Prosthetic Leg Wearing Schedule

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Before taking home the prosthetic leg, you will learn how to put it on and take it off, and you will also practice walking with it.

Once you take it home, your prosthetist will provide you with a wearing schedule that is important to follow, as it helps acclimate your residual limb to the prosthesis. Similar to how, when exercising, you work your way up to more difficult workouts, you also need to train your residual limb to the prosthesis.

While you may wish to go right to wearing your prosthetic leg all the time, it is crucial to follow the wearing schedule and not overdo it, as that may result in pain and potential injury. It takes a lot of time, strength, effort, and patience to learn to use a prosthesis, which is why the wearing schedule is important to avoid overdoing it.

Some individuals find it easier to use a cane or crutch as they learn to walk with a prosthesis because it&#;s a significant learning curve as you learn how to use the device and practice your balance, coordination, and gait. The cane or crutch can help provide stability as you learn to properly use your prosthesis and avoid placing unnecessary stress on the body due to an improper gait.

Once the wearing schedule is complete and your residual limb becomes fully acclimated to the prosthetic leg, you may wear your prosthesis all day. However, it is important to never wear it while sleeping.

When Should You Make an Appointment to See the Prosthetist?

• If it is painful, you should see your prosthetist as soon as possible.
• If it is uncomfortable and persists, no matter what sock combinations you use, you should consider seeing your prosthetist for an adjustment.

What Can Cause Your Residual Limb to Become Swollen?

There are many reasons why your amputated limb may be swelling. One of the major causes of swelling in your residual limb is taking in too much salt. A simple change in your diet can help here. If needed, contact a dietician to help you create a meal plan that is right for you.

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Another common reason for swelling to occur is not wearing a shrinker sock at night. A shrinker helps make sure your residual limb stays a nice consistent shape and size.

A more serious reason swelling could occur is an infection. If you get a cut or your incision opens up and becomes infected, swelling will be apparent.

There are also certain medical conditions like heart or kidney disease, impaired circulation, and uncontrolled diabetes that could be a cause of the swelling. Make an appointment with your doctor if your swelling does not go down. 

What Does it Feel Like When Wearing Too Many Ply Socks?

• Residual limb throbs, feels constricted and chocked
• Uncomfortable pressure
• End of limb becomes weepy (moist) and red and/or purple in color.
• Feeling that the prosthesis is too tall

What Happens When You Do Not Wear Enough Ply Socks?

When you do not wear enough ply socks, the prosthetic may move around too much. This can cause the foot to turn in or out and could cause a fall. You may also feel tightness at the bottom from dropping too deep into the socket.

Others have expressed the feeling of the prosthesis being too short and, in some instances, skin breakdown occurs at the bottom of the residual limb from friction and rubbing.

When is it Time to Replace Your Prosthesis?

Below is a list of different scenarios and reasons that may indicate the need to replace your prosthesis. 

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• Your weight is no longer within the range of safety of the components.
• The components are no longer working to the specifications of the manufacturer.
• Your activity level is no longer compatible with the components used, such that they are increasing the individual&#;s net energy cost rather than decreasing it.
• A specific component or module needs replacing, but the replacement is not compatible with the rest of the existing components.
• So many changes or alterations have been made to materials that their structural integrity has been compromised.
• It is impossible to increase or decrease the size of the socket and or frame without rebuilding the whole prosthesis.