Getting Around Safely With Your Crutches (Partial Weight Bearing)

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1 OrthBethesda Therapy Services Getting Arund Safely With Yur Crutches (Partial Weight Bearing) Yur physician will decide whether yu are t be nn weight bearing, te-tuch weight bearing, partial weight bearing, r weight bearing as tlerated n yur surgical/injured leg. These instructins are specifically fr patients that are partial weight bearing (PWB). It is very imprtant that yu adhere t yur weight-bearing instructins in rder t avid disrupting the healing prcess. The therapist will instruct yu n the apprpriate set-up and fitting f yur crutches. Partial Weight Bearing (PWB): This designatin will be accmpanied by a percentage value, which indicates exactly hw much weight yu are able t supprt thrugh the leg. Fr example, if yu are 25% PWB, yu may place 25% f yur bdyweight thrugh this leg. T get a feel fr yur PWB limit, yu may place yur surgical/injured leg nt a scale and shift yur weight t that side. Fr example, a 200-pund patient that is allwed 50% PWB may place up t 100 punds f weight thrugh the surgical/injured leg. Set Up and Fitting: Standing straight with yur arm at yur side, the crutch handle shuld align with the inside f yur wrist. The height f the crutch shuld be adjusted s that there are 1-2 inches f space between the tp f the crutch and yur armpit. This is rughly the width f tw fingers.

2 General Instructins and Tips: Use yur crutches nly as instructed. Place nly the amunt f weight thrugh yur surgical/injured leg as specified by the physician. Use yur crutches fr all walking and standing activities until yur physician instructs yu therwise. Yur weight shuld be placed thrugh yur hands by pushing dwn thrugh the crutch handles. Never lean n yur crutches. Resting yur armpits n the crutches may cause nerve damage! Always use bth crutches. Using nly ne crutch may cause back prblems. Place weight evenly n bth crutches. Walk slwly and carefully. Have smene walk with yu initially until yu feel steady n yur feet. This is especially imprtant when walking n unlevel/uneven surfaces r stairs. Remve lse rugs r ther small bjects frm the flr in rder t minimize the risk f tripping. Wear apprpriately-fitted, lw-heeled shes. D nt wear slippers r high heels. D nt wear lng, flr-length rbes r gwns while using crutches. Avid slippery and/r wet flrs. Check the grund fr bjects that may cause crutches t slip ut frm under yu. Check the crutches daily fr cracks and/r lse screws. Replace wrn tips and unsafe parts. When nt in use, it is best t rest yur crutches upside dwn. They are less likely t fall ver this way.

3 Walking: 1. Start by placing bth crutches 1-2 inches t the utside f each ft and 6-12 inches in frnt f yu. 2. Step yur surgical/injured leg frward t meet the crutches. 3. Push dwn thrugh the crutch handles in rder t avid placing t much weight thrugh yur surgical/injured leg, as yu begin t swing yur nn-surgical/nn-injured leg frward. 4. Maintaining yur weight-bearing limitatins, step frward with yur nn-surgical/nn-injured leg, just in frnt f the crutches. Yu may cmbine the first tw steps if yu feel cmfrtable; advance yur nn-surgical/nn-injured leg and bth crutches frward at the same time.

4 Standing Up: 1. Sct frward in the chair t make it easier t stand. 2. Hld bth crutches in ne hand, n the side f yur surgical/injured leg. 3. Place bth feet flat n the grund and place yur free hand n the armrest (r seat) f the chair. 4. Lean frward at yur hips, tighten yur cre muscles and then push dwn thrugh bth hands and bth legs (nly place as much weight thrugh the surgical/injured leg as specified by yur physician) in rder t stand. 5. Once standing and steady, place ne crutch under each arm. Sitting Dwn: 1. Psitin yurself s that the backs f yur legs are tuching the chair. 2. Hld bth crutches in ne hand, n the side f yur surgical/injured leg. 3. Reach back with yur free hand until yu feel the armrest (r seat) f the chair. 4. Slwly lwer yurself int the chair, making sure t nly place as much weight thrugh the surgical/injured leg as specified by yur physician.

5 Ging Up Steps/Curbs: 1. Stand clse t the surface yu intend t g up. 2. Step up with yur nn-surgical/nn-injured leg. (Push dwn thrugh the crutch handles with yur hands in rder t avid placing t much weight thrugh the surgical/injured leg.) 3. Step up with yur surgical/injured leg and bth crutches. 4. If ging up multiple steps, repeat this pattern until yu have reached the tp. *If there is a railing available t use, hld bth crutches n the side f yur bdy ppsite the handrail and grab the handrail with yur free hand. Step up with yur nn-surgical/nn-injured leg, then bring yur surgical/injured leg and bth crutches up at the same time.

6 Ging Dwn Steps/Curbs: 1. Stand clse t the edge f the surface yu intend t g dwn. 2. Lwer bth crutches dwn t the step belw. 3. Bring dwn yur surgical/injured leg first. 4. Push dwn thrugh the crutch handles, then step dwn with yur nn-surgical/nn-injured leg. 5. If ging dwn multiple steps, repeat this pattern until yu have reached the bttm. *If there is a railing available t use, hld bth crutches n the side f yur bdy ppsite the handrail and grab the handrail with yur free hand. Lwer the crutches dwn, step dwn with yur surgical/injured leg, then step dwn with yur nn-surgical/nn-injured leg.

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