WillowWood Blog

Phantom Pain

April 9th, 2012 by WillowWood

Many amputees suffer from phantom limb pain. This pain, which can range from mild to extreme, is felt in the portion of the limb that is no longer present. It is estimated that 60% of amputees experience episodes of acute pain, and 10-35% endure more severe and chronic episodes. Acute pain consists of short episodes of sharp pain, while chronic pain lasts much longer and can have a more debilitating effect.

New amputees often have phantom pain which can diminish over time and become less intense 3-6 months following surgery. Many times, restoring mobility by fitting the first prosthesis can be the catalyst for relief.

Phantom pain can come and go for years after an amputation, and can be brought on by changes in the weather, fatigue, and anxiety. The symptoms, causes, and occurrences differ from person to person.

This syndrome continues to be a poorly understood medical condition and has long perplexed the medical community. There is no clear understanding of the cause and unusual nature of the symptoms. Even though the brain is still connected to the nerves that once controlled the missing limb, the sensory inputs from that limb are no longer being transmitted. Clues to the cause of phantom pain may be found in the ways in which the neurological system adapts to this significant alteration.

Common treatments are heat, transcutaneous electrical nerve stimulation (TENS), medications, biofeedback, surgery, mirror therapy, and tissue compression. Unfortunately, these treatments are often difficult and can be limited in their effectiveness. What works for one person may not work for another, so treatment usually requires a trial and error approach to find the most effective solution for the individual. If you are experiencing phantom pain, be sure to network and consult with medical professionals who specialize in this area as well as fellow amputees who have learned techniques that work for them.

Researchers need to gain a better understanding of the mechanism that causes phantom pain in order to provide for more effective treatments. Currently, mirror therapy and virtual reality therapy are showing promise where other treatments have failed. Over time a better understanding gained by research and the use of these new therapies can potentially lead to more effective solutions for everyone.

Successfully dealing with phantom pain can be a challenge. Obsessing on the pain can make it worse; the more focus given to the pain, the worse it can get. WillowWood’s recommendation for those dealing with phantom pain is to seek effective treatment, continue to stay busy, and avoid letting the pain over take your life.

All in a Day’s (Charitable) Work

March 7th, 2012 by WillowWood

One of the perks of being a manufacturer of lower-extremity prosthetic products is the chance to assist charitable organizations dedicated to helping others return to a ‘normal’ life after becoming amputees.  Along with organizations like Limbs for Life and Physicians for Peace, we’ve had the honor to assist individual clinicians devoting professional and personal time on mission trips to help amputees in under served areas of the world.

We recently had the pleasure of helping Chris Peregrine, CPO, from Teter O&P in Michigan, who participated in a medical mission trip in late 2011. Chris reached out to WillowWood and we provided several prosthetic feet for use in the prostheses he was crafting.  Chris kindly shares his mission trip experience with us.

“Through WillowWood’s generosity, the support of additional sponsors, and staff at Teter O&P, Inc., I was able to provide lower extremity protheses to several amputees in the Dominican Republic recently.  This effort restored independent ambulatory mobility to these folks who would otherwise not have had access to prosthetic services.

In October, 2011, I accompanied a team of northern Michigan physicians, surgeons, and supporting staff representing Midwest Medical Missions, Inc. on their annual trek to the Samaná peninsula in the Dominican Republic to serve the medical needs of the population in that region.  During the course of that week, I evaluated over 40 amputees, and identified five promising cases given the venue and limited resources.  Additionally, I was able to begin training a local Dominican orthopedic technician named German in prosthetic fundamentals.

I returned to my home in Traverse City, MI, where Teter O&P, Inc. is headquartered. Over the course of the fall, with the impressions and measurements I provided, the Teter technical staff fabricated the prosthetic sockets and completed assembling the devices using components donated from various sources, including WillowWood.

Several weeks ago, in early February, 2012, I returned to the hospital in Samaná where I had first met the prosthetic candidates. I was able to successfully fit all five amputees who I had previously evaluated. These folks were most appreciative and managed their new devices well, eventually departing their fitting sessions independently ambulatory.  The return trip was also an opportunity to continue to orient the local orthopedic technician, German, in prosthetic fundamentals as he was able to observe and be involved with these successful fittings.

It was a great privilege and pleasure to assist these neighbors to our south. With my partners at Teter O&P, Inc., and aided by my friend German’s presence on-site, I look forward to orchestrating an ongoing program on the Samaná peninsula in the Dominican Republic.

Thanks again to WillowWood for your generous donations which, in large part, made this successful initiative possible.”

