Part III - How to survive the ravages of a neuropathic disease

This week is a continuation of last week's article. The emphasis will be on the methods and procedures for "taking care of yourself" in order to survive the ravages of a neuropathic disease.

1. Ambulatory Aids are the devices that allow you to be ambulatory or mobile with some assistance - when needed. These may be any or all of: canes, walkers, crutches, ankle-support braces, and wheelchairs. Comfort is paramount when considering the use of an ambulatory device. It is important that there not be undue strain on your hands or armpits or other parts of your body, when using such devices for protracted periods of time. Following, is a list of tips and suggestions for each device - to help you make the best choice possible that will maximize your comfort and minimize any strain or stress.
   • Canes The handle should be straight and allows downward pressure to be applied along the axis of the vertical shaft. The cane handle must be comfortable - no barriers to affect the sides of your hand, and should be adequately padded. Further - the length of the shaft should be adjustable for maximum comfort. Pressure and abrasion are minimized or eliminated, which reduces the irritation and pain in your hands - which may be extremely sensitive due to your neuropathic disease.

   • Walkers Should be height adjustable so that you do not experience back and arm strain when using them. The adjustments should allow for small changes so that the height may be changed as needed.

   • Crutches Are not recommended for large (tall and heavy) people - because of the great and sustained pressure they put onto your arm pits. However, if there is no choice - then ensure that they are adequately padded at the top and sufficiently light in weight. They should be height adjustable with small enough increments to accommodate your particular requirements - thus minimizing strain and stress on the armpits. If necessary, the handles should be padded to prevent stress and strain on your hands and fingers.

   • Ankle Support Braces Come in many varieties. Some are quite substantial and have a great deal of weight. These heavy braces may cause strain to the wearer. There are canvas braces that have stays or material to provide lateral support as well as forward and backward support. These are much lighter and can be as effective as a rigid metal brace. It is important to shield the skin of the affected leg from a rigid device by means of soft padding. This is available in the store that sells the brace. Padding is needed in the case of extreme sensitivity of the skin.