| Name: |
Dominic Meek |
| Date: |
19 June 2008 |
| Question: |
I have recently been diagnosed with foot drop, probably caused by compression to the peroneal nerve (possibly in the knee). My foot is numb across the top extending into my big toe and up the outside side of my leg. I work outdoors as a thatcher which is a very physical job and involves a lot of time on roofs and ladders. Can anyone recommend me a support which would be suitable for wearing every day? |
| Answer: |
Dear Dominic,
Peroneal nerve compression can be common place in occupations like yours were the knee is positioned in awkward angles for long periods
Firstly I would try make yourself aware of which positions could be causing such compression and avoid them, as you really need to erradicate the cause and hopefully allow the nerve to recover. I know this may be difficult due to the nature of your work but there may be some alterations you could make to relieve the pressure.
The resultant foot drop which you have acquired can be controlled with a number of different orthoses which are designed to hold the foot up and provide the support you require. To be assessed for an orthosis which will meet your requirements you should see your GP and ask to be referred to the Orthotics department at your local hospital.
I hope this helps.
Kind Regards
Mark Smith
Senior Orthotist |
| Answered By: |
Mark Smith Email: mark.smith@rslsteeper.com |

| Name: |
Ilia Khintibidze |
| Date: |
16 May 2008 |
| Question: |
I am very much interested in ARGO.
I am orthotist/prosthetist(ISPO CATEGORY II) from Georgia. I have patient who is suitable for ARGO 90.
I would like to know if it is possible to order components for ARGO 90 and if there is special course for fabrication and fitting this device. Will I be able to manufacture it without any special training?
I would very much like to provide Reciprocate Gait Orthosis for my patient and I think that ARGO 90 is one of the best from them.
Looking forward to hear from you.
thank you
best wishes
Ilia Khintibidze |
| Answer: |
Dear Ilia
Thank you for your mail.The ARGO is supplied in 3 basic kits. These are selected depending on the patients weight.
The smallest is for less than 25kg, the next for > 60kg < and the largest one for < 90Kg, we have some documents that I will mail to you seperately. You will be able to see if your patient is OK for this device. It will be necessary for you to custom make AFOs.
The kits have parts such as the Back tube and the cables that must be selected from the patients measurements. If you send us a fax (0044 870 4779) we can specify the correct size for your patient.
Your patient will need correct training. Many people with spinal cord injury between L2/3 and T4 incomplete are suitable although like any medical or surgical treatment we cannot guarantee that the patient will succeed.
You will need to look at the documents and order or locally purchase tools such as the torque wrench required otherwise the kits are designed to be put together in any reasonably equipped orthotics workshop.
I do not know of any workshop in your region that is pending but will talk with colleages.
Thanks for your enquiry
Regards
Robin Cooper Technical Consultant |
| Answered By: |
Robin Cooper Email: robin.cooper@rehab.co.uk |

| Name: |
Amina Naguib |
| Date: |
04 February 2008 |
| Question: |
Hello,
I am an Egyptian, studying physiotherapy in The Netherlands. It is my last few months in the program here and was interested in bringing back one of your products, the Advanced Reciprocating Gait Orthosis (ARGO) to Egypt in the near future. The evidence behind the potential benefits of the ARGO are positive and would like to incorporate their use in a rehab setting in Egypt. I would appreciate some information regarding whom to contact about this topic.
Sincerely,
Amina Naguib |
| Answer: |
Dear Amina
Thanks for your query. I am pleased that you have been able to appreciate the ARGO concept.
I have visited Egypt on several occasions, working with Dr Mohammed Salah Fouad and have visited and provided ARGO demonstrations at several civilian and military Hospitals and rehabilitation centres in Cairo and Alexandria. as a result ARGOs have been supplied.
When you return, if you contact Paul Steeper at paul.steeper@rslsteeper.com he can put you in touch with Dr Mohammed. he can also arrange for the latest literature on this programme to reach you if you provide a postal address.
sincerely
Robin Cooper
Technical and clinical advisor |
| Answered By: |
Robin Cooper Email: robin.cooper@rehab.co.uk |

| Name: |
kavya |
| Date: |
25 January 2008 |
| Question: |
could you me information regarding early cervical spodylosis seen in software engineers and treatment strategies? |
| Answer: |
Hello Kavya
I can find no direct link between early onset of cervical spondylosis and your occupation in the medical literature, but would not be surprised to find that the adopted posture of someone spending a lot of time on a computer could indeed lead to a greater risk of wear and tear type spinal injury's. The head ideally should be centrally balanced over the spine to reduce the risk of this type of pathology developing. I expect that a flexed posture is likely to predominate someone spending a long time looking down at a computer screen.
Treatment stratagies vary from physiotheraputic manipulation to avoid neck spasm's. Partial immobilisation in a cervical collar particularly during your work to reduce the compressional forces by distraction. Repositioning of the computer monitor and keyboard might help. In more advanced case's Surgery would be an option.
It is not possible without seeing you to know how best to procede as it is impossible to know the magnitude of the spondylosis in your case.
I would suggest that you seek advice locally that would be more specific to you.
I hope this has been of some help.
Kind regards
Jim Johnston
Orthotist Training Manager
RSL Steeper |
| Answered By: |
James Johnston Email: jim.johnston@blueyonder.co.uk |