Meet Stefanie Reid: Paralympian, World Traveler, & Master’s Student

February 16th, 2012 by WillowWood

Stefanie Reid

For the past couple years, WillowWood has had the pleasure of working with Stefanie Reid, an experienced Paralympic athlete. Stefanie competed at the Beijing, China, 2009 Paralympics in the long jump and the 200m, in which she won bronze. Stefanie’s schedule of college, training, media interviews, transcontinental travel, and some occasional gardening, keeps her quite busy.

 

Q: You’ll be competing in the long jump and the 200 m at London’s Paralympics. Aside from medaling, what are your personal goals for the Paralympics?

I will be competing in the 100m, 200m, and long jump in London.  Apart from the obvious, my personal goal for the Paralympics is to demonstrate courage and integrity every time I compete.  To compete at your best in an intense, high pressure situation, you have to be fearless.  I want to walk off that track knowing that I gave every last ounce of mental and physical ability.

 

Q: As part of Great Britain’s Paralympic team how exciting is it to compete for the “home team” in London?

It is an incredible opportunity to change the face of disability sports in Great Britain.  The interest and response from the public has been incredible, and I know it will result in an amazing legacy.  As a member of the home team, we have a unique opportunity to shine in our country that other athletes won’t experience…but with it comes unique pressures!

 

Q: You’ve been involved in several Paralympic promotional campaigns and media interviews in Britain. How’s it feel to see yourself in the spotlight? Did you ever anticipate this sort of publicity during your athletic career?

It is both incredibly cool and incredibly awkward to play back your interviews or see your campaign pictures!  It gives me a huge sense of encouragement to know that people are interested in what I am trying to achieve and that they think it is a worthwhile endeavor.  There are days when you feel on top of the world, but there are also days when you experience hardship or devastating losses in competitions, and think maybe the time away from family/financial struggles/ stress aren’t worth it.  But the people that have reached out to me as a result of some of the documentaries and interviews I have done remind me that there is incredible value in Paralympic sport and that it has been worth every hard choice I have made.  I never anticipated any of this – I ran simply because I loved it.  I am grateful for every interview request as it gives me a chance to share my passion with others.

 

Q: What components do you wear when you compete? You’re currently working on a new everyday prosthesis with your prosthetist. What do you wear when you’re not competing?

When I compete, I wear an Ossur Flex Foot Cheetah, a carbon fibre socket with a built in one-way suction valve, a WillowWood Alpha® Original Liner, and a suction sleeve.  The glamorous running feet tend to get all of the media attention!  But your socket is as important (if not more) as the foot you run on.  The socket is the interface between your body and your prosthesis – if it feels like a foreign object when you put it on, it is impossible to move well.  Ultimately, it is your choice of liner combined with your prosthetist’s finesse in socket casting that will determine how much you enjoy sports and other high impact activities.  I love my Alpha Liner as I am able to carry out an intense training regime across all climates without any skin breakdown.

When I am not competing, I wear a thinner version of the Alpha Original Liner, the WillowWood Trailblazer™ Foot, and a carbon fibre socket.  The Trailblazer foot is new to me.  I was having some problems with a stress fracture in my back and it was suggested that it may be precipitated by the way I walk.  So I worked with my prosthetist and made a new leg using the Trailblazer.  The result so far has been fantastic.  My favourite part is the ease with which my prosthetist could customize the toe springs.  We were able to match my walking stride perfectly on both legs, and as I improve and get stronger, my prosthetist can install a stiffer spring!

 

Q: How do you balance your training schedule with your academic work?

Fortunately, I spend lots of time traveling, so I try and get all of my work out of the way when I am sitting on planes.  But the truth is, it is very difficult and stressful, and being in a constant state of stress is extremely damaging for an athlete’s recovery.  I have taken a break for this semester as I didn’t feel I was able to give both my running and my studies 100%.  I will continue to pursue my Master’s in Nutrition after London 2012.

 

Q: What’s your advice for amputees who are looking to increase their level of physical activity, whether it is in regard to athletics or everyday living?

The first step is to ensure you are 100% comfortable and confident with your prosthetic leg.  I know from my own experience that the biggest motivational killer for amputees is being uncomfortable and in pain when doing an activity.  Next, grab a friend and start with something that is low impact: Pilates, yoga, swimming, biking, belly dancing – be creative.  And don’t forget about the friend part.  It can be intimidating for anyone to try something new, especially when you are an amputee and will inevitably stand out.  Taking a friend will reduce some of the anxiety and make it more fun. Finally, set a short-term fitness goal (2-3 months) with targets along the way.  Tell your friends and family about them, and celebrate each target you hit!

 

Q: With all the traveling that you do between the UK, South Africa where you’ve been training, and the US, you’ve become quite an expert on traveling with a prosthesis. Do you have any helpful tips to share that might interest other amputees?

