The Journey of Limb Loss
Know what to expect.
Process for New Amputee
Pre-amputation consultation
Your physician may feel that you would benefit from a pre-amputation consultation. If this is the case, your prosthetist will see you for an appointment prior to your amputation to discuss what wearing a prosthesis entails and how the process usually works. This is also a time where many of your and your family’s questions and uncertainties are answered. A pre-amputation consultation may also happen in cases where the patient is deciding whether or not to have the amputation. We understand this can be a very difficult decision. We are simply here to provide information and answer any questions that may help you determine what will work best for you.
Post-amputation consultation
This appointment usually takes place in the hospital a few days after your amputation. The purpose of this visit is to familiarize you with the process of getting a prosthesis and all of the steps you will come across along your journey. On your physician’s recommendation, you may be fitted with a protective device or a retention sock at this time to help protect and/or prepare your limb for a prosthesis.
Shrinker Fitting
Once your sutures are removed, you will be measured for and fitted with a shrinker. A shrinker is designed to reduce any edema in the limb and help to prepare the limb for a prosthesis. The shrinker should only be fitted after the physician has cleared you for this step and provided you with a prescription. The prosthetist will also be able to guide you on when it is okay to start wearing the shrinker. You’ll wear the shrinker at all times except when cleaning it.
Initial Evaluation
Now that you are ready for your prosthesis, you’ll have your initial evaluation appointment with the prosthetist. During this appointment, you will discuss your lifestyle, career, hobbies, plans, and expectations. The clinician will then evaluate your current strength level and range of motion as well as your general health and the condition of your affected region.
If you are already a prosthesis wearer, you will want to bring any device you are currently using and wear clothing that allows access to the affected limb. During this visit, the clinician will take an impression or measure the affected region depending upon the type of prosthesis you are being evaluated for. Once the clinician has had a chance to fully evaluate you and recommend a prosthesis to best fit your needs, they will consult with your referring physician and your insurance for approval and clearance.
Delivery & Fitting
The delivery and fitting appointment may involve one visit or a series of visits, depending on the complexity of your custom-built device. This may take place in our office or at your current place of residence, depending on your transportation needs. Your prosthetist wants to ensure you are comfortable and the prosthesis is functioning properly without causing any malalignment or skin irritation. They will observe your use of the prosthesis to ensure it is working as intended. Your clinician will make sure you know how to operate all of its features and instruct you on its care and maintenance. You will receive a break-in schedule to allow your body to adjust to it. It’s important to schedule your future rehabilitation therapy sessions as soon as possible so we can further assist you in using your new prosthesis. Many times the prosthetist will attend one or more of your physical therapy sessions to ensure the alignment is correct and encourage a team-approach to your care as this tends to lead to the most positive outcomes for our patients.
Continued Care
Once you are wearing your prosthesis, you will occasionally need adjustments or minor repairs. Prosthetic supplies such as your socks, liners, or suspension sleeves wear out over time and need to be replaced. If your device stops working, fits incorrectly, or begins to cause discomfort, please stop wearing the prosthesis and call for an evaluation and possible repair or adjustment. It is normal for your limb to change shape over time. We can make adjustments and socket replacements to ensure you are always in a properly fitting prosthesis.