| Name: |
june kimball |
| Date: |
27 November 2007 |
| Question: |
Hi
I am an above the knee amputee with a very short stump. I have recently been fitted with a suction socket with valve but am having great difficulty keeping it on it keeps losing its suction.
Which other methods of sockets are there without having to wear a belt that may work better?
Many thanks
June |
| Answer: |
June,
In replying to your question it must be remembered that I have never seen you, and defining your residual limb as "very short" doesn't answer all the questions I would be asking if I were to see you. The fact that the residual limb length is such that an attempt has been made to fit a suction socket would indicate to me that a roll on silicone liner with a shuttlelock and pin would probably be a viable option (such as a Medipro AKOS liner). It may even be possible to attempt an Ossur Seal-In suction liner in a socket with a valve, but if a liner was viable at all, I'd attempt the first option initially and assess the degree of sucess of that before considering any alternatives. |
| Answered By: |
Tim Verrall Email: tim.verrall@rslsteeper.com |

| Name: |
Chris. Broomfield |
| Date: |
05 November 2007 |
| Question: |
I have an amputation of all the toes on my left foot I have a prosthetic in silicon provided my NHS this is ok with toe post sandals however as this does not "give" or have any bend to it I cannot wear ordinary shoes or many types of sandals is the anything out their that would be more yielding and fit into shoes? |
| Answer: |
Dear Chris,
generally we find that, as a dense material, silicone does not mould itself to different containing shapes as effectively as the human form. However, there are ways to reduce the density of silicone in certain areas, as there are methods of achieving inproved function by the use of different materials.
As is usually the case, because each person is unique, we can only fully discuss the benefits and drawbacks of any solution once we have made a personal assessment that takes into account the physical parameters, the footwear and your own choices.
Please contact me directly if you wish to discuss this further.
Sincerely,
Mike Thomas - Prosthetist, Lead for Private Patients. |
| Answered By: |
Mike Thomas Email: mike.thomas@rslsteeper.com |

| Name: |
Jessica Goodwill |
| Date: |
29 October 2007 |
| Question: |
Hi. My son is 5 & wears an Afo on his left leg. He has recently had Botox on this leg so it is important that he wears the afo for as long as he can bare every day. He is in alot of pain dispite having the afo adjusted by his OT. He is sore and blistered with pressure marks on his foot. He wears Afo liner socks & his shoes are a correct fit to accomodate his afo. Please help as he is becoming disheartened by the whole process & I am just as frustrated. Is there some sort of liner I could try rather than just hard plastic? |
| Answer: |
Hi. As a clinical specialist based at Bristol childrens hospital I deal with a large number of children post Bot-tox injections for the fitting of A.F.O.'s.
Usually there is very little 'pain' involved in the post operative management of these children. Yes wearing the A.F.O. can be a little uncomfortable, but your son should not be in 'lots of pain'. Is it from the A.F.O. or from the Bot-Tox injection?
Does he have a physiotherapist? And certainly he needs a qualified Orthotist to look at the splint fitting.
Sores and blisters are usually a sign of 'movement' within the splint. Therefore the act of 'heating out' and adjusting often results in more room for the foot to move, therefore increasing the discomfort.
There really is no need for 'afo liner socks' as normal socks are usually sufficient to provide comfort.
Unfortunately I am not aware of your location or your sons particular diagnosis, therefore it is very difficult to respond fully to your email.
|
| Answered By: |
Kevin Mann Email: kev.mann@blueyonder.co.uk |

| Name: |
Shaun |
| Date: |
01 October 2007 |
| Question: |
I have Severe OA diagnosed in Right knee. The Knee gives way frequently resulting in falls.
Because of Cervical spondilosis I suffer pain when weight bearing on a walking stick to aid balance.
consultant considers me too young for Knee replacement!!
Would a Hinged Knee support Help where I can lock the knee in place. and replace the need to use a walking stick.
If so are any available on NHS precription |
| Answer: |
Dear Sir thank you for your enquiry regarding the availability of a knee brace.
However without having assessed your specific requirements I am professionally unable to give you a definitive reply
There are many variants available that can be sourced from the NHS and privately.
However I feel that the correct procedure is to discuss the options fully with your Consultant so that any Orthosis that you may use will be an integral part of your overall management.
If your consultant feels that the use of a brace is appropriate and you encounter any further difficulties please do not hesitate to contact us again.
|
| Answered By: |
Mike Vaughan - orthotist Email: mike.vaughan@rslsteeper.com |

| Name: |
steve |
| Date: |
28 August 2007 |
| Question: |
my home is surrounded by rough ground and my nhs issue prosthetic feet seem very difficult to use on rough terrain resulting in frequent falls and shredded neoprene sleeves down hill quite painful as there is a lot of force on the front of my shins what better equipment is available is any of it available via nhs |
| Answer: |
Dear Steve, there are a number of prosthetic feet that would help walking on uneven ground, but the College Park range of feet are one of the best on the market right now. You will find patient testimonials on the College Park website. www.college-park.com |
| Answered By: |
Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |

| Name: |
Lennie |
| Date: |
26 August 2007 |
| Question: |
I've seen a photo of your prosthetic foot and it had a package of screws. How does this work? I am needing a slip on foot as mine is partially amputated and the prosthesis I have straps around my calf. It works quite well but doesn't look good under a dress and is bulky. |
| Answer: |
Unfortunately the information given does not allow me to identify the foot you have seen on our website or the foot you are wearing. If you would like to give me a call, I would be happy to discuss this with you. 01634 226 163 |
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |

