PROSTHETICS
Our Prosthetic Services
Prosthetics come in various types, each designed to restore function and mobility based on the patient’s specific needs. Upper-limb prosthetics include body-powered, myoelectric, and passive options, providing everything from basic grasping abilities to fine motor control through advanced muscle signal technologies. Lower-limb prosthetics are commonly used for transtibial (below the knee) or transfemoral (above the knee) amputations, featuring mechanical or microprocessor-controlled knees and feet for enhanced stability and gait symmetry. Specialty prosthetics such as sports-specific or pediatric devices are customized for unique activities or growing bodies. The fitting process requires precise alignment, socket comfort, and adjustments for optimal function and comfort. Proper training and follow-up care are critical to ensure long-term success and adaptation. Breast prosthetics are designed for individuals who have undergone mastectomies or breast surgeries, offering balance and symmetry. These come in silicone, foam, or fiberfill, with custom options for weight, shape, and size to match the patient’s natural contours.
Upper Limb Prosthetics
Upper-limb prosthetics are designed to restore function and appearance to individuals who have lost part or all of an arm or hand. They can range from basic functional devices to highly advanced, sensor-controlled systems. Patients can expect a detailed evaluation process to determine the best prosthetic type for their lifestyle, activity level, and goals.
There are three main types of upper-limb prosthetics:
1. Body-powered prosthetics: These devices use a system of cables and harnesses controlled by movements of the body (like shoulder or chest muscles) to operate the prosthetic hand, wrist, or elbow. They are durable, relatively lightweight, and provide a good balance between cost and functionality. Patients can expect a learning curve in mastering the movements needed to operate the device, but with practice, they can perform essential tasks like gripping, holding, or lifting.
2. Myoelectric prosthetics: These are more advanced, using muscle signals (myoelectric signals) from the remaining part of the limb to control motorized components. Sensors placed on the skin pick up electrical impulses from muscle contractions, which trigger movements in the prosthetic hand, wrist, or elbow. This allows for more natural movement and greater control, making tasks like gripping or manipulating small objects more intuitive. However, patients should be prepared for a longer adjustment period and potential need for regular maintenance due to the electronic components.
3. Passive prosthetics: These prostheses are non-functional and mainly provide a cosmetic replacement of the limb. They may be suitable for patients who prioritize appearance over functionality or only need minimal assistance in balance or stabilizing objects. Though they don’t offer movement, they provide a realistic appearance and help improve body image and confidence.
Patients can expect their prosthetist to work closely with them to ensure the right fit and alignment, which is critical for both function and comfort. The fitting process will involve molding a custom socket for the residual limb, which should distribute weight evenly and minimize pressure points. Follow-up visits are essential to make adjustments as the patient becomes more accustomed to the device.
Additionally, occupational therapy is a key part of the rehabilitation process. Patients will need to learn how to use their prosthesis effectively for everyday tasks, including manipulating objects, dressing, and even returning to work or hobbies. With time, practice, and ongoing support, many individuals adapt well to upper-limb prosthetics, regaining both functionality and confidence.
Lower Limb Prosthetics
Lower-limb prosthetics are designed to restore mobility and independence for individuals who have lost part or all of a leg, whether above or below the knee. The fitting process, rehabilitation, and the expectations for each patient will depend on the type of amputation, lifestyle, and the chosen prosthetic components. These prosthetics come in various designs, each offering different levels of mobility, stability, and adaptability to various activities, such as walking, running, or standing.
The two most common types of lower-limb prosthetics are:
1. Transtibial prosthetics (below-the-knee): These prosthetics replace a limb that has been amputated below the knee. Patients with this type of prosthetic generally retain their knee joint, which allows for more natural movement. Transtibial prosthetics include a prosthetic foot and ankle that can range from simple, non-articulating designs to advanced, energy-storing feet or microprocessor-controlled systems. The patient can expect a quicker adaptation process and greater mobility potential, as the knee joint’s functionality remains intact. With proper training, most patients can achieve a normal gait, and many can engage in activities like running or hiking.
