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What You Need to Know Before Getting a Prosthesis: Step-by-Step Guide

Selecting a prosthesis is a big step toward returning to life. We know it’s not simple, but this guide will help you choose the right prosthetics. With high technology and determination, all kinds of prosthesis have raised the confidence of many by allowing them to walk again powerfully.

prosthetic leg working

These innovative improvements have made them more effective and comfortable. There are various points to consider when selecting the proper one. Take this guide, and let’s go through each step together.

Prosthesis Through the Ages

The prosthesis has been used for thousands of years. In ancient Egypt, people wore artificial toes, some over 3,400 years old. One of the earliest examples is the “Greville Chester toe,” made from cartonnage, a mix of glue, plaster, and linen. This material was flexible and could be adjusted to fit the user. Another prosthesis from that time is the “Cairo toe.”

In ancient Italy, a Roman used a limb prosthesis called the “Caupa leg.” This was crafted from bronze and hollowed-out wood and held in place with leather straps. Likewise, early artificial feet were made of iron and bronze in Switzerland and Germany during the 5th and 8th centuries.

In U.S. medical history, prosthesis were needed to support soldiers who lost their limbs during the war and pave the way for prosthetics. Since antiquity, an artificial leg could be made of iron or wood. French doctor Ambroise Pare crafted the first genuinely working prosthetic for soldiers returning from war during the pre-industrial period.

During this phase, the need for amputations during the American Civil War triggered a shift in prosthetic innovations. The Limb-Hanger, with a rubber-covered wooden leg and added comfort at the heel, was invented. Modern prosthetics, like legs, are much more advanced. Wooden and leather prosthesis limbs have been transformed into plastic, titanium, aluminum, and silicone-infused prosthetics.

Because of these advanced materials, modern prosthetic legs function better and demonstrate superior advancements over previous-century models.

Safety Measures You have to Take After Amputation

You might face serious accidents or injuries, along with diabetes complications, infections, blood vessel diseases, congenital disabilities, and other health conditions that can lead to leg amputation. The best approach after an amputation includes focusing on hygiene practices, physical exercise routines, and general maintenance because these elements play a vital role in aiding recovery and adaptation.

Do’s after amputation

  • Give importance to cleanliness.
  • Apply suitable coverings
  • Keep skin hydrated
  • Stay alert for changes
  • Upgrade hygiene standards
  • Adhere to medical guidance
  • Stay active
  • Use compression socks soon after wounds heal.

Don’ts

  • Don’t press your stump unnecessarily, you may harm yourself or have an uncomfortable situation. 
  • Do not use chemicals, especially soaps that may become the reason for skin rashes in the stump part. 
  • Prevent exposure to moisture for long periods that could lead to infection or skin problems. 
  • Always remember to seek your clinician’s attention for discomfort or pain. 
  • Do not ever attempt to change your prosthesis on your own. 

Find easy recovery tips in our blog Life After Above-Knee Amputation: Simple Recovery Steps—click to learn more!

Mental Challenges

From a psychological perspective, common difficulties that may appear while using a prosthetic limb include coming to terms with a new physical appearance, mastering new tools, and adapting to new schedules. Accept these as an initiation to develop yourself and learn independence.

When people seek the right clinic to offer a thorough service from amputation to prosthesis fitting, these challenges can be easily met and achieved without much fuss. Select a clinic that can handle every aspect of your life, and you will get a step closer to an entire, independent life.

Growing self-confidence and conquering fears

  • You can celebrate small victories to boost confidence.
  • Face fears with determination, turning them into opportunities for growth.
  • Embrace each step forward as a path to greater independence.

Controlling levels of anger and developing proper patience

  • Just view frustration as a sign of progress and learning.
  • Practice patience, knowing that every challenge builds resilience.
  • Stay positive, understanding that persistence leads to success.

Adjusting daily life and embracing new routines

  • Discover creative ways to modify daily routines.
  • Focus on how each adaptation brings new possibilities.
  • Embrace the changes, leading to a more empowered and active life.