| Name: |
L F |
| Date: |
25 August 2007 |
| Question: |
Last problems were resolved after battery replacement.
This time I replaced the 9v battery in the foot control and now the Activ 500 isn't responding to it.
Any help is appreciated.
Thanks |
| Answer: |
Hi, sounds like you need an engineer visit. Please contact our helpline on 0113 271 0848. I would stress that reporting a fault via this phone number is without a doubt the safest way to ensure that an engineer resonds as fast as possible.
Best regards, Dave Howson, Technical Manager. |
| Answered By: |
Dave Howson Email: dave.howson@rslsteeper.com |

| Name: |
L F |
| Date: |
31 July 2007 |
| Question: |
Hi,
We have an activ 500, and it has frozen up and it won't respond to pressing it. It lights up but won't do anything. Please help as it is needed urgently.
Thanks |
| Answer: |
Hi there, There is a reset button on the back of the ACTIV unit about 1/3 of the way up on the left hand side. The button is inside the small hole, and can easily be pressed with a paper clip. This should get the unit up and running again. If you experience further problems, then please call our helpline on 0113 271 0848 and an engineer will be alerted of the problem. I can only assume that you for some reason did not have access to this number at the weekend. Please use this number as the method for reporting faults in the future. This forum is not necessarily monitored outside of office hours, which could mean a delay in our response to your call.
Best regards, Dave Howson, Technical Manager. |
| Answered By: |
Dave Howson Email: dave.howson@rslsteeper.com |

| Name: |
Terry Richardson |
| Date: |
18 July 2007 |
| Question: |
Can you please tell why this phone has no ring tone? How are you supposed to know if it is ringing? Also are you going to come up with a better method of being able to dial a number that is not in the preset phone book? At the moment it is slow, long and drawn out. The fox system was quicker and better at dialing out numbers. |
| Answer: |
Hi Terry,
Long time no see. Hope you are well.
In answer to your query, the reason the Puma does not ring, is due to the fact that the original Sayphone design on which the Puma is based did not include a ring generator, as it was not necessary for that application. A standard ringer can be plugged in to the back of the phone however, which will indicate an incoming call. Has this been installed at your property? I can tell you that the next design iteration of the telephone will definitely include a ringer. I can also say that we are working on a software change for the ACTIV, which should make a big difference to the speed at which compiled phone numbers can be entered. As soon as this software update is available, I will make sure that your unit is upgraded.
I hope that this helps. If I can be of any further help, please do not hesitate to contact me.
Best regards
Dave Howson
Technical Manager
RSL Steeper - AT Division |
| Answered By: |
Dave Howson Email: dave.howson@rslsteeper.com |

| Name: |
Lorraine |
| Date: |
18 July 2007 |
| Question: |
Hi, my husband is a bk amputee due to a motorcycle accident 11 months ago. His knee was rotated 180 degrees in the accident. The surgeons were able to save the knee but now he has extreme pain and mobility problems. His surgeon says he is "to young (he is 44)to have a knee replacement). We realize that knee replacements only last 10-12 yrs, but can't he have another knee replacement later in life? Thank you for any help you can give us. Lorraine |
| Answer: |
Dear Lorraine,
it is not uncommon to fit a below knee prosthesis to someone who has had a total knee replacement. In response to your particular question about the longevity of artificial knee joints, I think it best that you get the opinion of an orthopaedic consultant who is experienced in knee replacement surgery. |
| Answered By: |
Mike Thomas Email: mike.thomas@rslsteeper.com |

| Name: |
Nathan |
| Date: |
05 June 2007 |
| Question: |
hello i,m looking for a job as an orthotist and prosthetst(Orthopaedic technician) in london uk or any other country also like middle east countries. can u help me plaese in wich internet side can i look for this job or let me know any vacancy availablability. thanks ashimi |
| Answer: |
Hi Ashimi
We do not have any vacancies anywhere outside of the UK at the moment. To practise as a prosthetist and or orthotist in the UK you need to be registered with Health Professions Council (www.hpc-uk.org)who will assess your qualifications against the standard provided in the UK.
You will also need to have a valid work permit for working in the UK if you are not a British National.
If you are registered with the HPC and have resident in the UK, or have a valid work permit, then please forward on your CV for our consideration
Thanks
Mags
Head of Human Resources |
| Answered By: |
Mags Miller Email: mags.miller@rslsteeper.com |

| Name: |
Jessica Morrow |
| Date: |
01 June 2007 |
| Question: |
I am a Physical Therapy Student looking for some information on different prosthetic components. I understand the Tres Foot is made for those who are involved with moderate activity. So my question is, can you run with this foot? What is the limitation with a persons activity level with the Tres Foot?
Thank you
Jessica Morrow, SPT |
| Answer: |
|
| Answered By: |
Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Question: |
I am a Physical Therapy Student looking for some information on different prosthetic components. I understand the Tres Foot is made for those who are involved with moderate activity. So my question is, can you run with this foot? What is the limitation with a persons activity level with the Tres Foot?
Thank you
Jessica Morrow, SPT |
| Answer: |
The moderate activity level that is referred to means this foot is appropriate for a patient up to unlimited walking. It is not a foot designed to be run on as this activity produces different forces that this foot is not designed for. |
| Answered By: |
Carl Chatfield Product Sales Manager Email: carl.chatfield@rehab.co.uk |

