Why is a Cranial Remolding Orthosis Used?

Plagiocephaly (Flat Head Syndrome): Cranial remolding orthoses are often used to treat plagiocephaly, where a baby develops a flat spot on their head due to constant pressure on one area. The helmet gently reshapes the baby’s head, encouraging growth in flatter regions while applying pressure to more protruding areas. At Leimkuehler Orthotic-Prosthetic Center we know this is the most common reason for the CRO.

Brachycephaly: This condition involves a flattening of the back of the head, making the head appear wider than usual. A cranial remolding orthosis helps round out the head shape by guiding the natural growth process.

Scaphocephaly: At Leimkuehler we see this as the least common but its characterized by a long and narrow head shape, scaphocephaly can be corrected with a cranial remolding orthosis. The helmet helps balance the head’s growth, ensuring a more typical shape.

Post-Surgical Support: After craniosynostosis surgery (where the skull bones fuse prematurely), a cranial remolding orthosis supports and maintains the new shape of the skull, aiding in proper healing and growth.

How Does a Starband® Cranial Remolding Orthosis Work?

Custom Fit: Cranial helmets are custom-made for each baby. A 3D scan or a mold of the baby’s head is used to create a helmet that applies gentle pressure on prominent areas while allowing room for growth in flatter regions.

Gradual Adjustment: The helmet gradually adjusts the shape of the baby’s head over time. As the baby grows, the helmet directs growth to correct asymmetry.

Consistent Wear: For maximum effectiveness, the helmet should be worn consistently, typically around 23 hours a day. Regular check-ups ensure the helmet fits correctly and adjustments are made as needed.

Duration of Treatment: Treatment duration varies based on the severity of the condition and the age at which treatment starts. Generally, treatment lasts between three to six months.

Benefits of Using a Cranial Remolding Orthosis

Improved Head Shape: The primary benefit of a cranial helmet is correcting head shape abnormalities, providing long-term aesthetic and psychological benefits.

Non-Invasive Treatment: Cranial remolding orthoses offer a non-invasive solution for head shape abnormalities, often avoiding the need for surgical intervention.

Enhanced Development: Correcting the head shape can lead to better symmetry, positively impacting visual and auditory development.

Tips for Parents

Stay Consistent: Ensure your baby wears the helmet as prescribed by the healthcare provider. Consistency is crucial for achieving desired results.

Keep It Clean: Follow cleaning instructions to maintain hygiene and prevent skin irritation.

Regular Check-Ups: Attend all scheduled appointments to monitor progress and make necessary adjustments to the helmet.

Comfort and Care: Ensure your baby is comfortable wearing the helmet. Watch for any signs of discomfort or skin issues and consult your healthcare provider if needed.

Does This Sound Like a Fit?

Cranial remolding orthoses are a crucial tool for treating head shape abnormalities in infants. By understanding why and how these helmets are used, parents can confidently support their child’s treatment and ensure the best possible outcomes. If you have concerns about your baby’s head shape, give Leimkuehler a call to discuss whether a cranial remolding orthosis is the right option for your child.

The post Why and How a Starband® Cranial Remolding Orthosis is Used appeared first on Leimkuehler O&P.

What is a Partial Foot or Toe Prosthetic?

A partial foot or toe prosthetic is a custom-made device that replaces the portion of the foot or toes. These prosthetics are tailored to fit the unique anatomy of the individual, providing support, balance, and functionality. There are various types of partial foot and toe prosthetics, including:

• Toe Fillers: These prosthetics are used when one or more toes have been amputated. They fill the space left by the missing toes, providing balance and preventing the remaining toes from shifting.
• Partial Foot Prostheses: These devices are used when a larger portion of the foot, such as the forefoot or midfoot, has been amputated. They include a foot plate or shoe insert to restore the foot’s shape and function.
• Custom Shoes and Inserts: Custom orthotic shoes and inserts accommodate the prosthetic device and provide additional support and comfort.

What are the Types?

