The patient meets with a physician or prosthetist to discuss their amputation, medical history, and goals for prosthetic use. A physical exam is performed to assess the residual limb, including skin condition, muscle strength, range of motion, and sensation. The prosthetist evaluates the patient’s overall health, lifestyle, and activity level to determine the most appropriate prosthetic solution.

The physician writes a prescription for a prosthesis, specifying the type and components needed based on the patient's functional abilities and goals. A letter of medical necessity may be required to justify the need for the prosthesis to insurance providers.

The prosthetist takes detailed measurements of the residual limb to ensure a proper fit. A cast or digital scan of the residual limb is created to develop a model for the prosthetic socket.

A temporary, transparent test socket is made based on the initial cast or scan. The patient wears the test socket to assess comfort, fit, and stability. Adjustments are made to the socket as needed.

Once the test socket fits well, a definitive (final) socket is fabricated. This socket is usually made of more durable materials like carbon fiber or specialized plastics.

Based on the patient's activity level and functional needs, the prosthetist selects the appropriate components. In the case of a leg, this could include foot, ankle, knee (if applicable), and suspension system. All components are assembled and aligned to create the complete prosthetic limb.

The patient tries on the complete prosthesis, and the prosthetist assesses the fit, alignment, and function. Adjustments are made to optimize comfort, stability, and gait.

The patient works with a physical therapist to learn how to walk and perform daily activities with the new prosthesis. Gait training focuses on balance, coordination, and proper walking mechanics. The therapist provides exercises to strengthen muscles, improve range of motion, and enhance overall function.

Regular follow-up appointments with the prosthetist are necessary to monitor the fit and function of the prosthesis in order to avoid living in chronic pain. Adjustments are made as needed to accommodate changes in the residual limb or activity level. These adjustment appointments are ongoing costs of being an amputee.

The patient learns how to care for and maintain the prosthesis, including cleaning and inspecting components. Regular check-ups with the prosthetist ensure the prosthesis remains in good working condition. Prosthetics only last 3-5 years before needing a new one, adding to the continual cost burden.