| Name: |
Mehmet sunbul |
| Date: |
19 May 2007 |
| Question: |
I have no left leg. İt is cut it above the knee.. I want to make a prosthesis.
can you give me some information what I need to do ?
thank you |
| Answer: |
Dear Mehmet,
Making the right choices will have a significant effect on your mobility.
Because every prosthetsis is as unique as its wearer, to get the best outcome in terms of comfort, function and appearance, it is best to take advice from a prosthetist and have them make the artificial limb following a personal assessment.
There is a level of skill involved in creating the correct shape within the prosthetic interface and there are many different components that can be selected depending on your lifestyle. The appearance is another factor.
You can seek the service of a local prosthetist or you could travel. The quickest time from assessment to delivery of such a limb would be about one week, but it could take longer depending on the complexity.
Beacuse you have supplied few details about yourself it is difficult to say more, but if you need more information, please contact me directly by e-mail.
|
| Answered By: |
Mike Thomas Email: mike.thomas@rslsteeper.com |

| Name: |
Hugo Machado |
| Date: |
27 February 2007 |
| Question: |
im undertaking a project about walking. one of the aspects is recovery. would any of your clients be interested on beeing documented and have their experience whit recovery seen .
If their is any one that is interested please email me or phone 07737102866
yours sincerely
Hugo machado |
| Answer: |
Dear Hugo
Thank you for your mail.
We have no direct way of finding someone who might be interested in your project, however, if you are specifically interested in recovery following amputation. you could contact the Limbless Association at Queen Mary's Hospital Roehampton. They could possibly place your request in their Newsletter.
You will appreciate that we are unable to put you in direct contact because we have to protect the users of our service from inappropriate approaches.
Robin Cooper
Technical Advisor |
| Answered By: |
Robin Cooper Email: robin.cooper@rehab.co.uk |
| Question: |
Dear robin thanks for your time .
ill be sending them a mail, and see if something comes out of this .
sincerely
hugo machado |
| Answer: |
|
| Answered By: |
Robin Cooper Email: robin.cooper@rehab.co.uk |

| Name: |
Garry |
| Date: |
05 February 2007 |
| Question: |
My older brother is now wheelchair bound and needs 24x7 care. The NHS is supplying an Activ-500 to allow him to control his TV, landline telephone and it will also act as a nurse-call replacement device.
However, any mobile phone connection appears outside its capability. This may be true in a general sense because as usual most mobiles are not designed for people with impairments. However, I was thinking that a simple corded remote microphone and speaker may be supported by the Activ-500. All it would need is a microphone & speaker inputs. Is this configuration available? If not, how difficult would it be for an experience electronics engineer (myself) to add that functionality?
regards - Garry |
| Answer: |
Hi Garry,
Thanks for your inquiry. As you quite rightly point out, the ACTIV 500 does not have mobile phone support at this time. This is mainly due to differences in the way different mobile manufacturers have made interfacing with their phones possible. At this time their would also be no way to support a microphone and speaker interface using the ACTIV 500.
I am sorry that this is not the answer you were looking for, but I am sure that we can look at featuring this type of interface into future design reviews.
If I can be of any further assistance, please do not hesitate to contact me.
Best regards
Dave Howson
Technical Manager - A.T. |
| Answered By: |
Dave Howson Email: dave.howson@rehab.co.uk |

| Name: |
Jon Ross |
| Date: |
02 February 2007 |
| Question: |
Please could you tell if there are plans to make the sleeve in skin-tone colours rather than cream?
Thanks |
| Answer: |
Hi John, At this time there sre no plans to produce the Contex Gel Sleeve in a skin tone, however it has been discussed with the manufacturer and if we continue to get requests from customers, it will help to support our view that a skin tone version would be well accepted by the market. I will keep you informed.
Regards
Carl
|
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Question: |
I appreciate the speedy response - thanks Carl |
| Answer: |
|
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |

| Name: |
Linda Carter |
| Date: |
09 September 2006 |
| Question: |
Could you please tell me if they work and whether there is a supplier in Dorset. How much do they cost? Many thanks. |
| Answer: |
The respnse from many patients has been vey positive, particularly in addressing the night time pain.
The socks are available on the NHS through your local DSC or privately from RSLSTEEPER at £79.95ea |
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |
| Question: |
Thank you for your response. |
| Answer: |
|
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |

| Name: |
Damion Allport |
| Date: |
02 August 2006 |
| Question: |
Thanks for getting back to me Dave that is much appreciated. can you send me details on the systems for hardwood doors as well? Just so I have options, this would be most appreciated.
regards
Damion Allport
Technical Officer |
| Answer: |
Hi Damion,
There are a number of options for hardwood doors, but the simplest is to have a Yale type latch fitted. This then has a standard electric release fitted in place of the normal striker on the door frame. The cost for this will depend on the security level you require, but will typically be in the region of £80 - £150, plus whatever is used to control the system, depending on the desired security level.
Hope this helps.
Best regards
Dave Howson |
| Answered By: |
Dave Howson Email: dave.howson@rehab.co.uk |

| Name: |
Elena |
| Date: |
07 July 2006 |
| Question: |
Dear Sir / Madam,
Our daugther is only two-month old but she was born without a right hand. Could you please inform what age we should start to use the first prosthetic for her and what type is better for a small child?
Kind regards
Elena |
| Answer: |
Dear Elena,
Studies have shown that early fitting of a prosthesis to a child results in better long term tolerance of a prosthesis as the child grows. For such a young child any prostheis should be lightweight and very simple. From your limited description It may be a consideritaion that a foam filled glove can be attached to a lighweight socket. The hand is passive (no active function)and can help the child achieve developmental mile stones such a sitting unaided where it can be used to stabilise balance(approx 6 months) and playing with simple objects such as building blocks (passive hand is used to oppose against)from this age.
From my experience fittings can begin from 3-4 months but this depends on each case. Individual recommendations as to the treatment of your child cannot be made without an assessment of the child and your childs case should be discussed with a prosthetist who can make a full evaluation. |
| Answered By: |
Bruce Rattray Email: bruce.rattray@rehab.co.uk |