Utilized an artificial limb? Engaging in physical activity?

Here is some helpful information on the top exercises you should follow along with your fitness routines:

  • Strength exercises – Workouts designed to build stronger muscles to accompany a sturdy base.
  • Flexibility exercises – Relieve soreness in your muscles and joints.
  • Cardiovascular exercises – Bolster vascular fitness, flexibility, and strength of muscles.
  • Stability and coordination Exercises – Help improve balance.
  • Prosthetic-specific exercises – Help in using a prosthetic device optimally.

There is Always a Question that One May Ask: How Do I Choose the Correct Prosthesis?

Essential points to consider:

1. Daily activity: Before choosing any prosthesis, consider your daily activities and how to use them.

2. Fit & Comfort: Every prosthesis is designed to fit your body perfectly. So, take the exact measurements and look for parts that can be adjusted for best comfort and fit.

3. Technology and Features: Regarding technology, there are basic and advanced features, with standard functionality for daily use and advanced features with high-tech options like microprocessors for enhanced movement and control.

4. Consultation with Professionals: Get the expert prosthetist’s advice regarding getting the best fit for your needs.

What Kind of Prosthesis can People Use?

You have multiple needs, and various advanced prosthetic types are available. Some prostheses are designed for above-knee amputations that support a person’s thigh and the lower section of the leg. At the same time, others are intended for below-knee amputations to support the lower leg and foot. Additionally, cosmetic prostheses mainly focus on looking like natural limbs, with less emphasis on functionality.

1. Lower extremity prosthesis

This lower extremity prosthesis is an artificial limb that replaces a missing portion of the lower leg. Amputation can occur, and there are several prosthetic leg types, such as “transtibial” below the knee, while “transfemoral” means above the knee prosthesis.

2. Upper extremity prosthesis

Amputation of the shoulder joint to the fingers is commonly known as artificial hands. There are different upper limb prosthesis: shoulder, arm, elbow, forearm, wrist, and hand.

3. Cosmetic Prosthesis (Silicone)

Cosmetic prosthesis mainly focuses on looking like natural limbs with less emphasis on functionality.

1. Lower extremity prosthesis

person with lower limp prosthesis walking image

A lower limb prosthesis is an artificial leg fitted after amputation on the inferior limbs at the upper thigh or knee. Ankle or foot prosthetics are designed to help you remain mobile and functional.

Major Parts And Components Of Prosthetic Leg?

Some accessories are essential for functionality, comfort, and proper fitting for an above- or below-knee prosthesis.

1. The Socket

The socket, attached to the limb’s thigh-side stump, can be customized to ensure comfort and security. Its fit considers the limb’s size and shape.

2. Artificial Knee Joint

A prosthetic knee joint is a further requirement of the above knee prosthesis. It contains mechanical, pneumatic, and hydraulic knee joints for easy bending and straightening of the leg. More complex joints, such as microprocessor-controlled joints, are possible. These joints allow varying levels of mobility and stability depending on the remaining limb portion.

“Learn about different options in our blog Prosthetic Knee Joints: Types, Benefits, and How to Choose the Best One—click to find the right fit for you!”

3. Pylon

The pylon connects the foot of the prosthesis, the prosthetic leg, and the socket, so it must act like a bone. It is made of titanium, stainless steel, carbon fiber, and aluminum, which are very lightweight.  

4. Artificial Limbs

Prosthetic legs are designed to mimic how a human foot naturally walks. You can select from affordable prosthetic feet to complex models, including dynamic response, energy return, and adaptability to different surfaces and terrain.

5. Suspension System

A suspension system securely affixes the limb’s remains to the prosthesis. It includes conventional vacuum systems, sockets, belts, and straps designed to maintain the prosthesis’s position during movement.

6. Prosthetic Liners

Liners are unpadded or minimally padded soft sleeves made of gel or foam worn over the socket’s residual limb. They enhance comfort, prevent skin irritation, and equalize pressure.

