Prosthetics

Patients LOVE Hoss not only because he can solve their issues, but also because he works with them to visualize and achieve their goals.

Our prosthetic practitioner Hoss will discuss your prosthetic options that are tailored to you as an individual. You will discuss prosthetic systems, learning about the wide variety of prosthetic components, products and options available to you. You, along with Hoss, will determine the most appropriate prosthesis that will allow you the freedom to accomplish your daily activities.

Prosthetics

Our New Amputee Training Facility Transcript

Hi, Hoss Hodges, practitioner and owner here at SEMO Prosthetics and Orthotics. We know the challenges that many people living with limb loss face. I am here to help you navigate through your entire journey. Not only do I fabricate each device in house. I’ve constructed a realistic amputee training facility, with various terrains and training modalities for the real world. To help you progress in life with the utmost independence and confidence. Come feel the difference at SEMO Prosthetics and Orthotics, where you are not just a number, you’re part of the family.

Our NEW amputee training facility at our Poplar Bluff location is open and ready

Our NEW amputee training facility at our Poplar Bluff location is open and ready to help amputees regain their CONFIDENCE with every step no matter what the terrain. We have sandboxes, gravel boxes, ramps, a full set of steps (there is a rail, not pictured), and 3 sets of 24-foot parallel bars. Our facility also features a treadmill, stationary bike, weight training, balance station, and punching bags. We also have walkers, crutches, and canes to help our patients as well. No matter what level you are, we have a multitude of training options and abilities. Hoss will help you every step of the way so you can be CONFIDENT on your journey as an amputee!

Lower Extremity Prosthetics

We specialize in providing lower extremity prosthetic solutions for all amputee levels. Our main focus is helping each patient reach their goals by creating a prosthesis that is useful, comfortable, and cosmetically appealing. We are here to help the patients regain their self-confidence as they return to their normal lifestyle.

Upper Extremity Prosthetics

There are many different components to select when designing and fabricating a prosthesis. We work together with our patients to determine which design is most suitable to accomplish their goals. We assist with all levels of amputation, from finger and partial hand amputations, through wrist disarticulation, above and below elbow amputations, to shoulder disarticulations and forequarter.

The difference between possible and impossible is in your determination

Life after limb loss doesn’t mean sacrificing activities that you enjoyed prior to amputation. Whether you’re into running, swimming, cycling, golfing, hunting or virtually any other activity, Hoss will help you get back to doing the things you love to do.

FAQs for Prosthetic Patients

Living with limb loss can be a challenging and sometimes confusing time. Understanding and implementing all the information regarding your residual limb care and prosthetic care can be challenging. We have compiled a list of frequently asked questions to help navigate you through this. Remember, if you have any questions or need further information contact our office. We are here for you!

Q: What is the basic process of receiving my first prosthesis?

A: Most amputees are ready for their first prosthesis about four to eight weeks after surgery. Healing is the first goal post surgery. Your Surgeon/Physician will need to provide a prescription for a prosthetic device. Fabricating a prosthesis generally takes three to four weeks from initial casting. A sample timeline may be as followed:

1. Post-surgery, meeting with prosthetist for fitting of shrinker and verbal/written information regarding prosthetic intervention. (1st appointment)

2. A review of your overall health and medical history, Questions about your rehabilitation goals and expectations, such as returning to work, engaging in athletic or recreational activities, living/caregiver arrangements, and more. Assessment of your muscle strengths and weaknesses as well as range of motion/flexibility of the involved and surrounding joints (1st or 2nd Appointment)

3. Measurement/casting of your residual limb. Creation of a plaster mold of your residual limb to fabricate a check/diagnostic socket (2nd or 3rd appointment)

4. Check/diagnostic socket fitting, this is a trial prosthetic to make sure the fit and alignment will be satisfactory. (3rd or 4th appointment)

5. Your final customized prosthesis will be fitted to you. You will receive a wearing schedule to give your body time to get used to the prosthesis. (4th or 5th appointment)

6. Follow-up visits will be setup for monitoring and possible adjustments to ensure proper fit, function, and safety within your prosthesis. We will also ensure that the integrity of your tissue is not compromised.

