Custom Fitted Prosthetics in Vancouver, Surrey & Surrounding Areas
Introduction & Consultation
Because the relationship you develop with your Prosthetist is a life-long one, it is important that you take the time to choose your Prosthetist carefully. Spend time interviewing a few clinicians from the clinics closest to your home until you find someone whom you trust, you get along well with, and has a good reputation (ask for references!).
Whether you have recently lost your limb or are considering an elective surgery, we understand that there are a lot of unanswered questions about what happens next. We would love to talk with you about what to expect and to provide the proper preparatory treatment to enable you to begin your prosthetic training as safety and soon as possible.
The first step in providing prosthetic treatment is doing a full assessment. This includes learning about your background, lifestyle and medical history, as well as examining your skin condition and sensation, muscle strength, joint range of motion, balance, and potential to ambulate. We will talk with you to determine your needs and goals and work with you to determine the best course of treatment for you.
Shape Capture & Prosthesis Design
Prostheses are fit very intimately onto your limb. In order to ensure the optimal fit, we must get an exact replica of your limb that we can build the prosthesis around. To do this, we first take a series of measurements and then we take an impression of your limb. Typically, we use plaster bandage to take a cast, but scotch cast, silicone, geltrate, or a series of specific measurements can also be used.
Once we have the positive model of your limb, it is time to start designing the prosthesis. Regardless of what level of limb loss or limb absence you have, there are a variety of design theories that influence how the prosthesis fits. The cast must be modified so that the prosthesis will fit you comfortably and maintain the highest level of function. Once the cast is modified, the prosthesis is fabricated and assembled and it is ready for you to try.
The first fitting of a prosthesis includes the use of a diagnostic socket which serves as the connection point between your body and the prosthesis. The socket is clear so that it is easy to see what is going on inside and so it is easy to modify and adjust to ensure the best fit. For those with lower extremity limb loss, this fitting will focus primarily on the socket fit and the alignment between the foot or knee and your body so that you can comfortably walk and stand. For those with upper extremity limb loss, the focus will again be on the fit of the prosthesis and the operation of the terminal device.
Trial Period & Adjustments
It is extremely important to us that your prosthesis is fitting comfortably and functioning optimally. In order to ensure this, multiple adjustments and a trial period is necessary. This period of time typically lasts anywhere from a few weeks to a few months, after which it is time to finalize the prosthesis.
A definitive prosthesis differs from a diagnostic prosthesis in that it is less adjustable and more structurally strong. When finishing a prosthesis there is a huge range of options for how you would like it to look. Whether you prefer a natural looking, cosmetic appearance or an artistic, contemporary look, we will work with you to design a finish prosthesis that works for you!
In order to ensure the best fitting prostheses and orthoses, ongoing adjustments are necessary. If at any time you experience discomfort with your prosthesis or orthosis or a change in your ability to function with it, please call and make an appointment for follow up.