2. Transfemoral prosthetics (above-the-knee): These are used when the amputation occurs above the knee, requiring both a prosthetic knee and foot. The knee component is critical and can be either mechanical or microprocessor-controlled. Mechanical knees, which use friction or hydraulic systems, provide stability and basic movement control. Microprocessor-controlled knees, such as the C-Leg or Genium, offer greater adaptability, using sensors and algorithms to adjust movement in real time, which improves stability on uneven terrain or during complex movements like walking downstairs. Patients with transfemoral prosthetics typically face a longer adaptation period as they learn to control the prosthetic knee and foot simultaneously, but the advanced technology in modern devices makes it possible to regain significant mobility.
3. Prosthetic Components Foot/ankle units: These range from basic, solid-ankle cushioned heel (SACH) feet, which provide stability for basic walking, to dynamic response feet that store energy during each step and release it for a more efficient gait. Active individuals or athletes may opt for specialized feet designed for running or other sports.
Knee units: As mentioned earlier, the knee joint can either be mechanical or microprocessor-controlled. Microprocessor knees offer more fluid and natural motion, and patients can expect a smoother experience when transitioning between different walking speeds, inclines, or stairs.
What Patients Can Expect: Fitting and Alignment: The prosthetist will carefully mold a custom socket to fit the residual limb. The socket is the most crucial part of the prosthesis, as it must fit comfortably to prevent pressure sores, irritation, or discomfort. The alignment of the prosthetic foot and knee is also fine-tuned to ensure the best possible gait and reduce energy expenditure while walking.
Training and Rehabilitation: Once the prosthetic is fitted, patients will undergo a rehabilitation program to relearn how to walk, balance, and perform daily activities. Physical therapy focuses on strengthening muscles, improving flexibility, and teaching the patient how to use the prosthetic correctly. For above-the-knee amputees, there is additional training on controlling the knee joint, especially if it is a microprocessor knee, which requires practice to utilize its full capabilities.
Adaptation: The process of adapting to a lower-limb prosthetic is gradual. Initially, patients may feel discomfort as they adjust to the socket and learn how to distribute weight properly through the prosthesis. Over time, however, most individuals become comfortable and can move with ease. Expectations should be realistic—patients should allow time for their muscles and skin to adapt to the prosthetic, and be prepared for regular adjustments by the prosthetist as their residual limb changes shape or size.
Long-term Maintenance: Lower-limb prosthetics, particularly advanced ones with electronic components, require regular maintenance. Patients should expect periodic check-ups with their prosthetist to ensure the device is functioning correctly and to make any necessary adjustments for comfort and alignment. The socket may need to be replaced as the residual limb changes, and the mechanical parts should be serviced to maintain optimal function.
Quality of Life: Modern lower-limb prosthetics are designed to restore as much mobility and independence as possible. While patients may take some time to adapt, most can expect to walk, engage in physical activities, and even return to work or sports. Advanced prosthetic knees and feet allow for a smoother, more natural gait, improving balance and reducing the energy required to walk long distances.
Ultimately, with a well-fitted lower-limb prosthetic, proper training, and regular care, many individuals achieve a high level of mobility and enjoy an active, fulfilling lifestyle.
Specialty Prosthetics
Specialty prosthetics are custom-designed devices tailored to meet the specific needs of individuals with unique requirements or those engaging in specialized activities beyond everyday tasks. These prosthetics are not just about restoring basic function; they are engineered to enhance performance in areas like sports, hobbies, or specific work-related tasks. Patients receiving specialty prosthetics can expect a highly personalized approach, with devices created to match their precise goals and physical demands.
Here are some common types of specialty prosthetics and what patients can expect from each:
1. Sports Prosthetics: Sports prosthetics are designed for activities such as running, swimming, cycling, skiing, or even rock climbing. These devices are highly specialized to optimize performance and durability in athletic environments.
2. Running prosthetics: Often referred to as “running blades,” these devices use energy-storing and -returning carbon fiber materials to mimic the spring-like motion of a running leg. Patients can expect lightweight, aerodynamic designs that allow for high-speed performance, ideal for competitive or recreational running.
