kann
One Leg Of Fury.
- Joined
- Apr 29, 2011
- Messages
- 11,379
Enzo eh! You are a sports car/racing whore! I have to ask Nick..... Does your leg nub get sore grinding on the prosthetic after all that walking? Seems like the bone rubbing against soft tissue would hurt after awhile.
No worries, I'll talk about it any time. When the socket fits correctly, there's really not a whole lot of rubbing, pressure, or impact on the bottom. The way the thing is designed, most of the weight bearing is supported by the top of the socket. I'm essentially sitting in the thing, rather than walking on the bottom of the femur, if that makes sense. When it fits correctly, it's actually relatively comfortable with no chafing, pressure, or friction anywhere. That said, since the socket is custom molded, they are very sensitive to any sort of weight fluctuation. So, even just throughout the day, volume and containment can change, which does sometimes cause discomfort and can lead to bottoming out (just what it sounds like), or not being able to slide down as far as necessary because my stump dun went and got fat.
For the former, I have some micro adjustments I can make to tighten up the socket a bit, as well as can put additional socks on over the liner I wear to increase volume and comfort. This is just a regular and daily part of wearing this prosthesis. Is normal. For when I have put on too much volume, there are a few "band-aid" fixes, but it really comes down to either losing weight or getting a new socket made. I am coming out the other end of the "too large" dilemma, so it was VERY uncomfortable there for a while. As for these walks, it's not so much the discomfort from impact right now as it is just muscle fatigue. When I start to get tired, my balance starts to get even worse than normal, which can lead to either falling or missteps -- which is when the impacts on the soft tissue and bone can really hurt. I'm working on building up endurance right now, in addition to dropping a few pounds to reduce volume. With this socket, I really have to be cognizant of my nutrition and weight, unfortunately. That kind of sucks, honestly. Even something as simple as too much sodium can cause an increase in volume.
So, long answer to a short question.