A: Yes, you may be able to get a lighter, less bulky orthosis. There are new materials available now that allow us to make lightweight orthoses with less material than was previously possible. Whether these lighter and slimmer devices are appropriate for you depends on your clinical presentation. They are not appropriate for everyone. You can discuss this with your physician and he/she can tell you if you are a candidate for a different style orthosis.

A: If your shoes have a removable insole and there is extra room in the shoe, your brace will most likely fit inside your shoe. If your shoes have a snug fit, you may need to buy shoes that are a half size larger than your current size. Shoes that have laces or Velcro closures, and a large tongue that allows the front of the shoe to open wide, are the best shoes to wear with an orthosis. Boots, sandals and dress shoes can be more challenging to wear with an orthoses; however, if you have a pair of shoes that you’d really like to be able to wear, talk to your orthotist and he/she will let you know if we can modify the shoe to allow the brace to fit.

A: At your first appointment, your orthotist will explain to you what type of device your doctor has prescribed—either an off-the-shelf device or a custom fabricated device. If an off-the-shelf orthosis has been prescribed, you may receive it that same day if it is in stock, or within a few days if it has to be ordered. If you need a custom orthosis, it usually takes about 1-2 weeks to complete. Your orthotist will be able to give you a more specific time frame based on your unique needs.

A: You do not need to wear your corset while sleeping (unless advised by your physician), only while sitting, standing or walking.

A: The hip abduction orthosis is usually worn all the time. You may only take it off while showering and cleaning the orthosis, if your physician allows these activities. The HAO helps reduce the risk of dislocations, which could occur at night in your sleep if you change sides or move around incorrectly.

A: The level of amputation and the components used will determine the weight of your prosthesis. On average, a below knee prosthesis weighs approximately 3-4 pounds, whereas an above knee prosthesis weighs approximately 8-10 pounds.

A: The typical time frame is 6-8 weeks. The schedule may vary depending on your current health status, and the time it takes your limb to heal properly. Ultimately, your physician will determine the exact time frame for fitting.

A: Compression is imperative to the successful fitting of your prosthesis. In early stages of healing it is used to control swelling and help shape your limb. It is recommended that you wear your compression socks until there is little change in your volume from day to day. Once you are wearing your prosthesis daily, you may only have to wear compression socks at night, if at all.

A: You will see your prosthetist for casting after your physician has written a prescription for your new prosthesis. This procedure is done in the office. Your prosthetist will evaluate your limb, take a set of measurements, and outline the important features of your limb. He/she will then apply plaster of paris to your limb to obtain an impression. This impression is then filled with plaster. Once the proper modifications have been made to your model, the technicians will fabricate a prototype prosthesis called a check socket. You will be seen back in the office approximately 3-5 days after casting for a fitting.

A: The first fitting is usually done in the office or physical therapy department and it is important that you wear loose, comfortable clothing. Your prosthetist, and/or physical therapist, will explain how to don your prosthesis and how to manage the soft socks or liner that you may be using. Your prosthetist will then check the height and fit of your prosthesis while you are standing. Once the proper height is attained, you will begin gait-training.

A: When you are fit with a definitive prosthesis, you may not need to see your prosthetist for months. It will depend on the fit and feel of your prosthesis. Your limb will continue to shrink and this may cause the original fit of your prosthesis to change. Everyone is different and changes happen at different rates. Any time you feel irritation or discomfort, you will need to see your prosthetist immediately. You are your best line of defense against an unsuccessful prosthetic experience.

A: YES! As long as your physician agrees, you should be able to return to the activities you once enjoyed with little or no adjustment. Prosthetic components today offer the amputee a variety of options that make participation in vocational or recreational activities and sports a reality. You will need to help your rehabilitation team by making them aware of your goals so the best possible options are chosen when it comes to your prosthetic care. We may need to make special modifications to your prosthesis to allow a specific activity; therefore, you will want to make sure you inform your prosthetist of your plans.

A: This will be determined by your rehabilitation team, including physical and occupational therapists, as well as your physician. You may also need to go through a testing and evaluation process given by your local DMV Department. Many amputees are able to drive; however, each case needs to be evaluated on an individual basis.

A: Not all prostheses are designed to be worn in the water. You should discuss your specific situation with your prosthetist.