Orthopedic and Mobility Aids: Choosing the Right Support for Your Patient

Kenya’s growing burden of road traffic injuries, osteoarthritis, stroke sequelae, and diabetes-related limb complications has driven significant demand for mobility aids and orthopedic support equipment. Yet clinicians often have limited exposure to the full range of available products, leaving patients and caregivers to make uninformed purchasing decisions. This guide covers the most common categories and how to match device to clinical need.

Compression stockings (graduated compression hosiery) are among the most prescribed items in this category, used for chronic venous insufficiency, post-thrombotic syndrome, and DVT prophylaxis in post-operative patients. Class I (15–21 mmHg) is appropriate for mild oedema and long-haul travel; Class II (23–32 mmHg) for moderate venous disease; Class III (34–46 mmHg) for severe CVI and active ulceration. Correct measuring and fitting is critical — an incorrectly sized stocking can worsen symptoms. Pawad supplies Sigvaris and BSN Medical brands in open and closed toe configurations.

For ambulatory support, the progression runs from standard aluminium walking sticks (appropriate for mild gait instability or rehabilitation), to quad canes (for patients needing broader base support), to elbow crutches, to axillary crutches (for non-weight-bearing post-surgical patients). Rollators (walking frames with wheels) are appropriate for elderly patients with weakness but adequate cognitive function to use the braking mechanism. Folding walkers without wheels remain the standard for those who cannot safely manage wheels.

Wheelchairs range from basic steel-framed manual chairs to lightweight aluminium chairs, transit chairs (propelled by a carer), and powered electric wheelchairs for patients with upper limb weakness. When specifying a wheelchair, consider: seat width (standard 18” accommodates most adults; 20” or 22” for bariatric patients), armrest type (removable for lateral transfers), and footrest configuration. Pawad stocks a range of manual and powered wheelchairs and can advise on the right specification for your patient. Contact trade@pawadmedical.co.ke for institutional orders or visit our Nairobi showroom.