1) Don’t be a hero – take all of the help that is offered to you at an airport.  And don’t be afraid to speak up if it is not offered.  Use a luggage trolley. Use the disabled golf cart.  Skip the hour-long customs line. If someone offers to carry your bag, let them.  You don’t realize just how far you walk or how much you stand when you travel, especially in airports.   Pulling luggage behind you and walking with a heavy knapsack for long distances is not conducive to proper walking technique.  It is best to save your back.  I can deadlift 225 lbs.  Despite that, I always try and avoid loading my luggage into cars.  But the combination of sitting for long periods, dealing with the awkward shape of my luggage, and the extra care required to get into the right lifting position when you have a fixed ankle joint mean I am not willing to risk a silly injury.

2) Take extra stump socks at a variety of thicknesses onto planes.  The difference in air pressure that you experience at different altitudes affects the fit of your socket.  My residual limb typically swells, and it can be quite uncomfortable to leave my prosthesis on when flying.  The real problem comes when you land, and you try to put your socket back on only to realize you can’t get your residual limb in!  My best advice is to take your socket off during flight if it gets uncomfortable, and wrap your residual limb in a tensor compression bandage to help control the swelling.  Then, when you put your socket back on you can adjust the fit with your extra stump socks until your residual limb returns to normal size.

 

Thanks so much Stefanie for chatting with us! We sincerely wish you the best of luck at the London 2012 Paralympics. The games begin August 29 and conclude on September 9, 2012. Be sure to keep an eye on Stefanie! You can follow Stefanie on Twitter at @RunJumpStefReid.

 

Going Strong with Vacuum Suspension

January 9th, 2012 by WillowWood

Amputees such as Richard Blalock, Scott Rigsby and Shea Taylor are trailblazers in the fields of marathons, Ironman competitions, and mixed martial arts respectively. These amputee athletes each incorporate LimbLogic® VS for vacuum suspension in their prostheses and work with clinicians from ProCare Prosthetics & Orthotics of Atlanta, Georgia, who think outside the box.

Having experienced an increase in amputees nationwide seeking out their expertise, ProCare and its team of clinicians are designing and crafting proprietary socket prostheses utilizing LimbLogic VS for athletes competing in marathons, world-level track-and-field events, Ironman competitions and more.

“We recognized early on that WillowWood had designed a superior electric vacuum pump for the market,” shares Stephen A. Schulte CP LP FAAOP, CEO of ProCare Prosthetics & Orthotics. “ProCare made a commitment to advancements in socket technology, specifically in elevated vacuum. This commitment has attracted a nationwide population of VERY active amputees who demand high performance technology. LimbLogic VS is a key component to the high performance prosthetics that we design.”

LimbLogic VS provides extremely reliable and secure vacuum suspension. Amputees, especially those who are athletic, benefit from LimbLogic VS because the prosthesis responds immediately to a change in activity. Or rather the amputee athlete can be confident in their foot position because the strong vacuum suspension keeps the prosthetic socket and foot exactly where they are supposed to be. Hence, amputees don’t have to think about foot placement as much and can focus more on their endeavors.

“LimbLogic VS has proven to be very reliable and durable,” comments Steve. ”WillowWood has succeeded with superior customer service, technology and design.”

We consider ourselves a partner with clinicians and we love to hear how WillowWood technology and products are used to help amputees. Thanks ProCare for sharing!

We’d love to hear about your success and achievements with LimbLogic VS. Post a comment here or drop us a note at customerservice@owwco.com.

ProCare Assessment LimbLogic VS
In ProCare’s research lab, Stephen A. Schulte assesses Scott Rigsby’s running legs, both which use LimbLogic VS, for prosthetic fit and gait analysis. For Richard Blalock to compete in the 2012 Boston Marathon, ProCare incorporated LimbLogic VS in his running prosthesis.

Welcome to the WillowWood Blog

December 27th, 2011 by WillowWood

Thank you for taking the time to check out our new blog! For more than 100 years, WillowWood has been committed to serving the amputee community by creating high-quality prosthetic products. Our goal is to help amputees live life to the fullest by providing products that are both comfortable and functional. We decided to start sharing some of the knowledge and expertise we’ve gained over the years with the online community. Check back with us monthly for a variety of informative topics, including:

  • Interviews with experts
  • Amputee profiles and advice
  • Care and use tips
  • Amputee resources
  • Industry news and analysis

Have a question or a topic you’d like us to cover? Leave a comment here or connect with us on Facebook (www.facebook.com/OhioWillowWood) or Twitter (@OhioWillowWood). Also, set a reminder to check out our next post on January 9. We’ll be highlighting how one facility uses vacuum suspension to help amputee athletes.