3. Water-specific prosthetics: These are designed for swimming and water activities, using materials that are corrosion-resistant, and often feature specialized foot designs to enhance propulsion in the water. Patients can expect prosthetics that are both functional in aquatic environments and adaptable for transitioning to land-based activities.
4. Activity-specific prosthetics: Whether it’s a prosthetic for snowboarding, cycling, or golf, these devices are crafted with specialized components to offer the stability, flexibility, or grip needed for the chosen sport. Patients will undergo training to master these prosthetics and can expect enhanced performance, though they may have to switch between devices for daily activities and specific sports.
5. Pediatric Prosthetics: Children who require prosthetic devices face unique challenges due to their ongoing growth and development. Pediatric prosthetics are designed to adapt to a child’s changing body, with adjustable features to accommodate growth spurts.
Growth and adjustability: Pediatric prosthetics often feature modular or expandable components that can be adjusted or resized as the child grows. This minimizes the need for entirely new devices as the child ages, but regular follow-up appointments are crucial to ensure the prosthetic remains well-fitted and functional.
Durability and flexibility: Children are naturally active, and their prosthetics must be durable enough to withstand the rigors of daily play while remaining flexible enough for various activities, from running to climbing. Lightweight materials are often used to prevent fatigue or discomfort during extended use.
Cosmetic and emotional support: Many pediatric prosthetics are designed to be visually appealing, incorporating vibrant colors or favorite cartoon characters to help children feel more confident and emotionally connected to their device.
6. Work-Specific Prosthetics: Work-specific prosthetics are designed for individuals with physically demanding jobs or specialized tasks that require a high degree of functionality.
7. Heavy-duty prosthetics: For patients working in industries like construction, farming, or manual labor, prosthetics need to be rugged and capable of handling heavy loads, rough environments, or repetitive tasks. These devices are built with extra reinforcement and durable materials to ensure they can withstand wear and tear.
Precision tools: Some work-specific prosthetics come with interchangeable or customized terminal devices, such as a prosthetic hand that can switch between tools like wrenches, screwdrivers, or other specialized implements. Patients can expect to work closely with their prosthetist to create a device that meets the precise demands of their job.
8. Recreational Prosthetics: Recreational prosthetics are designed for hobbies or activities that don’t necessarily involve competitive sports but still require a specialized approach, such as playing a musical instrument, gardening, or even cooking.
Musical prosthetics: For musicians who need fine motor control to play an instrument, prosthetic devices can be designed to enhance precision and dexterity. For example, specialized attachments may be crafted to hold a bow for a violinist or allow a pianist to play keys with greater ease.
Outdoor activities: Recreational prosthetics may also be created for activities like hiking or gardening, featuring reinforced grips, weather-resistant materials, or customized foot designs for stability on uneven terrain.
9. Cosmetic Prosthetics: While functionality is a top priority for many prosthetics, some patients prioritize appearance, especially for body parts like the face, hands, or breasts. Cosmetic prosthetics are often used in cases of trauma or congenital limb differences where the primary goal is to improve appearance and confidence.
10. Silicone prosthetics: These are custom-made to match the patient’s skin tone, texture, and natural features as closely as possible. For example, a patient who has lost a finger or ear can receive a prosthetic made from medical-grade silicone that mimics the natural appearance of the missing body part. Although these prosthetics may not provide full functionality, they can significantly boost self-esteem and quality of life.
What Patients Can Expect:
Highly Customized Design: Specialty prosthetics are tailored to the individual’s specific needs, whether it’s achieving peak performance in a sport or comfortably engaging in a favorite hobby. Patients can expect a collaborative process with their prosthetist, where personal goals, physical abilities, and the environment in which the prosthetic will be used are taken into account.
Advanced Technology and Materials: Many specialty prosthetics incorporate cutting-edge technology, including carbon fiber materials for energy return, microprocessor-controlled joints for smoother movement, and waterproof or impact-resistant materials for extreme conditions. Patients should expect a prosthetic that is lighter, stronger, and more efficient than standard devices, but often at a higher cost.
Adaptive Training: Learning to use a specialty prosthetic often requires specific training. Whether mastering a running blade or learning how to switch between work-specific attachments, patients will undergo focused therapy to ensure they get the most out of their device.
