10 Questions You Should to Know about Prosthetic Parts Manufacturer

As a new amputee, or even if you experienced limb loss in the past, prosthetic limbs restore mobility and give you the ability to manage your life independently. 

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Here are answers to some of the most Frequently Asked Questions (FAQs) from amputees and their families.  Keep in mind that this information is not a substitute for speaking with your medical provider or prosthetist, who is the expert in prosthetic limbs.  Keeping your scheduled medical appointments is important as you go through this process.

1. When do I get my prosthesis?  On average, from the time a patient is evaluated to the time they are fit with a prosthesis can be anywhere from 4-6 weeks.  The process involves more than what you, as the patient, experiences in the clinic setting.  There is also work taking place behind the scenes. It is difficult to predict precisely since every prosthesis is unique and customized to the individual and some can take more or less time, depending upon your needs.  We understand that you are eager to regain your independence.  The goal is to restore independence as quickly as possible but your safety is of the greatest importance and concern
2. What kind of prosthesis will I be getting? Gathering information about your level of physical fitness and health, the amputation level, the demands you place on the prosthesis and your future goals are just a few things that will help us determine what type of prosthesis would be most appropriate.  A prosthetic limb for a 20-year-old traumatic amputee who wants to return to work in the construction industry will vary greatly from that of an 80-year-old nursing home patient who only uses a prosthesis for transfers or to go to the bathroom, even though both be amputated at the same level.  The use of predictive and muscle testing results can also shed light on what type of prosthesis would allow you to safely and effectively engage in activities you need and want to do.
3. Why is my prosthesis so heavy?  Overall weight is a consideration with every prosthesis but is especially important with regard to those with vascular disease.  Ideally, the prosthesis should be as light as possible while still providing the necessary strength and features needed to safely meet your needs, as an amputee.  In some cases, feeling as though your prosthesis is heavy may not be related to the weight of the device at all. It is more related to your needing to take the time to adjust to wearing a prosthetic device. Wearing the prosthesis loosely and generalized weakness can also create a perception that the device is heavy.
4. Can I wear my prosthesis 24-hours per day?  Most physical aids such as prostheses, contact lenses, and dentures, for example, typically are not meant to be worn around the clock.  Most prosthesis involve the use of silicone or urethane liners, which create an environment where the skin can become more susceptible to breakdown.    
5. Why are prostheses so expensive?  Medicare establishes the pricing for all of the components that comprise a prosthesis.  This is called the Fee Schedule and accounts not only for the specific component but also the practitioner’s time in fabricating, fitting, and/or adjusting the component or components properly.
6. Will my prosthesis look like my “real” leg?  Prostheses used to be what is called an exoskeletal design which had a more anatomical look, however most modern prostheses are typically an endoskeletal design which is more “robotic” looking.  Exoskeletal prostheses were typically very heavy and difficult to adjust at times, whereas endoskeletal designs are much lighter and easier to adjust.  In order to make an endoskeletal prosthesis look more like a “real” leg, foam can be used to cover the structural components and provide a more anatomical shape.  Although they are often referred to as “cosmetic covers”, only protective covers are typically reimbursable and establishing medical justification for such a cover can be a challenge.  A protective cover might be warranted for some patients such as an amputee who hopes to return to working in a chemical plant where the risk of damage to the prosthesis exists. Simply having a cover to make the prosthesis look more natural when wearing shorts or a skirt is not likely to be a covered service.
7. Will my prosthetist teach me how to walk again?  The prosthetist’s goals are to ensure that the prostheses they deliver to patients are fitting and functioning properly which usually involves some training.  However, learning how to walk again and/or achieve functional goals while wearing the prosthesis is where physical therapy can be of great benefit.    
8. Can I get my prostheses wet?  It depends.  This question should be discussed with your prosthetist, as there are some components that are unaffected by water and some that can be damaged beyond repair. 
9. Can I drive with my prosthesis/prostheses?  There are plenty of examples of amputees who drive their own vehicles, so it is possible.  However, the State Department of Motor Vehicle (DMV) will likely want you to establish that you can do so safely.  Contact the DMV to see what is required, if anything, for you to do so legally and safely. 
10. Will my insurance cover the cost of a prosthesis?  Many insurance companies now offer a variety of “plans/policies” to let patients select the one that best suits your needs.  It is a good idea for you to refer to your own policy to see if prosthetic services are covered and the specifics of your health plan. 

Mobility and independence are basic human rights and we know the challenges that amputees face.  We work with you and your family to help you get back to an active and independent lifestyle.  At PVA Prosthetics, we are well versed in all aspects of prosthetic care and have participated in research and beta testing for some of the most innovative companies in the industry. 

Here are additional community resources for amputees: https://www.amputee-coalition.org/ and https://www.projectmend.org/.

The Med Supply Orthotics and Prosthetics Division of Med Supply provides uncompromised care and unparalleled service, promoting the highest level of our patient’s recovery, independence and function. Having the proper prosthetic or orthotic device is essential to a patient’s recovery and return to a quality lifestyle. Here we have supplied a list of frequently asked questions regarding prosthetics provided by Mike Smith, Clinical Director & Prosthetist.

