What clinical adjustment can help with distal end pressure in a BK prosthesis?

In the context of addressing distal end pressure in a below-knee (BK) prosthesis, adding a gastroc pad is a strategically effective solution. The gastroc pad is designed to provide cushioning and elevation to the residual limb, specifically targeting the gastrocnemius muscle area. This adjustment can help alleviate pressure that the distal end of the residual limb experiences within the socket, improving comfort and fitting.

When distal end pressure is noted, the inclusion of a gastroc pad helps distribute forces more evenly across the residual limb during weight-bearing activities, reducing the risk of discomfort or skin breakdown. Properly implemented, this padding contributes to enhancing the overall comfort and function of the prosthesis, allowing for better user compliance and mobility.

The other adjustments, while relevant in different contexts, do not specifically address the distal end pressure as effectively as the gastroc pad. For example, increasing socket width may alter the fit but could inadvertently create more space that doesn't alleviate the pressure at the distal end. Reducing the socket length might compromise the overall support and stability, and changing foot alignment could be beneficial for gait and balance but does not directly relieve distal end pressure. Therefore, the addition of a gastroc pad stands out as a focused and effective clinical adjustment for this