| Name: |
Y Purvis |
| Date: |
27 June 2006 |
| Question: |
In the next couple of weeks my mother who is 80 will be fitted with a caliper on her left leg because of drop foot, I would just like to know if over the years has their been any advancement on a caliper being any lighter in weight because in the 70's I used to care for people who used calipers and they were heavy and clumbersome
regards a concerned daughter
|
| Answer: |
Dear Ms Purvis
Thank you for your enquiry. There have been advancements in the design and choice of materials used in the construction of calipers but the specific type of device supplied to your mother will depend on a number of clinical factors specific to her condition.
I feel sure that your local orthotist dealing with your mother's orthotic care will supply the most suitable and effective caliper.
Regards |
| Answered By: |
Mark Davies Email: mark.davies@rehab.co.uk |

| Name: |
A C A Hopkins |
| Date: |
14 June 2006 |
| Question: |
Please would you let me know the correct name for the "sleeve and pin" suspension used for transfemoral amputees? I think I remembered it described as "isos pin" but I am unsure.
Many thanks in anticipation.
|
| Answer: |
The generic term for this is a "locking liner".
The "Iceross Pin" is the term you heard, which is the same thing using a product specific name |
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |

| Name: |
Amin |
| Date: |
18 May 2006 |
| Question: |
Hello,
I am an amputee above the knee right leg. I am using a silicon bag on the stump with a scew at the end to hold it to the prosthesis. It cost me here in Lebanon about $600. Is this price plausible? or it is too much? I would appreciate much your help. |
| Answer: |
It is impossible to tell without knowing exactly what the product you are using is, but $600 is a plausable price for some types of silicone liners |
| Answered By: |
Carl Email: Chatfield |

| Name: |
Steve |
| Date: |
16 May 2006 |
| Question: |
I have drop foot, in left foot, and I experience continual brusing along back left and right of foot? I do not have diabetes? What is this? It also appeares on top of foot behind toes. Just slight blue color?
|
| Answer: |
Dear Steve
Thank you for your enquiry.
This is not something that we're qualified to comment on and would advise that you discuss with your GP.
Sorry we can't be of any more help on this occasion.
Regards |
| Answered By: |
Mark Davies Email: mark.davies@rehab.co.uk |

| Name: |
Steve Callery |
| Date: |
02 May 2006 |
| Question: |
Hello:
20 years ago I was injured in a car accident, which caused drop foot in my left foot (due to nerve damage on my hip, after surgery).
I have been walking 2 miles briskley evey two days for the past 10 months.
In the last six months I have noticed bruising in my left foot, in front of toes, just a little bruising, and slightly around the sides of the foot. It doesn't go away, and some days the bruising is more evident than other days. My doctor seems to think it isn't anything to worry about.
What is this problem? Should I be concerned?
Thanks,
Steve C. |
| Answer: |
Thank you for posting your question.
Your question is outside of our area of expertise but it would be inapproriate for anyone to offer a diagnosis without a thorough examination.
From what you have said your doctor has indicated that there is nothing to worry about but if you have noticed worsening symptoms and you have concerns then we would recommend that you see your doctor again.
Regards
|
| Answered By: |
Mark Davies Email: mark.davies@rehab.co.uk |

| Name: |
Heidi |
| Date: |
25 April 2006 |
| Question: |
I was born without my right hand and I have got a prosthetic arm I use occassionally i.e. for driving. Have you got specific attach ments for the following or would I have to visit the limb centre:
Hockey, Netball, working out in the Gym, Swimming, Surfing, Eating, and wood working.
I can obiously feed myself as I'm 31 but I wondered what my options are on the prosthetic side. At the moment I just use an elasticated band on my stump - which isn't very astheically pleasing (although does the trick and I can use it for a variety of other things like playing pool and it slips in my pocket).
Do you provide a brouchure with all the attachments in it or do I have to approach you with a specific issue? I think a list/photos of all the different attachments and there uses would be a good idea, because I think it would be help people and give them ideas on how to approach tasks. |
| Answer: |
Hi Heidi,
RSLSteeper both manufacture and distribute functional devices. Functional devices can be of effective use in many specilaised situations, occupational, sporting and social.
I would be happy to send you a couple of brochures detailing some of the devices that are available, please send your details direct to my e-mail address.
If you see anything that you feel would be of use in these documents the next step would be to discuss these items with your prosthetist, who will be able to advise you further.
Best Regards,
Bruce Rattray.
|
| Answered By: |
Bruce Rattray Email: bruce.rattray@rehab.co.uk |

| Name: |
Barry |
| Date: |
23 April 2006 |
| Question: |
I have foot drop in both feet but my right foot is weaker than my left. I walk with my thigh muscles. I throw each foot forward - if I don't do this I catch my toe and stumble. Is there a device which would enable me to walk with a more 'normal' gait? I walk as much as possible and go to the gym but can't seem to improve my walking.
Are there any exercises ou would recommnd to help me?
Thanks |
| Answer: |
Dear Mr Crutchley
Thank you for your enquiry.
There are various devices that will control your drop foot. In the first instance I would recommend that you speak to your GP and get a referral to a relevant consultant at your local hospital who will be able to prescribe an approriate orthotic device.
Regards |
| Answered By: |
Mark Davies Email: mark.davies@rehab.co.uk |