1. How long before I get my prosthesis?

Some people are ready for their temporary prosthesis as early as 2-weeks following the removal of all staples and sutures. This will vary from person to person. As a general rule, when the surgical site is fully healed and most of the swelling has disappeared, you will be ready for the next step. Each patient’s healing time differs depending on their overall health condition.

2. How often do I wear my stump shrinker?

You should wear your shrinker 23 hours per day (unless told differently by your physician) and change it every other day. If you do not have a second shrinker, another one can be purchased, usually through your insurance. Your shrinker should be removed when bathing, and if any numbness or tingling occurs; please contact your practitioner immediately. Med Supply carries the Juzo Silver Shrinker for Above Knee Amputees, and the Ossur Shrinker for Below Knee Amputees.

3. How long before I will be able to walk again?

Walking will vary because healing is different for each person. On average, healing time will range from 1-3 months. However, it could be longer for patients with diabetes or other health related issues. Your ability to walk is determined by how hard you work in therapy, and regain strength and range of motion.

4. Will I always have phantom pain/sensations?

Phantom pain will also vary from person to person. Some people never experience it, while others experience it from time to time forever. Often times when you are fit with your prosthesis, the pain or sensation may decrease due to the total contact provided by the socket. Sometimes, stump shrinkers also provide relief and there are a number of techniques that can be used to reduce phantom pains that your therapist will discuss with you.

5. Will I need therapy to learn how to use my prosthesis?

Physical and Occupational Therapy plays a very important part in your rehabilitation process. You will learn new techniques for walking which are key to a speedy recovery.

6. How long does it take to make and fit a prosthesis?

The fabrication of a prosthesis is a very labor intensive process, requiring multiple fittings to ensure the best fit. Insurance authorization also plays a key role in delivering a prosthetic device. Once authorization is obtained, it will take about 2 weeks, provided we can obtain all of the parts from manufacturers.

7. What is my prosthesis made of?

Med Supply Corporation uses state of the art materials and componentry. This includes plastics, acrylics, polyester laminates, titanium, carbon graphite, aluminum and steel. The type of componentry used will be customized based on weight capacity and what is best for your optimal function. Insurance coverage also will determine what type of componentry will be used.

8. How much does a prosthesis cost?

The company is the world’s best lower limb prosthesis for sale supplier. We are your one-stop shop for all needs. Our staff are highly-specialized and will help you find the product you need.

The prosthetic industry is constantly changing and improving the componentry and fabrication of prosthetic limbs. A comprehensive range would be $5,000 to $20,000, depending on the individual needs of each person. Microchip computer technology is one of the most recent additions and can cost upwards of $50,000. Insurance coverage plays a large part in determining the cost. It is important to inquire about your co-pays and deductibles prior to being serviced so that you are fully aware of any out-of-pocket cost you may incur.

9. How long will I be wearing a temporary prosthesis?

On average, most patients will wear a temporary prosthesis for 6 months to 1 year depending on how quickly the residual limb stabilizes.

10. How much physical energy will I be exerting with my prosthesis?

Below knee amputee – 9% more energy than a non-amputee
Above knee amputee – 60% more energy than a non-amputee
Bilateral below knee amputee – 180% more energy than a non-amputee
Bilateral above knee amputee – 260% more energy than a non-amputee

11. Will my residual limb change size?

Yes, your residual limb will shrink as the swelling goes down and will change from a bulbous shape to a thinner, cone like shape. There are various methods used for reducing the swelling that include wrapping the limb, and exercises.

12. How often should I wash my liner?

Your liner should be washed every night. Make sure it is cleaned thoroughly to remove any layers of bacteria/dirt build-up. In addition, you should disinfect your liner once a week by cleaning it with rubbing alcohol.

13. Do I have to come into the office to be seen?

Not necessarily, however, better and more efficient service can be provided when we see patients in our office. This allows us to access the tools in our lab and allows us to make adjustments to your prosthesis quickly and efficiently. If transportation and/or physical challenges are difficult for you, a home visit can be arranged by calling our office.

14. What renovations will have to be made to my home?

The number of renovations to your home will depend upon your personal needs. Many patients will need a shower chair (Med Supply carries a number of options which can be found here), detachable shower head and grab rails for the bathroom. You may also need to consider a ramp for the entrance to your home.

15. Will I still be able to participate in sports?

Yes, there are amputees involved in just about every sport. If you have participated in sports prior to your amputation, you can probably continue afterwards. Many sports have organized programs for amputees. Please be sure and let your prosthetist know about your desire to play sports, so they can design your prosthesis with that in mind. Most sport-specific prosthetics are not covered by insurance, you may incur an out-of-pocket cost.

16. Why does my training/temporary prosthesis not have a cosmetic cover?

Insurance companies know that the temporary prosthesis is a short-term prosthesis, and therefore will not cover a cosmetic cover being added.

17. Can prosthesis sockets be customized?

Speak with your Prosthetist about this, Med Supply will work with you to customize your prosthesis to your liking!

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