<s>[INST] A woman has been using crutches for the last 3 years complains her leg hurts from a fall and might have nerve damage. She is always going to the ER for falls and is 36 yrs old does not work. Last year she showed up at a family party in a wheel chair . Now she likes the crutches. Sometimes just uses one crutch I think she s seeking attention. [/INST] Hi,thank you for providing the brief history of the patient.As you mentioned the patient is on the crutch and is there any chance of having pain in the legs?Well that totally depends how she has learnt the Crutch Gait training. As there is always a specific way to use the crutch, frames, sticks, etc. If she learns properly she will not get any pain in the legs.Also, for performing crutch walking, One needs to have a stronger arms and a strong torso including the sound limb to be the best if there is injury on other side. If both legs are weak then until the upper limb and torso are strong it is tough to walk easily.Also, if the torso and upper limb are not stronger and still the patient is using the crutch then, what will happen is, the metabolism will be faster and the body will consume more energy which will lead her into pain and aches.She can opt for the physical therapist and strengthen the muscles required for the propulsion of the gait , even if it performed by using the crutches. Post under going the physical therapy, she might have the whole lot of opportunities to come closer to the functional activities at ease.With the grace of god i wish a speedy recovery.RegardsJay Indravadan Patel </s>