| Name: |
ashimi |
| Date: |
02 April 2006 |
| Question: |
hello i,m looking for a job as an orthotist and prosthetst(Orthopaedic technician) in london uk.
can u help me plaese in wich internet side can i look for this job.
thanks ashimi |
| Answer: |
Dear Ashimi
Please could you forward me a copy of your CV.
Yours sincerely
Lisa Berkman
HR Manager, Operations |
| Answered By: |
Lisa Berkman Email: lisa.berkman@rehab.co.uk |

| Name: |
shirley duncan |
| Date: |
29 March 2006 |
| Question: |
I am about to undergo amputation of my big toe due to a diabetic ulcer. I am a 44 year old woman who has always had a passion for shoes and cannot come to terms with the fact that I may have to wear built up or moulded baffies. I understand that there is an American ex C.I.A. agent who makes the most beautiful prosthetic toes (have visited the website of one of his clients and her foot looks fantastic) and wondered if you knew of anyone in the UK who supplied the same service. |
| Answer: |
Dear Shirley
We manufacture custom silicone prosthesis in the UK, we also sell these through our distributors in the US.
Please let me know if our service is of interest to you, and I will send more details.
Also if you could let me know the state that you live in I will check the best solution.
All the best
Richard Shapcott
Silicone clinic manager
|
| Answered By: |
Richard Shapcott Email: richard.shapcott@rehab.co.uk |

| Name: |
peter parker |
| Date: |
19 March 2006 |
| Question: |
I have sent two e.mails recently requesting information about this knee. why has no - one bothered to answer ??????? |
| Answer: |
Dear Mr Parker,
My apologies for not responding earlier.
The KH5 Knee Joint is a prosthetic knee designed to offer stability on heel contact, while allowing initiation of flexion at toe off. The swing phase is controlled by a hydraulic cylinder, which gives adjustment in 3 phase of swing allowing control for all ranges of walking speed. The KH5 is particularly approriate for patients with knee disarticulation or long AK's.
If you would like further information please contact me on the number below.
Regards
Carl Chatfield
Product Sales Manager
01634 226 163 |
| Answered By: |
Carl Chatfield Email: carl.chatfield@rehab.co.uk |

| Name: |
shashi chouhan |
| Date: |
05 July 2005 |
| Question: |
i am fully trained orthotics technician and looking for job around london /middlesex.
also can modify/ adapt shoes for orthopaedics.
pls put me in right direction
thanks
s.chouhan |
| Answer: |
Hi Shashi
I'm afraid that all our orthotic manufacturing is carried out in Leeds and we don't have any vacancies in the London area
Mags Miller
HR Manager |
| Answered By: |
Email: |

| Name: |
Marcia Marie |
| Date: |
24 June 2005 |
| Question: |
My prosthetist recently ordered a Skinergy cosmesis for me; however, it isn't pigmented like I expected it would be. He says it's the True Finish but I think it must be the regular finish. Can you tell me how he would know which one he ordered? I think if he didn't specify True Finish he probably got the regular.
Thank you. |
| Answer: |
The only way to check this is against the part no on the box, that the Skinergy is supplied in. If it has the prefix letter "T" it is True Finish. IE TLC22LS. LC22LS would be the plain finish.
The no on the sole of the foot does not relate to the finish on the product. |
| Answered By: |
Carl Chatfield (Product Sales Manager Email: carl.chatfield@rehab.co.uk |
| Question: |
It is indeed True Finish but I'm disappointed in that I don't see the pigmentation |
| Answer: |
|
| Answered By: |
Carl Chatfield (Product Sales Manager Email: carl.chatfield@rehab.co.uk |

| Name: |
Sherry LeBoeuf |
| Date: |
18 June 2005 |
| Question: |
I am looking for amputee diapers for my elderly grandma
|
| Answer: |
Hi Sherry
Thanks for your question
I have talked to some of our senior clinical people about this. They advise me that it is a difficulty usually addressed by refering to a pharmacy for incontinence pads and panties.
A company in Scotland do make a special type of panties for people with through hip amputations. These are North Sea Plastics (contact thro their web site)
We have no products in our inventory that might meet your mothers needs directly
regards
Robin Cooper
robin.cooper@rehab.co.uk
|
| Answered By: |
Email: |

| Name: |
Nosheen Kamran |
| Date: |
13 June 2005 |
| Question: |
Hello, i had my baby boy two and a half years ago.I had him at just 27 weeks and was very premature.he stayed SCBU for about 4 and a half months until he was off the oxygen and was feeding from a bottle.When he was just a week old in special cre we were told that he suffered a brain injury and that this would effect his development.when he was a year old the consultant then diagnosed him with Cerebral Palsy.he is now two and a half years of age.He isn't walking or even standing up or moving by himself.he has very high muscle tone so always has his fits tightly closed.he doest hold things or feed himself.these are the main problems that he is having, But apart from all this we wre told he would't recognise people or respond to things arond him...he knows all his family and friends, his favourite food,t.v. programmes.He enjoys watching Eastenders with me and the 10:00 News with his dad!!He has been having physiotherapy since he was little,sees an OT, Orthortist.He has leg splints, arm gaiters, hand splints so that opens up his hands.he has a standing frame, atumble form as he can not sit up by himself and does not have great head control.do you think my son will ever recover fully..what are the chances. He cals out little sounds and cannot stop laughing when he sees other children laghing and having fun.he wants to get up and play with them too......... |
| Answer: |
Thank you for your enquiry.
It would be inappropriate and unprofessional for us to comment clinically on your child's prognosis without a full clinical history and while he's under existing care from an OT and orthotist.
We would recommend that you take up your questions with the those clinicians currently delivering care to your child.
Regards |
| Answered By: |
Email: |

