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Prosthetics Frequently Asked Questions

This page is designed to answer frequently asked questions a patient may have about the prosthetic service.

Click on the question and the answer will appear below.

 

Who is the rehabilitation team?

 

Is wearing a prosthesis painful?

 

How soon after my amputation will I be able to walk?

 

When will I be ready to receive my definitive prosthesis?

 

I can still feel my toes/ fingers even though my leg/ arm has been amputated. Is this normal?

 

What kind of shoes can I wear with my prosthesis?

 

How will my prosthesis stay on?

 

How often should I see my prosthetist after my prosthesis is delivered?

 

Who is the rehabilitation team?

It is the entire team of specialists that will assist in your rehabilitation. At minimum it would consist of a Consultant or Doctor, Prosthetist or Orthotist, a Physiotherapist or Occupational Therapist (OT). Many other specialists might be included depending on your needs: a counsellor, a nurse or a representative from the hospital administration are just a few of the specialists who might be involved.

 

Is wearing a prosthesis painful?

We weren't designed to wear artificial limbs so you can expect some discomfort, especially as you adapt to your prosthesis. However, it should not hurt or cause damage to you. Your prosthetist and physiotherapist will suggest a break-in schedule so that you can become accustomed to your prosthesis. If your prosthesis hurts, call your limb centre for an appointment.

 

How soon after my amputation will I be able to walk?

That depends on how quickly you heal. A healthy person with good circulation and no post-operative complications might be ready to use a prosthesis 4 or 5 weeks after surgery, although your rehabilitation with specialised physiotherapy will start sooner.

 

When will I be ready to receive my definitive prosthesis?

Your definitive prosthesis is prescribed as soon as possible but as your limb volume will take up to 18 months to stabilize you may require new sockets in the intervening period. You may be given a more basic limb to begin with. This gives you the best opportunity to get active again. If you do well you may find different components are included to aid your lifestyle. Another factor is how you have progressed in your gait training. Generally you are ready for a definitive prosthesis in the second year post amputation.

 

I can still feel my toes/ fingers even though my leg/ arm has been amputated. Is this normal?

Yes, it is. This is called phantom sensation, and most amputees experience it to some degree. If it is uncomfortable, speak to your physician about treatment options.

 

What kind of shoes can I wear with my prosthesis?

Almost any shoe can be used with your prosthesis, but for control and security it is best to have a shoe which encases the foot as much as possible – be sure to bring the shoes you wear most often when you are fitted for your limb. Most foot components work properly with shoes of only one heel height, though there are some prosthetic feet that provide adjustment so that shoes of different heel heights can be worn. Athletic type shoes are often recommended – they are light in weight and usually have soles that prevent slipping. It helps if your shoe has a flat profile across the sole.

 

How will my prosthesis stay on?

There are many different suspension methods – you should discuss the ones that suit your needs with your prosthetist or prescribing limb doctor. Some limbs are suspended using suction, sometimes assisted by a suspension sleeve. Suspension can be obtained from a pin mechanism attached to a roll-on liner, and some prostheses are attached using straps or extensions of the socket.

 

How often should I see my prosthetist after my prosthesis is delivered?

This depends on you, your level of activity and the type of limb you are wearing. Some components have specific maintenance requirements which will be discussed at the time of delivery.  It would be seen as best practice to be kept under regular review.

 

Ask a Clinician

If you have a question that does not appear above, please feel free to ask Stephen Newlands via email using the below  link
stephen.newlands@abilitymatters.ie