There are several types of Partial foot amputations, depending on the level and extent of the amputation. Here are the main types:

1. Toe Amputation: This involves the removal of one or more toes. It can be partial (removing part of the toe) or complete (removing the entire toe).
2. Ray Resection: This involves a removal of a toe along with a portion of the corresponding metatarsal bone. Typically, this prevents or addresses infection or malignancy.
3. Transmetatarsal Amputation (TMA): This is the removal of all the toes and a portion of the metatarsal bones across the transverse plane of the foot.
4. Lisfranc Amputation: This involves the removal of the forefoot at the tarsometatarsal joint, leaving the hindfoot and midfoot intact. The Lisfranc joint is where the metatarsal bones meet the tarsal bones.
5. Chopart Amputation: This involves the removal of the forefoot and midfoot at the midtarsal joint, leaving only the calcaneus and talus bones of the hindfoot. This amputation provides a longer residual limb compared to more proximal amputations.
6. Boyd Amputation: An uncommon type of amputation where the talus bone is removed, and the calcaneus is fused to the distal tibia.
7. Pirogoff Amputation: A modification of the Syme amputation with a partial resection of the calcaneus, fused to the distal tibia.
8. Symes Amputation: Also known as an ankle disarticulation, is a type of amputation that involves removing the foot through the ankle joint.

These amputations address severe trauma, infection, malignancy, or other conditions that compromise the health and functionality of the foot.

How Do Partial Foot and Toe Prosthetics Help?

Partial Foot and Toe Prosthetics can help in the following ways.

Restoring Function

• • Improved Gait: Partial foot and toe prosthetics help restore a natural walking pattern by providing the necessary support and balance. This reduces the risk of developing an abnormal gait, which can lead to complications such as back and joint pain.
  • Enhanced Stability: These prosthetics enhance stability by filling the void left by the amputated portion of the foot, allowing for better weight distribution and reducing the risk of falls.

Boosting Mobility

• • • Increased Activity Levels: With the support of a partial foot or toe prosthetic, individuals can engage in a wider range of physical activities, including walking, running, and participating in sports, depending on the type of prosthetic and the individual’s overall health.
    • Reducing Fatigue: By improving gait and stability, partial foot and toe prosthetics reduce the energy expenditure required for walking, leading to less fatigue and more endurance for daily activities.

Enhancing Comfort

• • Customized Fit: Each prosthetic device is custom-made to fit the unique shape and size of the individual’s residual limb, ensuring maximum comfort and minimizing the risk of pressure sores or discomfort.
  • Supportive Footwear: Custom shoes and inserts designed to accommodate the prosthetic device provide additional comfort and support, making it easier to walk and perform daily tasks.

Improving Quality of Life

• • Increased Independence: With restored mobility and function, individuals can perform daily activities more independently, improving their overall quality of life.
  • Boosted Confidence: Regaining the ability to walk and participate in activities can significantly boost an individual’s confidence and mental well-being.

Contact Leimkuehler Today!

Partial foot and toe prosthetics are essential tools for individuals who have undergone partial foot amputations. By restoring function, enhancing mobility, and improving comfort, these prosthetics play a vital role in helping individuals lead active, independent, and fulfilling lives. If you or a loved one are considering a partial foot or toe prosthetic, consult with a certified prosthetist to explore the best options tailored to your specific needs and lifestyle.

The post Understanding Partial Foot and Toe Prosthetics: Benefits and How They Help appeared first on Leimkuehler O&P.

What to Look for in a Certified Prosthetist Orthotist

On the lookout for the ideal prosthetist? Look for these traits.

Certification and Expertise

Look for prosthetists certified by recognized organizations such as the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) or the Board of Certification/Accreditation (BOC). These certifications ensure the prosthetist has met stringent educational and competency requirements. The staff at Leimkuehler Orthotic-Prosthetic Center are ABC Prosthetists and all facilities are ABC credentialed.

Specialized Care by Certified Prosthetist Orthotist

Consider the prosthetist’s experience and specialization, especially concerning your specific needs. Prosthetists may specialize in various areas, such as upper or lower limb prosthetics, pediatric prosthetics, or sports prosthetics. Choose a professional with experience relevant to your type of amputation and lifestyle requirements. Not every prosthetist is the same. Our team at Leimkuehler offers expertise in various areas, ensuring tailored care.

Patient-Centered Approach

A prosthetist should adopt a patient-centered approach, focusing on your individual needs, goals, and preferences. A good prosthetist will take the time to understand your lifestyle, activities, and aspirations to create a customized prosthetic limb that enhances your quality of life. We believe in a collaborative approach to ensure your prosthetic fits seamlessly into your life.

Proven Certified Prosthetist Orthotist Results

Seek referrals from healthcare professionals, friends, or support groups for amputees. Personal recommendations provide valuable insights into the prosthetist’s reputation and the quality of their services. Additionally, online reviews and testimonials offer a broader perspective on the experiences of other amputees. Leimkuehler’s Certified Prosthetist Orthotists have a long-standing reputation for providing exceptional care and support.

