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Frequently Asked
Questions:
1. Do I need a prescription from a
physician? Yes, each of our patients are required to have a
physician’s prescription before we can fabricate a prosthesis or orthosis.
Prescriptions are not needed for initial evaluations. Yes. Our practitioners are among the best educated in the
O&P field. Each practitioner
has graduated from
3. How long will it take to get my
prosthesis? It typically takes approximately one month for delivery of
a new prosthesis for a new amputee. That month usually consists of 3-4
visits to our office. The first visit consists of residual limb measurements
and a plaster cast impression. During the second and sometimes the third a
patient is fit with a “test socket”. This is a clear plastic socket we use
as a diagnostic tool to achieve maximum comfort in fitting. During this
visit we will also have the patient start to take a few steps and we’ll
align the prosthesis to give them the best gait pattern possible. At the
next visit, the prosthesis will be delivered, usually in a temporary form,
meaning there is no cosmetic cover. The patient is then ready for physical
therapy, at which time we will continually monitor the progress and make any
necessary adjustments to the prosthesis. Once physical therapy is complete,
the temporary prosthesis is usually used for 3-6 months before a definitive
prosthesis is fabricated.
4. Is my prosthesis/orthosis
covered by my insurance? This all depends on your employer, type of coverage, your
age, and other factors. Those eligible for Medicare typically have most of
the expenses for the prosthesis/orthosis covered. If you are insured
individually or by your employer, you should check your specific policy.
5. Will my residual limb shrink? Yes. Immediately following your amputation surgery your
residual limb will be swollen and have a bulbous shape. Over time, it will
shrink down to a more cosmetically pleasing cylindrical or conical shape.
The most common method of aiding in the residual limb shrinkage is an ace
bandage or a stump shrinker. The ace bandage is wrapped in a figure 8 around
the limb. A shrinker is an elastic sock that fits very snug around the limb.
Both are very effective ways of encouraging shrinking and reducing swelling.
6. Will I be able to go back to
work? Many amputees are able to return to their current jobs
without any complications. Some may need to change job description and
others may change jobs completely. You should speak to your employer about
your intentions and capabilities. If your amputation has disabled you to the
extent that future employment is impossible, you could be eligible for
disability related benefits from the Social Security Administration.
7. Can I purchase an off the shelf
brace instead of getting something custom? This is dependent upon the patient. If a physician has
referred you to us and recommended a specific type of orthosis, you
generally need something custom fabricated. Our staff is highly qualified to
fabricate most types of custom Orthotic devices. These devices are usually
more beneficial than those purchased off the shelf.
8. Will wearing the brace affect
my skin? While wearing any type of Orthotic device you must take
good care of you skin to prevent skin breakdown. Skin breakdown can be any
type of sore, red, raw, or blistered areas on the skin. To avoid skin
breakdown you should: bathe or shower on a daily basis, keep the orthosis
clean with mild soap and water or non-toxic cleaner, avoid skin creams or
lotions under the orthosis. If you experience skin breakdown, contact your
physician immediately.
9. Can I fix or adjust the
Orthotic device myself? No. Attempting to fix or make adjustments to an orthosis
yourself can lead to personal injury or possible damage the orthosis. If you
feel an adjustment needs to be made, or the orthosis is damaged in any way
contact your Orthotist immediately.
10. How long will my brace last? This will depend largely on the age and activity level of
the individual patient. A higher activity level patient will normally put
more “wear and tear” on the orthosis, meaning a patient who is very active
will need a replacement sooner than one who is inactive. Additionally, when
an orthosis is fit to a younger patient it will need to be replaced more
often because they generally grow very quickly. |
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