Name of the Procedure:

• Common Names: Underarm Crutch, Adjustable Crutch
• Technical or Medical Terms: Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each (HCPCS E0116)

Summary

An underarm crutch is a mobility aid designed to help individuals walk when they cannot put full weight on a leg due to injury, surgery, or medical conditions. The adjustable or fixed crutch has components such as a padded underarm rest, a handgrip, and a tip for stability. Some models may also include shock absorbers.

Purpose

Underarm crutches support individuals who have temporary or long-term mobility issues, enabling them to move around independently. These crutches help redistribute weight from the lower body to the upper body, ensuring stability and balance during movement.

Indications

• Muscle weakness or paralysis in the lower limbs
• Recovery from fractures, sprains, or surgery
• Arthritis or other joint problems
• Balance issues that prevent safe walking without support

Preparation

• Ensure proper fitting and adjustment for height and arm length.
• Receive instruction on proper usage techniques to avoid discomfort or injury.
• No specific diagnostic tests are required beforehand.

Procedure Description

1. Fitting the Crutch: Adjust the height of the crutch so the underarm pad fits comfortably 1-2 inches below the armpit when standing straight.
2. Handgrip Adjustment: Position the handgrip so the elbow is slightly bent (about 15 degrees) when holding the grip.
3. Usage: Place the crutch tips about 6 inches in front of and slightly to the side of each foot. Move the crutches forward as you step forward with the injured leg, ensuring weight distribution through the handgrips rather than the underarm pads.

Duration

Fitting and learning how to use the underarm crutch generally takes about 15-30 minutes.

Setting

This procedure can be performed in:

• Outpatient clinics
• Hospitals
• Physical therapy centers
• Home healthcare settings

Personnel

• Physical Therapist
• Nurse
• Orthopedic Specialist (for more complex situations)

Risks and Complications

• Discomfort or pain in underarms, hands, and wrists
• Skin irritation or bruising from improper use
• Risk of falls if not used correctly
• Upper body fatigue

Benefits

• Improved mobility and independence
• Reduced risk of further injury by not overloading the affected limb
• Support for balance and stability during ambulation

Recovery

• Follow instructions on crutch use to minimize discomfort.
• Regularly inspect the crutch for wear and tear.
• Follow any additional advice provided by healthcare professionals regarding weight-bearing restrictions and physical activity.

Alternatives

• Forearm crutches
• Walkers
• Knee scooters
• Canes

Pros and Cons of Alternatives:

• Forearm Crutches: Better for long-term use; more stable but require good upper body strength.
• Walkers: Offer more stability but are bulkier.
• Knee Scooters: Easier on upper body but less versatile on uneven surfaces.
• Canes: Less supportive overall; good for minor balance issues.

Patient Experience

Patients might initially feel awkward and may experience some discomfort as they get used to the crutch. Proper instruction and practice can alleviate these issues. Pain management and comfort measures include using padded covers for the underarm and handgrips and taking breaks to avoid fatigue.