Effective Communication

Effective communication is crucial throughout the prosthetic fitting process. Choose a prosthetist who listens attentively, communicates clearly, and involves you in decision-making. A collaborative approach ensures that the final prosthetic limb aligns with your expectations and needs. Our team is dedicated to listening to your concerns and keeping you informed throughout the process.

Insurance and Financial Considerations

Check with the prosthetist about insurance coverage and payment options. Understanding the financial aspect of prosthetic care is essential to avoid unexpected costs. A reputable prosthetist’s office will work with you to navigate insurance processes and help you maximize coverage. Leimkuehler works closely with insurance providers to simplify the process.

Trust Leimkuehler’s Certified Prosthetist Orthotist

Choosing the right prosthetist is a significant decision. At Leimkuehler, we are committed to providing you with the highest level of care and support. Our team of certified prosthetists is dedicated to helping you regain your independence and confidence. Let us be your partner on this journey.

Contact us today to schedule a consultation.

The post How to Choose the Right Certified Prosthetist Orthotist appeared first on Leimkuehler O&P.

Casting Prosthetic Fitting

Casting, a well-established technique in prosthetics, involves creating a mold of the residual limb using materials like plaster, fiberglass,  or silicone. This method allows for a highly customized fit, capturing intricate details of the limb’s contours. By molding directly to the limb, casting can provide excellent suspension and stability, crucial for ensuring the prosthetic stays securely in place during movement.

However, casting may have some drawbacks. It can be time-consuming and messy, requiring skilled practitioners to ensure accuracy. Additionally, the process may not be suitable for individuals with wounds or sensitive skin, as the materials used can cause irritation or discomfort. Despite these challenges, casting remains a preferred method for many prosthetists due to its reliability and ability to create a precise fit.

Measuring

Measuring the residual limb involves taking precise dimensions using tools such as calipers or a tape measure. This method is less invasive and quicker than casting, making it suitable for patients with sensitive skin or those who require frequent adjustments to their prosthetic sockets. Measuring provides a basic framework for creating a socket, allowing prosthetists to tailor the fit based on the individual’s unique needs.

While measuring offers convenience and efficiency, it may not capture the nuanced contours of the residual limb as accurately as casting. This could potentially result in issues with fit and comfort, particularly for individuals with irregular limb shapes or volume fluctuations. Prosthetists may need to rely on additional modifications or adjustments to achieve an optimal fit when using this method.

Scanning Prosthetic Fitting

Scanning, a relatively newer technique, involves using advanced technology such as laser or infrared scanners to create a digital model of the residual limb. This non-contact method offers several advantages, including speed, precision, and the ability to capture detailed anatomical information. Scanning eliminates the need for messy casting materials and allows for easy storage and transfer of digital files, streamlining the prosthetic fabrication process.

Furthermore, scanning enables prosthetists to visualize the limb in three dimensions, facilitating more accurate socket design and customization. By utilizing computer-aided design (CAD) software, adjustments can be made digitally to optimize fit and comfort before fabrication begins. However, scanning technology may not be readily available in all clinical settings, and initial setup costs could be a barrier for some practitioners.

Making the Choice of Prosthetic Fitting

For prosthetic socket fabrication, the choice between casting, measuring, or scanning depends on various factors, including the individual’s anatomical characteristics, clinical requirements, and available resources. While casting offers a time-tested method for achieving a precise fit, measuring and scanning provide alternatives that may better suit certain patient populations or clinical settings.

Ultimately, the goal of us at Leimkuehler is to optimize function, comfort, and quality of life for individuals living with limb loss. Whether through traditional casting, precise measuring, or innovative scanning techniques, prosthetists strive to tailor each socket to the unique needs and preferences of their patients, ensuring a better fit and improved outcomes in prosthetic rehabilitation

Schedule an Appointment!

The post Choosing the Right Prosthetic Fitting – Scanned, Casted, or Measured Prosthetic Sockets? appeared first on Leimkuehler O&P.

What is a Cranial Remolding Orthosis?

A cranial remolding orthosis, also known as a cranial helmet, is a custom-made device worn by infants to gently guide the growth of the skull. These helmets are typically worn for several months and are most effective when started early, between 4-6 months of age.

Why Might a Baby Need One?

