Tag Archives: amputee

Helping those with limb loss find a prosthetist

Amputees and those with congenital disorders who wear a prosthetic device typically have a long-term relationship with their prosthetist. If you have never worn a prosthesis, we want to provide an outline of what you should expect during your journey.

Are you ready for a prosthesis?

Having a prosthesis can be a lot of work. You need to build strength in your muscles with physical therapy exercises to prepare for your new prosthesis. Having a physical therapist and prosthetist you can communicate with is extremely important for a successful outcome with your prosthetic device.

What is the best way to learn more about getting a prosthesis?

Before you can see a prosthetist, your doctor will need to:

  • Document your current condition
  • Diagnose your K-Level
  • Collaborate among the members of your care team

After your diagnosis, you will want to find a prosthetist to collaborate with on your care team. Your physician will be the one to provide the referral to our facility. The next step is to evaluate which prosthesis will have the fit and function you are looking for.

After the appropriate device has been selected, you will continue your PT while your prosthesis is manufactured. Your prosthetist will fine tune your device and the socket over multiple visits. During the fitting process we will provide education and training so you can get the most out of your new prosthesis.

Step 1: Documenting your current condition

Your doctor will complete an evaluation checklist. This is when you should ask questions. This information will be the basis of the report being sent to your insurance company which ultimately determines the affordability of your prosthetic device.

  • Physical Exam
  • History of Amputation
  • Functional Deficits
  • Functional Level
  • Motivation to use prosthesis
  • Describe the condition of the residual limb
  • Patient’s past experience with prosthesis

If a replacement prosthesis is needed, describe the condition of current prosthesis or component and your recommendation based on your functional level evaluation.

Step 2: Diagnose your K-level

Your doctor will confirm your K-level which determines the type of device your insurance will approve. The K-level is based on your daily activities and current physical condition. it is possible over time that you can graduate to a higher K-Level if you continue to progress in your abilities.

Learn more about K-levels.

Step 3: Team Collaboration = Improved Prosthetic Care

On your first visit, options will be discussed to find the prosthetic configuration that allows you to get back to your daily activities and meet your future goals.

In addition to your doctor, your care team will consist of physical therapists and your prosthetist. Cohesive care during your rehabilitation will help you stay on track with your short and long-term goals to better improve your outcomes.

The team collaboration is a transparent process – the goal is patient education through communication with all members of the team. Collective input creates a clear plan which leads to higher patient satisfaction with improved functional results. After your final fitting, your prosthetic devices will need adjustments over time, so you will likely check in with your prosthetist once or twice a year.

“I believe that providing a prosthesis is just the beginning of my responsibility as a prosthetic provider, I am also involved in the education and follow up care of my patients”, says George. He is always eager to learn new methods and philosophies and share for the benefit of the team as well as the success of the patients’ prosthetic experience.

Read George Villarruel’s Bio here…

Patient Resources

Every patient is unique, physically and psychologically and we have the experience and compassion to guide them through this journey. We have put together a list of resources of organizations and articles to help you and your family members.

Check out our patient and family resources.

Certification Boards

The American Board for Certification in Orthotics, Prosthetics & Pedorthotics (ABC)

abcop.org
info@abcop.org
703-836-7114

The Board of Certification/Accreditation, International (BOC)

bocusa.org

Now part of the Collier Family – Laurence Orthotics and Prosthetics

Laurence Orthopedic is now associated with Collier Orthotics and Prosthetics.

Laurence Orthopedic was established by Matt Laurence in 1946 and has been providing prosthetic and orthotic patient care services to the Oakland and the East Bay communities for over 70 years.
Laurence Orthopedic specializes in orthotic treatment for scoliosis and clubfoot and state-of-the-art prosthetic services for veterans with limb loss.

Director of Prosthetics George Villarruel talks about the Collier-Laurence transition.

My name is George Villarruel, Director of Prosthetics at Collier-Laurence Orthotics and Prosthetics. I want to speak about the additions-acquisition of Laurence Orthotics and Prosthetics into the Collier Family. This will allow us to service new accounts and to spread our philosophy of compassion and service to the orthotics and prosthetics communities. We feel we can provide excellent service to the pediatric and adult populations in need of an orthotic or prosthetic device.

Continue to our website for help with your orthosis or prosthesis.

Prosthetic Case Study – Trans Tibial Amputee

Mikhaila Rutherford is 26 years old and, and has a new articulating ankle. This allows her to be more ambulatory and ready to enjoy her new career in nursing without the hassles and limitations of her old and worn out prosthetic device.

Four years ago, Mikhaila came to our lead prosthetic practitioner with some challenges:

  1. She would be challenging to fit due to multiple surgeries to resolve her subluxating patella (knee cap).
  2. A short trans tibial residual limb.
  3. Her current foot did not allow for any flexibility when walking on slopes of any kind.

George was able to get approval through the insurance for the best possible device for Mikhaila. Watch the video to see how she demonstrates her new prosthesis with an articulating ankle.

Mikhaila was fit with an Alps AKDT locking liner and Patellar Tendon Bearing Supra Patellar Supra Condylar (PTB SCSP) socket design to help stabilize her knee in the medial lateral plane. For her last fitting, she was provided a foot with an articulating hydraulic ankle which can accommodate going up and down sloped terrain.

Mikhaila can now get back to daily living with a lot more mobility when hiking and being outdoors. We look forward to hearing about her new career as a nurse when she comes back for a check up.

Mikhaila has been a patient of George Villarruel at Collier O and P. If you would like to see more of our patient success stories, visit our patient outcomes page.