This thread is dedicated to all those who suffer from

Chronic joint and Bone pain
Bone Deformities
Below and Above the Knee Amputees
Upper Extremities Amputees
Hip and knee replace problems
Surgeries
and other Orthopaedic related problems

Those who are seeking solutions to one or more of the above issues.


Before i decided to write this, i enlisted the help of various professional
Physiotherapists
Chiropractors
Orthopaedic doctors and Surgeon
Prosthetic Technicians.

Fortunately after talking with a few of them, they decide it was a great idea to help.
So they will be helping in answering any question members of the forum may have about the case above.

So please lets try and keep things civil and humane.

If you have a question, ask.

Advise a paraplegia with bedsores..what can be done to it after managing for more than 7yrs.?

What is your take on skin grafting? Is it the best way for a paraplegia in school to get rid of bedsores? How safe is it? Would you advise a paraplegia to go for it? pros and cons pls..

Tnx Dr.

It is important to understand the cause of pressure sores in a paraplegic patient before an informed treatment decision can be made. Pressure sores in paraplegic patient occur as a result of prolonged pressure on bony points due to impairment of sensory perception in those areas. They occur commonly in the buttocks, over the prominence of the upper thigh bones and sometimes at the back of the heels. Prevention is the key as they are often difficult to treat. Precautionary measures to be taken include ensuring that sitting or sleeping positions are changed regularly like every two hours. Keeping the skin clean and free of moisture, sleeping on well cushioned mattress like the water bed . etc. Where pressure sores have developed, depending on the severity patient may require hospitalization and wound care.
The surgeon will determine which mode of wound cover is appropriate for the type of pressure sore the patient has. These usually ranged from split thickness skin grafting to flap coverage. Those who have flap cover tend to do much better than ordinary skin grafting as the latter might suffer frequent recurrence.

How do i correct a flat feet on an 8yrs kid, though she was nt born like dt, bt it intially wen she was given an injestion when she was 2, which completely paralyse her then,though i took her to d general hospital, it was recommeded dt i shld get a massaging machine works great, D problem nw is d flat feet.

DrAremu:
It is important to understand the cause of pressure sores in a paraplegic patient before an informed treatment decision can be made. Pressure sores in paraplegic patient occur as a result of prolonged pressure on bony points due to impairment of sensory perception in those areas. They occur commonly in the buttocks, over the prominence of the upper thigh bones and sometimes at the back of the heels. Prevention is the key as they are often difficult to treat. Precautionary measures to be taken include ensuring that sitting or sleeping positions are changed regularly like every two hours. Keeping the skin clean and free of moisture, sleeping on well cushioned mattress like the water bed . etc. Where pressure sores have developed, depending on the severity patient may require hospitalization and wound care.
The surgeon will determine which mode of wound cover is appropriate for the type of pressure sore the patient has. These usually ranged from split thickness skin grafting to flap coverage. Those who have flap cover tend to do much better than ordinary skin grafting as the latter might suffer frequent recurrence.

Tnx Dr..Appreciate. .!

Helloo Lizboh,

The time of occurence to the time of recurrence and persistent flat foot is really long. At 2 years it would have been easier to correct with electrical stimulation, effective muscle and tendon facilitation programs and functional re-education with some gait therapy. The massaging machine you purchased could have helped as you stated but you wouldn't have been able to pick correct muscles that were affected when your child had what would probably be injection palsy. The flat foot is still persistent because the muscles that control fine and complex movement in the foot were not strengthened enough to make your child walk with a functional gait. There are several things you could do now, you will need to see a podiatrist or a physiotherapist with a good experience in this matter to have a proper examination, physical and x-ray scan to make you decide whether your child will need more muscle strengthening, medial arch or long arch for the foot and gait training. Last option, your child might need a foot surgery to re-align the foot components.

Thanks for you questions and your responses.

You have any other questions please ask.




https://www.youtube.com/watch?v=7PGjsRUjQHs

Good morning and a happy new month of June to everyone

I'm a prosthetic and Orthotic graduate and i'm a consultant in my field. We are the magicians that make amputees walk again. Most Nigerians feel it's a dead end after being amputated but it's not true, here in Nigeria we manufacture artificial limbs e.g(leg,hand,feet,toe) etc. With this artificial limb your life is returned back to normal meaning you can function as in run, play football, basketball, hv good coitus with your spouse etc. Our consultancy is linked with several prosthetic/orthotic centres in the north, south, east and west. Contact us for your prosthetic limbs and orthotic deformity issues email: davidconcept89@gmail.com

Prosthesis and Orthotics is a health related course that deals with replacement of body parts with artificial body parts and manufacture of device to support weak or injured part of the body,comprises also of treatment of bone,nerve,spine deformities with Orthotics devices designed specially for the patient.
This profession has been little attention because of the lack of professionals in the field but we all know the enormonous potential of this profession which include;
Professionals in this field can fabricate artificial limbs(eg legs and arms) for patient who has been amputated through trauma or surgery, this artificial limbs could be local,semi-local or foreign.