There are two main reasons why a doctor might recommend a cranial remolding orthosis for your baby:

• Plagiocephaly: This is a condition where the head appears flat on one side. It’s often caused by a baby spending too much time in one position, such as on their back while sleeping. While mild plagiocephaly may not cause any health problems, a more severe case can affect facial symmetry and even development.
• Brachycephaly: This condition is characterized by a shortened appearance of the front-to-back aspect of the head. It can sometimes occur in conjunction with plagiocephaly.

How Does the Helmet Work?

It is designed to apply gentle, sustained pressure to specific areas of the head. This pressure encourages the skull to grow in a more symmetrical shape. The helmet itself is lightweight and breathable, and most babies adjust to wearing it quite well.

The Importance of Early Intervention

Early intervention is key when it comes to treating plagiocephaly and brachycephaly. Studies show that cranial remolding orthosis treatment is most effective when started between 4-6 months of age, while the skull is still soft and malleable.

Working with your Doctor

If you have any concerns about your baby’s head shape, it’s important to talk to your doctor. They can assess your baby’s individual situation and determine if a cranial remolding orthosis is the right option.

Here at Leimkuehler Orthotic-Prosthetic Centers, we understand the importance of a healthy head shape for your baby. We offer expert care and custom-designed helmets to help your child achieve optimal growth and development.

Contact us today to learn more about how we can help your baby.

The post The Importance of Cranial Remolding Orthosis: Understanding Baby Helmet Therapy appeared first on Leimkuehler O&P.

A below-knee prosthetic leg can have a profound impact on your life, both physically and emotionally. Here’s how:

Increased Mobility

A well-fitted prosthetic leg allows you to walk, run, and climb stairs with greater ease. This newfound freedom opens doors to activities you may have thought were off-limits after amputation.

Improved Confidence

Regaining mobility can significantly boost your confidence and self-esteem. You’ll be able to participate more fully in daily living and social activities, fostering a sense of normalcy.

Reduced Pain

Modern prosthetics are designed for optimal comfort and support, minimizing pain and discomfort in the residual limb. This allows you to focus on your activities without physical limitations.

Leimkuehler: Your Partner in Regaining Mobility

At Leimkuehler Orthotic-Prosthetic Centers, we understand the unique needs of each individual. Our board-certified prosthetists work closely with you to create a custom-designed below-knee prosthetic that perfectly fits your anatomy and lifestyle.

We utilize cutting-edge technology and advanced materials to ensure your prosthetic leg:

• Mimics a natural gait pattern for effortless movement.
• Provides exceptional comfort and stability throughout the day.
• Integrates seamlessly with your daily activities.

Ready to take your first step towards a more active and fulfilling life?

Leimkuehler Orthotic-Prosthetic Centers is here to guide you on your journey. Contact us today for a consultation and experience the difference a custom-crafted prosthetic leg can make.

The post Below the Knee Prosthetic Leg – Regain Your Stride! appeared first on Leimkuehler O&P.

The post Limb Care is Good Clean Fun appeared first on Leimkuehler O&P.

The post Fresh Tracks Film appeared first on Leimkuehler O&P.

Hydraulic Prosthetic Feet
Hydraulic prosthetic feet utilize fluid dynamics to mimic the natural movement of human feet. These prostheses offer a smoother gait cycle by absorbing shock and adapting to different terrains. The hydraulic mechanism allows for responsive and adaptive movements, providing users with stability and confidence during various activities. Additionally, some hydraulic systems incorporate adjustable resistance, allowing users to customize their prosthetic experience according to their activity level and comfort preferences. While hydraulic prosthetic feet offer significant advantages in terms of dynamic response and shock absorption, they require regular maintenance and may be heavier compared to other options.

Carbon Fiber Prosthetic Feet
Carbon fiber has revolutionized the field of prosthetics with its lightweight and durable properties. Prosthetic feet made from carbon fiber are exceptionally lightweight, providing users with a natural and agile walking experience. The material’s high strength-to-weight ratio ensures stability and reliability, enabling users to engage in various physical activities with ease. Carbon fiber prosthetic feet are known for their energy return capabilities, efficiently transferring energy from each step to propel the user forward. This feature not only reduces fatigue, but also enhances overall mobility and efficiency. Moreover, carbon fiber prosthetic feet are resistant to corrosion and degradation, offering long-term durability and minimal maintenance requirements. However, some users may find the stiffness of carbon fiber prosthetics less forgiving on uneven surfaces.