| Name: |
isla |
| Date: |
11 June 2005 |
| Question: |
Hi
I have one really itchy foot and it's driving me mad!! One of my townails has gone mankey and i had to give micro biology a sample. results came back as athletes foot. but i've had that before and it's never itched like it does now!! I have litte bumps around the bottoms of all my toes on that foot which are like bites - but have been there for about 6 months!! Are there any other possible exaplation for this please as the itching is driving me crazy and i end up making my foot bleed (in between my toes) each night... Please help!! |
| Answer: |
Thank you for your enquiry.
We would advise you to make an appointment to see a state registered podiatrist. Your GP should be able to recommend a podiatrist.
Regards |
| Answered By: |
Email: |

| Name: |
Nitin |
| Date: |
08 June 2005 |
| Question: |
Hello, I have one small query. I am going to marry soon. If both of us have same blood group then in near future any problem for us? Also problem for our next generation ? Please clarify it.
Thanks in advance.
Regards,
Nitin
|
| Answer: |
This question is out of the scope of the discussion forum. |
| Answered By: |
Stuart Peters Email: stuart.peters@rslsteeper.com |

| Name: |
grace |
| Date: |
02 June 2005 |
| Question: |
hello can u help my son had a dislacted knee last year and took compartment sydrom loss of his musle that has left him with a drop foot can u tell me how compartment sydrom happens plz |
| Answer: |
Thank you for your enquiry however we advise you take this question up with your doctor.
Regards |
| Answered By: |
Email: |

| Name: |
mandy aplin |
| Date: |
17 May 2005 |
| Question: |
i suffered a stroke 5 years agowhich
#has left my left foot externallyrotated#
which m eans iam increasingly nervous#
of putting my full weight on my left foot because of the turn could you
suggest anything tohelp i already have
#a caliper but i does'nt helptoo much |
| Answer: |
Dear Ms Aplin
Thank you for posting your question on our website.
There are various orthotic devices available which I am sure would control/support you foot & leg very effectively but without fully understanding your particular case it would be inappropriate for me to comment further.
My advice is to arrange to see your orthotist & physiotherapist for a further assessment at your local hospital and discuss all of the alternatives orthoses available.
Kind regards |
| Answered By: |
Email: |

| Name: |
colin burge |
| Date: |
12 April 2005 |
| Question: |
I understand if you have a letter from your GP it is possible to have a discount voucher. can you give more information please? |
| Answer: |
Dear Colin
Thank you for your enquiry.
We are not aware of any such scheme via GPs.
Regards |
| Answered By: |
Email: |

| Name: |
Caz B |
| Date: |
27 March 2005 |
| Question: |
Have double foot drop and have successfully worn AFOs for 20 years, but now I have foot pain when I stand and walk which means I can wear them less and less. Have tried combinations of foam and gel padding to no avail. Why do AFOs always involve standing on plastic? It is uncomfortable and not something that would be acceptable to non-AFO wearers. Do the designers never try them on?! The problem would be immediately apparent.. and is compounded because those with foot drop commonly have muscle loss under the foot which means that we have little or no padding to stop our feet constantly jarring as we hit the ground. Ideas please. Surely technology has moved on. |
| Answer: |
Thank you for your enquiry.
Without having more detail about the cause of your drop foot and whether you experience instability in more than one plane it is difficult to advise on alternative devices to control drop foot.
To offer effective control all plastic/carbon fibre AFOs extend under the foot. More traditional orthoses i.e. below knee irons which attach into the heel of shoes are effective and do not interfere with the plantar aspect of the foot.
A recent innovation in the control of simple drop foot is the silicone AFO available from Dorset Orthopaedic.
I do hope this information is helpful.
Regards |
| Answered By: |
Email: |

| Name: |
joseph lee |
| Date: |
27 February 2005 |
| Question: |
can anyone give me the contact number for rsl steeper nearest to the cheshire area?
|
| Answer: |
Your nearest Prosthetics branch is Stoke On Trent: 01782 812499 |
| Answered By: |
Stuart Peters Email: stuart.peters@rslsteeper.com |

| Name: |
J. Martin |
| Date: |
15 February 2005 |
| Question: |
My 13 year old disabled son suffers from a condition which produces compulsive self injury including biting of fingers. For many years he has worn tailor made, heavy duty, heavy weight arm gaiters with a limited hinge at the elbow. This has allowed him free use of his hands but prevents him from self harm. The existing gaiters weigh 500gs each. In this age of lightweight but highly durable materials we are looking for someone who could produce an effective alternative. |
| Answer: |
Thank you for your enquiry.
I regret to inform you that the available options for orthotic treatment of your son's condition are very limited and it sounds as though you already have orthoses which achieve the desired objective albeit with some weight involved.
I would recommend that you pursue any options with the orthotist responsible for your son's existing gaiters.
Sorry we cannot be of more help on this occasion.
Regards |
| Answered By: |
Email: |