7. Socks

These socks are prosthetic sleeves placed over the liner, which assists in increasing or decreasing the socket’s looseness. The liner comes in different sizes, so the exact amount may be used to suit the wearer’s preference. It absorbs sweat by forming filaments between the socket and limb part and decreases friction.

8. Cosmetic Covering

The cosmetic covering is a soft, flexible garment that enhances the prosthesis’s natural appearance. It conceals the pylon and other components to make the prosthetic leg realistic. The covering can be altered to match the user’s skin tone and texture.

9. Adjustable Wrench

Like the other parts of this prosthesis, users can use this adjustable wrench for timely changes while tightening or loosening the bolts and screws, trying to make changes or little modifications.

10. Prosthetic Lubricant

This lubricant is applied to the socket or liner to reduce friction and prevent chafing. It helps you move smoothly against the skin, reducing discomfort and irritation.

11. Protective Cover

A shield prevents the prosthesis from damage caused by water or dirt. It is mainly used by active outdoor users, where the prosthetic might be exposed to harsh conditions.

See the latest advancements in or next blog Innovative Prosthetic Legs Above Knee: What’s New in 2025 —click to learn more!

Aren’t Prosthetic Legs Custom-Fit for Individual’s Needs?

A single product can’t accurately match everyone’s comfort and needs. Accurate measurements are essential to getting the best prosthesis, so each individual receives a customized product tailored to them. The terrain where the product will be used also plays a vital role, as everything from design to materials must be considered.

1. Evaluation and Dimensioning

Start by evaluating the user’s lifestyle, needs, stump size, and general physique. Then, measure the residual limb precisely to ensure the prosthesis is comfortable and functional.

2. Parts Selection

The Prosthetic Knee joint, Foot, Adaptors, and Pylon are customized according to user activity, weight, and surface the user intends to cover. This guarantees that the prosthesis can meet the user’s needs for simple and complex tasks.

3. Socket Design

The socket is custom-made based on the measurements taken during the assessment. An appropriately crafted socket ensures that the prosthetic leg stays securely attached and distributes balanced pressure. It also maximizes comfort and prevents skin irritation.

4. Suspension System

It is a prominent one that helps to keep the prosthetic leg attached to the body. The user can choose depending on the extent of amputation, comfort, and lifestyle. Vacuum, suction, and pin lock suspension systems offer total comfort that does not restrict the body movements.

5. Liner and Padding

Prosthetic Liners, such as silicone liner prosthetics and padding, protect the residual limb and reduce pressure between the socket and skin for the remaining part of the body. They are made from flexible materials that can stretch and are cut to the wearer’s size. Selecting the liners is also unavoidable to avoid skin breakdown.

6. Alignment and Adjustment

After choosing the prosthesis, it should be positioned correctly to allow the user to walk normally. Angle positioning and relative height should be considered. When the prosthesis has been established, frequent follow-up appointments are essential to aid the user in adjusting. 

Routine Care and Adaptation

  • The process will continue after the initial fitting. Routine care is essential to check whether the prosthesis continues to function well and its functionality. 
  • The residual limb shape usually changes over time or according to the user’s activity level; the adjustment is inevitable. 
  • Proper maintenance, regular checkups, and potential adaptations are the key to long-term usability and comfort.  

Getting Used to a Prosthesis is a Challenge

  • Heavy Sweating: It can affect the prosthesis and cause skin issues.
  • Shifts in Limb Shape: The shape of the residual limb often changes during the first year after amputation, affecting the fit of the prosthetic socket.
artificial leg
  • Limb Weakness: Weakness in the remaining limb can make it challenging to use the prosthesis for long periods.
  • Phantom Sensations: Intense pain in the area where the limb is amputated can make it challenging to use a prosthesis effectively. (Intense pain in the part of the body that is already amputated can also make it challenging to use a prosthesis effectively.)