Regular Maintenance and Updates: Specialty prosthetics, especially those with advanced components, may require more frequent maintenance. As technology advances or the patient’s needs evolve, prosthetic updates or new designs may be necessary.
Enhanced Quality of Life: Whether it’s returning to competitive sports, engaging in outdoor activities, or simply performing work tasks with greater ease, patients can expect their specialty prosthetic to greatly enhance their quality of life and help them pursue their passions with fewer limitations.
Ultimately, specialty prosthetics empower individuals to exceed the functional limitations of standard prosthetics, offering greater freedom and adaptability for a wide range of physical and lifestyle needs.
Breast Prosthetics
Breast prosthetics, also known as breast forms, are designed for individuals who have undergone a mastectomy, lumpectomy, or other breast surgery, helping to restore body symmetry, balance, and self-confidence. These prosthetics come in a variety of shapes, sizes, and materials to closely match the natural appearance and feel of the patient’s existing breast or desired look. The process of choosing and wearing a breast prosthesis is deeply personal, and patients can expect a collaborative and compassionate approach from their prosthetist or fitter.
Types of Breast Prosthetics:
1. Silicone Breast Prosthetics: The most common type, silicone prosthetics are designed to mimic the natural weight, feel, and movement of a real breast. Silicone is a soft, skin-like material that closely resembles the texture of breast tissue, offering a realistic appearance under clothing.
These prosthetics come in various shapes (teardrop, round, or asymmetrical) and sizes, and can be custom-fitted to match the patient’s remaining breast.
Patients can expect the silicone prosthesis to feel more natural and balanced, especially for everyday activities like walking or moving. However, silicone breast forms can feel heavier and warmer during extended use, especially in hot climates.
2. Foam or Fiberfill Breast Prosthetics: These lighter-weight prosthetics are often used right after surgery or for casual wear. Foam or fiberfill breast forms are softer, lighter, and easier to wear, making them ideal for short-term use or for patients who want something lightweight and comfortable.
Patients can expect these prosthetics to be cooler and more comfortable for everyday activities, but they may not have the same realistic feel as silicone prosthetics.
3. Partial Breast Prosthetics (Shapers): For patients who have undergone a lumpectomy or have uneven breast sizes, partial breast prosthetics (or breast shapers) are designed to fill in areas of the breast where tissue has been removed.
These are typically made from silicone and provide a subtle, seamless contour under clothing, restoring balance without the need for a full breast form.
4. Custom-Made Breast Prosthetics: For a perfect fit, custom breast prosthetics are individually crafted based on the patient’s chest wall, skin tone, and desired look. These are made from a mold or 3D scan of the chest, ensuring that the shape, size, and color match the patient’s other breast or body proportions exactly.
Patients can expect a longer process to receive a custom prosthesis, as it involves several fittings and adjustments. However, the result is a prosthesis that looks and feels highly natural, offering the most personalised solution.
What Patients Can Expect:
Initial Fitting: The fitting process is essential to finding the right prosthesis. A certified fitter will take measurements and help the patient select the appropriate size, shape, and material. The prosthesis must fit comfortably within a post-surgical bra or specially designed mastectomy bra that has pockets to hold the breast form securely.
Patients can expect a compassionate, private fitting experience where their individual needs and preferences are carefully considered. The goal is to ensure the prosthesis provides comfort, balance, and confidence.
Comfort and Adaptation: For those new to wearing a breast prosthesis, there may be a period of adjustment. While the prosthesis is designed to be comfortable and natural, it can take time to get used to the weight and feel. Some patients may need to try different types or sizes of prosthetics before finding the perfect fit.
In terms of daily wear, most patients find that breast prosthetics blend seamlessly into their routine, providing natural movement and appearance under clothing. Modern designs focus on minimizing irritation, sweating, or discomfort, especially when combined with well-fitting mastectomy bras.
Body Symmetry and Posture: Wearing a breast prosthesis helps restore the body’s natural balance, particularly for patients who have had one breast removed. Without a prosthesis, some patients may experience issues with posture or shoulder strain due to the imbalance. By distributing weight evenly, breast prosthetics can prevent these issues, especially when fitted properly. Patients can expect an improvement in posture and a reduction in any physical discomfort associated with an asymmetrical chest.
