Name of the Procedure:

Crutches Underarm, Other Than Wood, Adjustable or Fixed, Pair, With Pads, Tips, and Handgrips (E0114)
Common Name: Underarm Crutches
Technical/Medical Term: Adjustable or Fixed Underarm Support Crutches, Non-Wooden

Summary

Underarm crutches are mobility aids designed to help individuals walk when they have difficulty putting weight on their legs. These specific crutches are adjustable or fixed, made from materials other than wood, and come equipped with pads, tips, and handgrips for comfort and stability.

Purpose

Underarm crutches are used to provide support and improve mobility for individuals who have temporary or permanent leg injuries or conditions. The goal is to facilitate independent movement, reduce pain from weight-bearing activities, and enhance the patient's ability to perform daily activities safely.

Indications

• Leg fractures or sprains
• Post-surgical recovery that restricts weight-bearing
• Chronic conditions such as arthritis or other joint issues
• Severe lower extremity muscle weakness or paralysis

Preparation

Before using underarm crutches, a healthcare provider will:

• Set the appropriate height to ensure the crutches fit correctly.
• Provide instructions on safe usage.
• Recommend practicing walking with the crutches for stability.

Procedure Description

1. Fitting the Crutches: Adjust the height of the crutches to ensure they reach from the ground to about 1-2 inches below the armpits.

2. Walking Instructions:

   • Place the crutches slightly ahead and side-by-side.
   • Shift weight onto the crutches.
   • Swing the unaffected leg forward, landing it between the crutches.
   • Shift weight onto the unaffected leg, then move the crutches forward again.

3. Using Pads, Tips, and Handgrips:

   • Pads ensure comfort under the armpit and prevent chafing.
   • Tips provide traction and prevent slipping.
   • Handgrips enable proper grip and reduce hand fatigue.

No anesthesia or sedation is involved.

Duration

The fitting and instruction session typically takes around 30 minutes. Actual daily use will vary depending on the individual's needs and activity level.

Setting

Fitting and initial training are often performed in a doctor's office, outpatient clinic, or physical therapy center.

Personnel

• Orthopedic specialists
• Physical therapists
• Nurses or medical assistants

Risks and Complications

• Discomfort or soreness in the armpits, hands, or wrists
• Risk of tripping or falling if not used correctly
• Potential skin irritation from prolonged use

Benefits

• Increased mobility and independence
• Ability to perform daily tasks with reduced pain
• Rapid improvement in movement with correct usage

Recovery

With consistent use, patients will find their balance and movement improving over a few days to weeks. Regular follow-ups might be needed to adjust the fit and ensure optimal use.

Alternatives

• Wheelchairs or scooters for those unable to use crutches
• Knee walkers as an alternative for those with lower leg injuries
• Forearm crutches for long-term conditions requiring less underarm pressure

Patient Experience

Patients may initially find using crutches tiring and potentially uncomfortable. Training and practice can alleviate these issues. Pain management includes using cushioned pads and ensuring correct technique to distribute weight evenly. Regular adjustments and check-ups are crucial to maintain comfort and effectiveness.