Patient Use Of An Axillary Bar For Weight Bearing

If you need to walk with crutches, you know the aches and pains that can occur with prolonged use, but there also is the possibility of more serious complications. The purpose of crutches typically is to take the weight off of an injured foot or leg so that you can move about with adequate balance. Crutches with an axillary bar distribute part of your body weight into the axillary region, better known as the armpit. People with disabilities might utilize crutches as a more permanent ambulation device.

Overview of Axillary Bar Crutches

People have used crutches for ambulation for more than 5,000 years. Axillary crutches are the most common type of crutches prescribed for temporary use and support up to 80 percent of a person's weight. They have a pad under the armpit and a hand bar and can be made of wood or aluminum. Ortho crutches are lighter-weight versions. Both types have adjustable handgrips for individual fitting.

Problems Associated with Axillary Crutches

Weight bearing on axillary crutches can cause temporary and permanent nerve damage to the large nerve complex under the arm. The brachial plexus supplies nerves to the arm and hand, and if it is damaged, the patient can experience partial or complete paralysis of muscles. This condition is usually treatable, but you can help prevent it by proper use of the crutches. A more serious problem called axillary artery thrombosis can occur with prolonged use.

Proper Use of Axillary Crutches

The most important thing to remember when using axillary crutches is to avoid excessive weight bearing on the axillary bars. Instead, keep the axillary pads against the sides of your body and push through your hands to better distribute your weight. Be sure that your crutches are the correct size: The tops should reach 1 to 1.5 inches below your armpit and the handbars should be at hip level. Look ahead versus down at your feet as you walk to encourage optimal posture.

Safety Tips

Assess the environment in which you will be using the crutches and remove any hazards, such as rugs or wires on the floor. Use caution on stairs and obtain specific training for your situation from a physical therapist. It might be helpful to strengthen your upper body if you will be using crutches for a prolonged period. There are other options, such as Lofstrand crutches and forearm orthosis. Walking with crutches requires approximately twice as much energy, so you might need more rest than usual.