Activities and Lifestyle: Breast prosthetics are designed to accommodate various levels of activity. Patients can wear them during exercise, including activities like swimming (with specialized waterproof prosthetics), running, or yoga. There are swim-specific prosthetics made from lightweight, quick-drying materials that resist chlorine or saltwater.
Patients can expect their prosthesis to stay in place securely, whether they are engaging in sports or daily activities. However, depending on the activity, they may choose different prosthetics (lighter forms for sports or more durable options for swimming).
Psychological and Emotional Benefits: For many patients, the psychological benefits of wearing a breast prosthesis can be profound. It can restore a sense of normalcy, body image, and confidence after a life-changing surgery. The prosthesis not only provides physical balance but also helps patients feel more comfortable in their appearance, especially when wearing fitted clothing or attending social events.
Emotional support from healthcare professionals, including prosthetists and fitters, is an important part of the process. Patients can expect to be supported emotionally as they navigate their new normal and choose the prosthesis that makes them feel whole again.
Care and Maintenance:
Breast prosthetics require regular care to maintain their shape and longevity. Silicone prosthetics, in particular, need to be cleaned regularly with mild soap and water to avoid skin irritation. Patients should store their prosthesis in a protective case when not in use to prevent damage or deformation.
Depending on the type of prosthesis, patients can expect it to last several years with proper care. Over time, however, natural wear and changes in the body may require a new fitting or replacement prosthesis.
Breast prosthetics are a vital part of the recovery process for individuals who have undergone breast surgery, offering both physical and emotional benefits. Patients can expect a wide range of options to suit their lifestyle, body shape, and personal preferences. With proper fitting, care, and support, a breast prosthesis can help restore confidence and improve quality of life, allowing individuals to feel comfortable and balanced in their daily activities.
What You Need to Know About The Appointment Process
For your appointments to get a prosthesis, there are several key aspects to consider:
1. Medical History and Assessment
Medical Records: Bring your medical records, including surgical history, imaging reports (X-rays, MRIs), and any relevant test results.
Amputation Details: Your prosthetist will need to understand the level of amputation and its healing progress. If your wound is still healing, they may recommend waiting until it has fully healed.
Health Conditions: Discuss any other health conditions (e.g., diabetes, circulation problems) that may affect the fit or success of your prosthesis.
2. Lifestyle and Activity Goals
Daily Activities: Share your day-to-day activities, such as walking, running, or engaging in sports. This helps your prosthetist determine the right type of prosthesis to suit your needs.
Occupational Needs: If your job requires specific movements or physical exertion, this is important for the prosthetist to consider.
Long-term Goals: Communicate your long-term goals, such as regaining independence or participating in certain hobbies, to guide the prosthesis selection process.
3. Prosthesis Types and Options
Different Prosthetic Devices: Be prepared to discuss the various types of prostheses available (e.g., mechanical, microprocessor-controlled limbs) and what might work best for your situation.
Custom Design Considerations: You may have options for customization based on your unique needs, comfort, and aesthetic preferences.
4. Fitting Process
Initial Measurements: Your prosthetist will take measurements of your residual limb to create a well-fitting socket. This may involve molds, digital scans, or measurements.
Trial Fittings: Be aware that there may be multiple trial fittings to ensure the prosthesis is comfortable and functional.
Adjustment Period: You’ll need to adjust to your prosthesis gradually, so expect an initial period of learning and adaptation.
5. Insurance and Costs
Coverage and Documentation: Confirm what your insurance will cover, including any documentation required for reimbursement. Understand the costs associated with different prosthetic options.
Payment Plans: Inquire about payment plans if insurance coverage is limited.
6. Follow-up Appointments
Adjustment Period: Be prepared for regular follow-up appointments for adjustments and check-ups, especially in the early stages of using your prosthesis.
Physical Therapy: Physical therapy may be part of your rehabilitation, so discuss any plans for working with a therapist to regain mobility.
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Patient and Advocate
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