Professionals in this field can fabricate raise shoe for patients suffering for leg length discrepancies.

Professionals in this field can fabricate helmet for babies suffering from plagiocephally(flat head syndrome).

Professionals in this field can fabricate trunk support/spinal corset for patients suffering from spina bifida.

Professionals in the field can fabricate artificial breast for women whose breast has been removed due to cancer of the breast.
Nigeria is the most populous black nation in the world with over a population of more than 170million people with more than 15million is having various disability and are in dare need of various rehabilitative treating or services. One of this treatment is providing Prosthetic/Orthotic treatment.
We have three National Orthopaedic centers in Nigeria, in the east,west,north respectively.

With the rate of increasing accidents on our roads, congenital deformities in children and weakness of bones,muscles and spine in old people, the services of a Prosthestist/Orthotics is highly on demand and there is one university in Nigeria that offer this profession as a degree course. Other praticing professionals in this field in Nigeria are technicians who learn the profession as artisans or diploma degree.

dboss444:
I'm a prosthetic and Orthotic graduate and i'm a consultant in my field. We are the magicians that make amputees walk again. Most Nigerians feel it's a dead end after being amputated but it's not true, here in Nigeria we manufacture artificial limbs e.g(leg,hand,feet,toe) etc. With this artificial limb your life is returned back to normal meaning you can function as in run, play football, basketball, hv good coitus with your spouse etc. Our consultancy is linked with several prosthetic/orthotic centres in the north, south, east and west. Contact us for your prosthetic limbs and orthotic deformity issues email: davidconcept89@gmail.com

Well said Dboss.

In my line of work. I have come to notice that, Nigerian's are not aware of the leaps, that prosthetic technology has taken in this country. One can't blame them, because what they mostly see in their every day lives, is the disabled person without an arm or a leg begging in the street or near a traffic light.

What they don't notice, people walking around who are wearing, or using one form of prosthesis or another. Their movements,so precisely normal. Most people around are not aware.

The prosthetic technologies, used previously in the various National orthopeadic hospitals around the country, were not helping to change that outlook. But with the in roads, being made by Prosthetic technology manufacturers, from around the world in Nigeria. Companies like..

1. Ottobock www.ottobock-export.com
2. Ossur www.ossur.com
3. Win walker www.win-walker.com/
4. Jaipaur www.jaipurfoot.org
5. International red cross

The above have their presence in Nigeria, they work with various country reps www.ifeanhealth.com, www.purpleprosthetics.com, www.rocc.com.ng, [url]deltaorthopediclab.com/ability.htm[/url]. Plus they are also helping to setup certified centers around the country. They are also providing training to professionals, in the National orthopeadic hospitals, on how to fit patients with their prosthesis.

Change has truly began, No more do patients with disabilities or amuputee, need to travel for fitting of prosthesis, as they can be handled in the country.

if you would like to know about the best prosthesis for your loved ones call Brian 07035803388

Good morning peeps.

Look out for our discussion on the use of Silicone liners and Dermal seals for prosthesis users. Why use them?

Its Another Rainy Friday morning.

Do be careful as you go about today.

This week we will be looking at all things "Back Pain"

More importantly will be looking at the causes and effects and ways to treat and manage your Back Pain.

So lets get started

You back is important to you and your family.

Treat it well and it will hold you up in your old age. Treat it badly and .....

As our body grows older and wiser, Gravifty, Stress, Accidents and Strain accumulated over the years of constant seating, lying down and walking wrongly begin to take their toll on our body. One area that alerts us over time about its impending problem is our back. And most times the pain is focused around the ThoracoLumbar area of the back, for us lay men its that is the Lower back area.

Evening folks how was it today.

Look out for our latest update soon.

hello
is this forum still active?
looking for where to get orthopaedic shoes for children (locally hopefully).
Any info?

arosis:
hello
is this forum still active?
looking for where to get orthopaedic shoes for children (locally hopefully).
Any info?

Hi there your best bet is via a local shoe maker working wit insoles to make it according to the child's size.

If that won't fly,

I have some orthotic techs that can produce it for you.

Call me on 07035803388
brian