Underarm Crutches

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Underarm crutches, also known as axillary crutches, are a type of crutch that uses a padded bar that fits under the armpit for support, along with a handgrip below it. They are commonly used for short-term mobility assistance following an injury or surgery, requiring less upper body strength than forearm crutches but are not recommended for long-term use due to the risk of nerve and tissue damage. The crutch is correctly fitted when a 2-3 finger gap exists between the armpit and the pad, and the handgrip is adjusted so the user's elbow is slightly bent when they hold it.

Components and Use

Padded top: A padded bar that rests under the armpit, providing stability. 

Handgrip: Located below the armpad, the handgrip allows the user to support their weight with their hands. 

Frame: A straight, adjustable frame connects the armpad and handgrip. 

When They Are Used

Temporary mobility assistance:

Underarm crutches are best for people recovering from a short-term injury or surgery. 

Post-operative recovery:

They are frequently used in the period after an operation when weight-bearing on a leg is not possible. 

Important Considerations

Fit is crucial: A correct fit ensures that the user supports their weight with their arms and hands, not by resting their body weight on the crutch in the armpit. 

Risk of nerve injury: Resting body weight on the armpit can compress nerves and cause injury. 

Alternative to forearm crutches: For longer-term disabilities, forearm crutches may be a better choice, as they distribute pressure and are often preferred for prolonged use. 

How do you use underarm crutches?

The injured leg should be held off the ground. Weight is borne on the hands, not the axillae; the axillary pad is actually braced against the chest wall just below the axilla. Before taking a step, the patient places the crutch tips about one stride length ahead while bearing weight on the uninjured leg.

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Axillary crutches are mobility aids designed to assist individuals with walking when they have lower limb injuries or conditions. They provide support by transferring weight from the legs to the upper body.

Key Features:

Design: Made of lightweight materials, typically aluminum or wood, with a padded top that rests under the armpits.

Usage: Users grip the handholds while placing the crutches under their arms to help maintain balance and stability.

Adjustability: Most axillary crutches are adjustable in height to accommodate different user sizes.

Benefits:

Increased Mobility: They allow individuals to move around more easily while recovering from injuries.

Weight Distribution: They help reduce pressure on the legs and feet, promoting healing.

Considerations:

Proper fitting is essential to prevent discomfort or injury.

Users should receive training on how to use them effectively to ensure safety.

Axillary crutches are commonly used in rehabilitation settings and can be prescribed by healthcare professionals.