Microprocessor-Controlled Prosthetic Feet
Microprocessor-controlled prosthetic feet represent the pinnacle of prosthetic technology, integrating sophisticated sensors and algorithms to emulate natural movement patterns. These prosthetics utilize microprocessors to analyze data from sensors, adjusting the foot’s position and resistance in real-time to adapt to changing terrain and walking speeds. The dynamic responsiveness of microprocessor-controlled prosthetic feet significantly improves stability, balance, and confidence for users, particularly on uneven surfaces and slopes. Additionally, these prosthetics often feature customizable modes and settings, allowing users to optimize performance for various activities, such as walking, running, or climbing stairs. While microprocessor-controlled prosthetic feet offer unparalleled functionality and adaptability, they are typically more expensive and require occasional software updates or adjustments.

Hydraulic, carbon fiber, and microprocessor-controlled prosthetic feet each offer distinct advantages and considerations for amputees. Hydraulic prosthetic feet excel in providing dynamic response and shock absorption, while carbon fiber prosthetic feet prioritize lightweight design and energy return. On the other hand, microprocessor-controlled prosthetic feet offer unmatched adaptability and customization options for enhanced stability and mobility. The choice between these technologies ultimately depends on individual needs, preferences, and lifestyle considerations. As prosthetic technology continues to evolve, these advancements promise a brighter future for amputees, empowering them to live active and fulfilling lives with confidence and independence.

To learn more about the different prosthetic feet offered at Leimkuehler, visit https://leimkuehleroandp.com/feet-and-ankles/.

The post Prosthetic Foot Technologies: Hydraulic, Carbon Fiber, and Microprocessor Controlled appeared first on Leimkuehler O&P.

• Amputee Support Groups | One of the most valuable resources for amputees is support groups. These groups provide a safe and understanding environment where individuals can share their experiences, concerns, and triumphs with others who have gone through similar challenges. Many support groups meet in person, offering opportunities for face-to-face interaction and connection. Additionally, there are online forums and virtual support groups for those who may not have access to in-person meetings or prefer the convenience of connecting from home.
• Rehabilitation Centers | Rehabilitation centers often provide more than just physical therapy; they also offer a range of support services for amputees. These may include counseling, peer mentoring programs, and educational workshops on topics such as prosthetic technology, adaptive sports, and daily living skills. By participating in these programs, amputees can gain valuable insights, learn coping strategies, and build relationships with others who understand their journey.
• Nonprofit Organizations | Numerous nonprofit organizations are dedicated to supporting individuals living with limb loss. These organizations offer a variety of services, including peer support programs, financial assistance for prosthetic devices, advocacy, and outreach initiatives. Some well-known organizations include the Amputee Coalition, the War Amps, and the Challenged Athletes Foundation. These organizations often host events, conferences, and retreats where amputees can connect with others and access valuable resources.
• Online Communities and Social Media | In today’s digital age, the internet provides a wealth of resources for amputees seeking support and community. There are countless online forums, social media groups, and blogs where individuals can connect with others, share their stories, and seek advice. These online communities offer a sense of camaraderie and can be especially beneficial for those who may feel isolated or unable to access in-person support groups. Platforms like Facebook, Reddit, and Instagram have dedicated groups and hashtags for amputees to connect and engage with one another.
• Counseling and Therapy | Living with limb loss can bring up a range of emotions, including grief, frustration, and anxiety. Seeking professional counseling or therapy can be incredibly beneficial for amputees struggling to cope with these feelings. Therapists with experience in working with individuals with disabilities can provide valuable support and guidance in navigating the emotional challenges of limb loss. Additionally, many and nonprofit organizations offer counseling services specifically tailored to the needs of amputees.

Living with limb loss presents unique challenges, but no one has to face them alone. By reaching out to support groups, rehabilitation centers, nonprofit organizations, online communities, and mental health professionals, amputees can find the support, guidance, and sense of belonging they need to thrive. Whether it’s connecting with others who understand their journey or accessing resources to enhance their quality of life, there are countless avenues available for amputees to find support and someone to talk to. There is a community waiting to welcome fellow amputees with open arms.

Leimkuehler offers a service that connects new or existing amputees with a peer in a similar situation. For more information about this amputee-to-amputee support or other support sources, contact us.

The post Finding Support: A Guide For Amputees Seeking Community and Connection appeared first on Leimkuehler O&P.