Lithotomy Positioning for Patients With Multiple Sclerosis
Multiple sclerosis is diagnosed most often between ages 20 and 50 and is roughly three times as common in women — which puts MS patients squarely in the gynecology procedure population: hysteroscopy, LEEP, endometrial ablation. Spasticity and lower-limb weakness make strap-suspended lithotomy genuinely difficult for many of them.
GStirrups are FDA-compliant full-leg-support stirrups that hold the position mechanically, so the procedure does not depend on the patient's muscle control. They install on standard exam tables in under 15 minutes.
The positioning challenge
- Lower-limb spasticity can pull legs out of strap stirrups mid-procedure
- Weakness and fatigue limit how long a patient can hold position
- Spasms can be triggered by positioning itself
- Staff-assisted leg holding ties up clinical staff and is inconsistent
How full-leg support changes the procedure
Full-leg support means the leg is cradled along its length rather than suspended by the foot. When a spasm occurs, the leg stays in the device; the surgical field stays put. For the patient, the experience shifts from 'hold still' anxiety to being held.
The access-credit angle
MS is a qualifying disability under the ADA. Equipment purchased to improve access for patients with disabilities may qualify eligible small businesses for the IRS Disabled Access Credit (Form 8826), worth up to 50% of eligible expenditure. Consult your accountant.
Frequently asked questions
- Can a patient with MS spasticity have an in-office hysteroscopy?
- Many can, with mechanical positioning support. GStirrups hold the legs in lithotomy so spasticity does not collapse the position. Individual clinical decisions remain with the care team.
- Which procedures is this most relevant for?
- In-office gynecology procedures (hysteroscopy, LEEP, endometrial ablation) and urology procedures for the growing number of MS patients in urology panels.
- Does the IRS 8826 credit apply to this purchase?
- Equipment that improves access for patients with disabilities may qualify for eligible small businesses under Form 8826. Consult your accountant.
Keep exploring
Position patients with MS with confidence
Buy a single unit online for $2,995, or request a 15-minute demo for your practice.