Regular Maintenance and Updates are Critical to Your Prosthetic Leg Longevity

Once fitted with a prosthetic leg, it may seem perfect initially. However, for various reasons, it might need to change over time to continue effectively meeting your needs. 

  • Body Changes: Your body will change over time, and the prosthesis might need adjustments to fit properly. 
  • Daily Life Changes: You may require updates to your prosthesis in your daily activities or physical demands.
  • Medical Changes: You are new, and changing health conditions might affect how your prosthesis works or fits. 
  • Wear and Tear: Regular prosthetic use can lead to wear and tear, which might mean that your prosthetics must be repaired or replaced over time. 
  • New Technology: The field of prosthetic technology is evolving. New developments can offer better features and improvements. It’s important to consider updating your prosthetics to take advantage of these advancements.

Explore your options of artificial legs in our blog Prosthetic Leg Types: Life Doesn’t Stop, Start Living Again!

2. Upper Extremity Prosthesis

Artificial hands are devices that help amputees whose hands were amputated regain their lost dexterity and improve their ability to interact efficiently with the environment during daily activities.

Classification of upper extremity prosthesis

1. Partial hand prosthesis

It supports the amputee in getting active in daily routines by getting absent fingers designed to mimic natural movements.

Users with below-the-elbow amputations can now move their wrists and have better hand function because of the trans-radial prosthesis.

2. Elbow disarticulation

Following an elbow amputation, patients may be able to rotate their shoulders with a shoulder-driven prosthesis.

3. Transhumeral prosthesis

This is the best option for amputees who have lost a limb above the elbow. Advanced control features allow users to incorporate elbow and shoulder flexion seamlessly.

4. Shoulder disarticulation prosthesis

The shoulder joint amputation demands a prosthetic device that recreates complete hand-level upper limb structure and function.

5. Forequarter Prosthesis

This aids those with severe limb loss in gaining routine functional abilities by all-embracing the shoulder and collarbone for a single-arm prosthetic replacement.

What are the key components and accessories of upper extremity prosthesis?

Each component supports each function and movement, and they are:

  • The socket is customisable and connects the prosthesis to the residual hand.
  • Different suspension systems help to keep the prosthesis secure. Examples are suction systems and harnesses.
  • The terminal device is the functional end part, such as a prosthetic hand, hook, or other specialised tool.
  • Joints can be placed in different hand parts, such as the wrist, elbow, and shoulder joints, to increase flexibility and movement.
  • The control system can be body-powered, myoelectric (muscle signal controlled), or hybrid and can be used for doing activities.

3. Silicone prosthesis

You might lose your fingers, ears, or any other body parts. A silicone prosthesis can replace these to improve their appearance and comfort. However, it won’t actively involve you in daily activities.

  • Silicone prosthesis restore self-esteem.
  • It improves psychological well-being.
  • Improves active social interaction and quality of life.

Conclusion

Expanding the traditional concept of an artificial limb from the ancient period to modernity highlights how it has developed this technology. Take all these advancements gladly because every move is a step toward independence and self-assertiveness. Celebrate the victories, stay active, and never hesitate to seek professional advice to get the best fit. The world of prosthesis is evolving rapidly, and with the proper knowledge and support, you can stay ahead, enjoying enhanced mobility and a more fulfilling life

KARE: Prosthetic and Orthotic India

At KARE, India’s No 1 prosthetics and orthotics solution, we cover a broad category of prosthetics and orthotics services, from the basic to the advanced level. We provide the best prosthetics and orthotics in India, and solutions from the cheapest to the most advanced artificial leg.

In addition, we will provide guidance and therapies to assist in walking by our professional physiotherapists and follow up with you to ensure your comfort. If you feel discomfort after the fitting, we can make changes for your comfort. Find the KARE center near you and meet the best prosthetic leg price in India and exceptional services we provide!

Schedule your appointment today and let our experts guide you with care and understanding.

two person with prosthetic leg playing

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