Prosthetics Overview
Embarking on your prosthetic journey
As an amputee approaching prosthetic technology for the first time, beginning to explore prosthetic options offers diverse possibilities. Despite the life-altering nature of losing a hand, advancements in medical technology and rehabilitation provide options for those facing upper limb amputation. Many individuals lead fulfilling lives with support from medical professionals and a strong support system, navigating adaptation, resilience, and new opportunities.
For those born without a limb who have adapted to their environments and are now considering exploring prosthetic options, this presents a valuable opportunity to learn more about available choices and the experiences involved.
Clinical Process
Here’s an overview of what lies ahead
Before Amputation
Amputation
0 to 2-4 weeks
If feasible, meet with manufacturers to see prosthetic device.
Possibly meet with occupational or physical therapist for pre-op therapy.
Born with a Limb Difference
While some paragraphs may not directly apply, the journey into prosthetics still offers a wealth of options and possibilities. Exploring adaptive tools, technologies, and personalized prosthetic solutions empowers individuals to embrace independence and self-sufficiency.
Advancements in prosthetics offer tailored options, ranging from basic cosmetic models to sophisticated myoelectric hands, empowering individuals to regain functional capabilities. Adaptive tools and technologies further promote independence, fostering a sense of self-sufficiency.
Emotional Support
Coverage for a device
How insurance typically works with prosthetics
Obtaining a letter from your Primary Care Physician (PCP)
Counseling and support groups: Coping with the emotional impact of limb loss is crucial. Mental health professionals and support groups can provide valuable assistance in adjusting to the changes and fostering resilience.
Education and training empower individuals to adapt to new ways of accomplishing tasks and acquiring new skills. Some find purpose in advocacy, raising awareness about amputee challenges, and contributing to a more inclusive society.
Community and Advocacy
Connecting with others: Building connections with individuals who have experienced similar challenges can offer support, guidance, and a sense of community.
Advocacy and awareness: Some individuals become advocates for amputees, promoting awareness and understanding of their challenges.
Ultimately, this journey you are on is a testament to human resilience. By embracing medical advancements, rehabilitation services, and community support, individuals not only adapt but discover new strengths and possibilities. It's a transformative process, emphasizing empowerment and the realization that life, despite its challenges, can remain rich and fulfilling.
https://www.amputee-coalition.org/resources/after-upper-limb-amputation/
https://ota.org/sites/files/2021-06/UE%2013%20Amputations.pdf
After Amputation
After 6 to 8 weeks - visit a prosthetist
Trial different prosthetic devices.
Rehabilitation
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During this time, patient can meet with different manufacturers to see what prosthetic options look like. Additionally, meeting with an occupational therapist (OT) and/or physical therapist (PT) can help improve function with prosthetic device after surgery.
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Surgeon may perform Targeted Muscle Reinnervation (TMR) or RPNI (Regenerative Peripheral Neural Interface) to help improve prosthetic control and decrease phantom limb pain.
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While in the hospital soon after amputation, your care team will provide a shrinker to wear to help heal residual limb.
Some prosthetists provide patients with immediate post-op sockets meant to reduce the risk of injury, although this is typically for lower extremity amputations.
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Care team will teach desensitization techniques, such as gentle tapping, exposure to different textures, and massaging the residual limb. This helps to reduce neural damage and manage phantom limb pain.
Care team will also teach wound care management. Maintaining a clean incision site and preventing wound infections are essential for the recovery process.
Meeting with a certified prosthetist
~6-8 weeks after amputation
Occupational therapy: Specialized occupational therapy aims to help individuals regain independence in daily activities and adapt to the challenges of life with limb loss.
Physical therapy: Rehabilitation often involves physical therapy to improve strength, flexibility, and functionality in the remaining limb or limbs.
Prosthesis Delivery
2 weeks to 6 months - approximate time to get a prosthesis
Extended time is mainly due to insurance issues.
Socket Fitting Process
The socket fitting process for an upper extremity prosthetic involves creating a custom-designed socket that fits snugly and comfortably over the residual limb. This socket serves as the interface between the residual limb and the prosthetic device, providing support, stability, and control.
Click here for an overview of the socket fitting process
Assistive Technology: Is it for me?
Prosthetic options: Advances in prosthetics provide various options, from basic cosmetic prostheses to highly functional myoelectric prosthetic hands controlled by muscle signals.
Assistive devices: Individuals may explore a range of adaptive tools and technologies designed to enhance their ability to perform tasks at home, work, and in their communities.
Emotional well-being is addressed through counseling and support groups, providing a space for navigating the emotional impact of limb loss. Building connections with others who share similar experiences becomes a vital support network, offering insights and encouragement.
Initial Consultation
You will meet your prosthetist and discuss the following:
Goals
Plan of care
Insurance coverage
Prosthetic options
Myoelectric control test (if applicable)
Tour the clinic (if not automatically shown the clinic, ask for a tour (as long as you feel safe) as this can be a great experience to learn the process
Adaptation and Learning
Education and training: Learning new techniques and strategies for daily activities may be necessary. This could include adapting to different ways of doing things or acquiring new skills.