| Name: |
Lorne Winder |
| Date: |
12 February 2005 |
| Question: |
I'm wanting to know about the wilmer elbow orthosis. Does it work? Does work well. What is the joint mechanism used.Is it applicable for a 2 1/2 year old (total arm length of 28 cm ) Any information would be helpfull. Thanks |
| Answer: |
Thank you for your enquiry.
The 'Wilmer Elbow Orthosis' is very effective but at this stage is not available in a paediatric version suitable for a 2 1/2 year old.
Regards |
| Answered By: |
Email: |

| Name: |
john Bond |
| Date: |
08 June 2004 |
| Question: |
I have had two pairs of you calipers.
The first was a stiff leg up to top of hip and the second was a swing through a bit lower.
I am now able to lock my own leg with very short leg braces up to shin and under the foot.
My physio is looking for a leg brace for me that will lock the knee if I need to but also unable me to walk with a normal gait.
Any ideas would be helpful. |
| Answer: |
Dear Mr Bond,
Thank you for placing your question on our website.
From the brief history you have given you may be suitable for one of our UTX orthoses which you can see examples of via the orthotic link on our website.
In order to accurately determine the most appropriate orthosis for you and the best route to obtain these orthoses we would require more information from you.
In the first instance I would suggest that you give me a call on 07720 037874 to discuss how we may be able to help you.
Regards
Mark Davies
Director of Orthotics
RSLSteeper
|
| Answered By: |
Email: |

| Name: |
padmanabhan |
| Date: |
02 May 2004 |
| Question: |
My son who is 22, had his big toe amputed 2 years back due to accident. I am trying to find a prosthetic that he could wear to make it look normal again.if any one could suggest where i could get one from i would be very grateful. |
| Answer: |
please see direct response |
| Answered By: |
Email: |

| Name: |
morteza |
| Date: |
27 April 2004 |
| Question: |
I am a technical orthopedics student & I'm doing some research to find the best orthosis for trearment of the knee osteoarthritis .please help me to find the best one. |
| Answer: |
We would suggest contacting suppliers of specialist OA knee braces e.g. DonJoy, Medi & Innovation Sports. |
| Answered By: |
Email: |

| Name: |
susanne hallisey |
| Date: |
26 March 2004 |
| Question: |
due to infection after surgery i lost most of my big toe,i am trying to find a prosthetic that i could wear to make it look normal again.if any one could suggest where i could get one from i would be very grateful. |
| Answer: |
Thank you for your interest, this is something we do make here, please get back to me and i will try to help.
|
| Answered By: |
Email: |
| Question: |
many thanks for repying so quickly.do i need to come and see you,or do i send a photo via e.mail?also could you give me an idea on cost.sue. |
| Answer: |
answer emailed direct |
| Answered By: |
Email: |

| Name: |
Kamran |
| Date: |
22 October 2003 |
| Question: |
I am a graduate in Prosthetics/orthotics from Pakistan and I am working as a prosthetist and orthotist in Dubai, United Arab Emirates. I would like to attend trainings in Upper Limb Prosthetics, Spinal Orthotics, and ARGO fabrication.
Please give me information about these trainings.
Thanking You
Kamran Saleem Awan
Prosthetist/Orthotist |
| Answer: |
Hi Kamran
I have just returned form Saudi Arabia having provided the couses you requested at a hospital in Riyahd. I also provided several couses in the UAE, Jordan and Kuwait in January.
I am not scheduled to return to the region this year. I anticipate that training may be linked to the Arab Health Congress in January but it is likely that I will be in India at that time.
Our UAE distributor is Dynamic Rehab and you should contact them to obtain training on our products
regards
Robin Cooper
Technical Advisor |
| Answered By: |
Email: |

| Name: |
Gaynor Greig |
| Date: |
01 February 2003 |
| Question: |
I should like to hear from anyone who has had a silicone cover fitted to a Total Concept foot, and still gives access to the ankle adjustment. |
| Answer: |
The Total Concept is a closed toe foot. We supply Skinergy which at present
is an split toe silicone cover, Closed toe version available soon.
I have heard of customers modifying the Total Concept foot to allow fitting
the Skinergy although this affects the warranty of the foot. Access to the
ankle adjustment is the same for a stocking cover, there is not a need to
create a hole in the cosmetic covering the user will be able to locate and
operate the button through the cover. The flexibility of the skinergy also
allows the full range of ankle adjustment offered by the Total Concept foot. |
| Answered By: |
Bruce Rattray Email: enquiries@rehab.co.uk |

| Name: |
Naz |
| Date: |
15 January 2003 |
| Question: |
Is there any artificial limbs that is made specificly for a 3years old boy? My boy lost his legs last year when he was 2 and a half. I was told that there is no such thing as rehab for his age. So at the moment we don't get any support apart from unsatisfactory legs. Is it true that a joint would actually hinder my son learning to stand up? |
| Answer: |
Dear Naz
Prosthetic Components are made in a large range of sizes, both for adults
and children. As you can imagine more research and development into these
components have traditionally focused on the adult amputee population as
demand in this age group is larger, however there are paediatric Prosthetic
systems available.
Specific questions regarding your sons rehabilitation process should always
be directed to the Rehabilitation team that you are dealing with.
Best Regards,
|
| Answered By: |
RSLSTEEPER Email: enquiries@rehab.co.uk |

| Name: |
Bonnie Albano |
| Date: |
14 January 2003 |
| Question: |
Hello and happy new years
I have fallen quite a few times in the last 6 months are so.Iam 51 years old I thought it was a problem wth the shoes i wore. It seems to happen all of a sudden. I think now maybe its not my shoes. But there were really old and needed new ones. Iam a waitress a few days a week.now as i think back on this i remember my knee | |