- Artritis Reumatoide en el Pie y Tobillo
- Biopsia de Tejida Blando
- Buniones (Juanete)
- Coalición Tarsal
- Complicaciones Diabéticas y Prevención de Amputaciones
- Curación de Los Huesos
- Dedo Cruzado
- Dedo en Martillo
- Deformidad de Haglund
- Diabeticas: Estatisticas Alarmantes
- Disfunción de Tendón Tibial Posterior
- Dolor de Talón
- Dolor de Talón Infantil
- Ejercicios de Elongación
- El Dolor Crónico de Tobillo Lateral
- Enfermedad Vascular Periferica (PAD)
- Equinismo
- Esguince de Tobillo
- Fibroma Plantar
- Fractura de Estrés
- Fracturas de Los Dedos Del Pie
- Fracturas de Tobillo
- Fracturas del Calcáneo (Fracturas del Hueso del Talón)
- Fracturas del Quinto Metatarsiano
- Gota
- Hallux Rigidus
- Heridas Por Punción
- Inestabilidad Crónica de Tobillo
- Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
- Inflamación Aguda
- Instrucciones par el Cuidado de Heridas
- Instrucciones Para Muletas
- Juanetes de Sastre
- Lesión del Domo Talar
- Lesiones de Lisfranc
- Lesiones del Tendón Peroneo
- Lesiones en un Hueso Sesamoideo del Pie
- Melanoma Maligno del Pie
- Necesito un Examen Para PAD?
- Neuroma de Morton
- Neuropatía Diabética Periférica
- Osteoartritis del Pie y el Tobillo
- Pie Cavo (Pie de Arco Alto)
- Pie de Atleta
- Pie de Charcot
- Pie Diabético
- Pie Plano Flexible
- Pie Plano Pediátrico
- Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
- Que Usted Espera Por Las Inyecciones de Esteriodes
- Quiste de Ganglio
- Ruptura del Tendón de Aquiles
- Síndrome del Hueso Trigono
- Síndrome del Navicular Accesorio
- Síndrome del Túnel Tarsiano
- Tendinitis de Aquiles
- Terapia con Onda de Choque Extracorporea (ESWT)
- Trastornos Comunes del Tendón de Aquiles
- Trombosis Venosa Profunda
- Uña Encarnada del Dedo del Pie
- Uña Infectada Por Hongos
- Verruga Plantar (Verruca Plantaris)
Instructions Using Crutches
Instructions When Using Crutches
It takes some coordination to get around on crutches. To make sure you use your crutches correctly, please read these instructions and follow them carefully.
Sizing Your Crutches
Even if you've already been fitted for crutches, make sure your crutch pads and handgrips are set at the proper distance, as follows:
- Crutch pad distance from armpits: The crutch pads (tops of crutches) should be 11/2" to 2" (about two finger widths) below the armpits, with the shoulders relaxed.
- Handgrip: Place it so your elbow is flexed about 15 to 30 degrees -- enough so you can fully extend your elbow when you take a step.
- Crutch length (top to bottom): The total crutch length should equal the distance from your armpit to about 6" in front of a shoe.
Begin in the "Tripod Position"
The tripod position is the position you stand in when using crutches. It is also the position you begin walking in. To get into the tripod position, place the crutch tips about 4" to 6" to the side and in front of each foot. Stand on your "good" foot (the one that is weight-bearing).
Walking with Crutches (Non-weight-bearing)
If Dr. Neuhaus has told you to avoid ALL weight-bearing, it is important to follow these instructions carefully. You will need sufficient upper body strength to support all your weight with just your arms and shoulders.
- Begin in the tripod position -- and remember, keep all your weight on your "good" (weight bearing) foot.
- Advance both crutches and the affected foot/leg.
- Move the "good" weight-bearing foot/leg forward (beyond the crutches).
- Advance both crutches, and then the affected foot/leg.
- Repeat steps #3 and #4.
Managing Chairs with Crutches
To get into and out of a chair safely:
- Make sure the chair is stable and will not roll or slide and it must have arms and back support.
- Stand with the backs of your legs touching the front of the seat.
- Place both crutches in one hand, grasping them by the handgrips.
- Hold on to the crutches (on one side) and the chair arm (on the other side) for balance and stability while lowering yourself to a seated position or raising yourself from the chair if you're getting up.
Managing Stairs without Crutches
The safest way to go up and down stairs is to use your seat not your crutches.
To go up stairs:
- Seat yourself on a low step.
- Move your crutches upstairs by one of these methods:- If distance and reach allow, place the crutches at the top of the staircase.- If this isn't possible, place crutches as far up the stairs as you can -- then move them to the top as you progress up the stairs.
- In the seated position, reach behind you with both arms.
- Use your arms and weight-bearing foot/leg to lift yourself up one step.
- Repeat this process one step at a time. (Remember to move the crutches to the top of the staircase if you haven't already done so.)
To go down stairs:
- 1. Seat yourself on the top step.
- 2. Move your crutches downstairs by sliding them to the lowest possible point on the stairway then continue to move them down as you progress down the stairs.
- 3. In the seated position, reach behind you with both arms.
- 4. Use your arms and weight-bearing foot/leg to lift yourself down one step.
- 5. Repeat this process one step at a time. (Remember to move the crutches to the bottom of the staircase if you haven't already done so.)
IMPORTANT!
Follow These Rules for Safety and Comfort
- Don't look down. Look straight ahead as you normally do when you walk.
- Don't use crutches if you feel dizzy or drowsy.
- Don't walk on slippery surfaces. Avoid snowy, icy, or rainy conditions.
- Don't put any weight on your foot if your doctor has so advised.
- Do make sure your crutches have rubber tips.
- Do wear well-fitting, low-heel shoes (or shoe).
- Do position the crutch hand grips correctly (see "Sizing Your Crutches")
- Do keep the crutch pads 11/2" to 2" below your armpits.
- Do call Dr. Neuhaus if you have any questions or difficulties.















