay another day. Sunny coutnertops help. Heat from radiators or
other forms not so good. Gel can move btwn layers of fabric with repeated
hanging to dry & gets lumpy with use of dryer. Hand wash, lay dry is the
best.
TSB sockets work well. Routinely provided (3) ea 3 & 5 ply gel socks
alnong with (3) ea regular socks 2,3&5plys. Got people all the way through
prep phase w/o issue.
11) Used to use gel socks as interface for all of my BK preparatories.
Used expulsion valve & gel knee sleeve...nothing different from using gel liner
except the gel socks take 36hrs to dry thoroughly! Do not put them in the
dryer, but have folks lay flat on a towel then next day, turn sock inside
out & lay another day. Sunny coutnertops help. Heat from radiators or
other forms not so good. Gel can move btwn layers of fabric with repeated
hanging to dry & gets lumpy with use of dryer. Hand wash, lay dry is the
best.
TSB sockets work well. Routinely provided (3) ea 3 & 5 ply gel socks
alnong with (3) ea regular socks 2,3&5plys. Got people all the way through
prep phase w/o issue.
12) Unless your patient has very sensitive skin you might be better off
using a PTS style with pelite liner and if necessary a suspension sleeve.
For patients who have memory challenges the simpler the better. Gel scoks
are not always easy to apply properly with these patients. Gel socks and
liners without pins have been used for years but you are still dealing with
a challenged patient in terms of applying the prosthesis each time the same
one.
13) Wouldn't you just have to roll on the gel sock like a liner? I think
Ottobock urethane liners are OK to lube-up and push on like a sock. I've
had better luck with treating them like a roll-on so I don't have our folks
do that. The trouble is he probably wouldn't burp all of the air out if
he can't remember to roll the liners on. I'm not sure how the gel sock
would work differently than a gel liner so I would normally have thought
pelite liner or hard fit are the only remaining options. I'd love to know
what you go with. Good luck!
Citation
becky and yitzchak langer, “Gel Sock Responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/236940.