Q: How should I care for my residual limb?

A: Daily cleansing and inspection of your residual limb is very important. Use your preferred body soap to clean your limb. If you are prone to bacterial or fungal issues with your skin, I recommend Defense soap (you can buy this on Amazon). Use a mirror if necessary to look at all aspects of your limb including the very end and back behind your knee. Look for signs of sores, blisters, breaks in your skin, rashes, etc. Skin redness that goes away within about 10-20 minutes of removing your prosthesis is typically okay, however if redness persists for extended periods, excessive pressure may be the cause. If you notice one of the above issues or anything unusual with your residual limb that concerns you, contact your prosthetist.

Q: Will my residual limb change after amputation?

A: Typically, over time, it will decrease in size, shape and potentially length as muscles in your residual limb will atrophy (shrink). This is considered normal as your muscles are no longer performing all their intended functions. Daily changes will commonly occur in your limb, such as volume changes from morning to evening. Usually, your limb will be larger in the morning and as you become active and push fluid out your limb it to get slightly smaller. Long term changes, weeks, months, after amputation surgery, your residual limb may experience change in shape or size, usually smaller. Certain bones may become more prominent. Weight gain or weight loss can affect each individual limb differently. If these occur is normal and adjustments will be made by your prosthetist to maintain fit and comfort. If your residual limb has changed beyond normal adjustment ranges a replacement socket will be discussed.

Q: How often should I wear my stump shrinker?

A: You will typically wear it “24/7”, except when bathing. If your shrinker does not properly stay in place while sleeping, then only wear while awake to maintain proper placement. A shrinker is meant to help shape your residual limb and prepare it for prosthetic fitting. It also helps the process of desensitizing your limb and preparing it for when you start rolling on a liner before you are initially fit with your first prosthesis. Once you have been a prosthetic user for a few months you may not experience volume fluctuations. You would be able to discontinue use of the shrinker or uses it as needed when you experience fluid retention. Discuss with your prosthetists is you are unsure of wear time.

Q: Will I be able to do everything I used to do before my amputation?

A: Simple answer is yes, however, his will depend on your age, your overall physical condition and your desire. Certain activities may be harder than others, but if you have the will then there is always a way. We do not like to limit or patients, however your safety and health are the most important thing. If you are determined and consistent you will have success. Stay tough both mentally and physically.

Q: Should I get physical therapy after being fit with my first prosthesis?

A: Depending on your overall physical condition following your amputation and fitting with a prosthesis, you have typically lost some strength and your P.T. will help you try to gain that back. Physical therapy will aid in avoiding further muscle loss, preventing muscular contractures, and improving proper, symmetrical gait habits. It is recommended but is not required for all amputees.

Q: When do I need to see my primary care physician (PCP) as an amputee?

A: You should see your PCP at least every 6-months and more frequently if you are having medical issues. When you see your PCP, you should always discuss any issues you might be having with your residual limb or your prosthesis. It is very important that your PCP and your prosthetist are documenting the proper information to provide proper prosthetic supplies/care. For Medicare/Medicaid or private insurances to provide coverage, documentation of the each must coincide. If you are experiencing major prosthetic issue, you should ask your prosthetist to send his/her notes to help your PCP understand the issue.

Q: When do I need a prescription for prosthetic items

A: You get 2 new prosthetic liners each calendar year without a prescription, however if you require more than 2 per calendar year, we need a prescription to document why more than 2 are required. When a whole new Prosthesis is required whether it’s your 1^st or your 5^th, you always need a new prescription. If only the prosthetic socket needs replaced, you will need a prescription for a socket replacement. If a prosthetic foot or knee unit is broken and no longer under warranty, you will need a prescription. Things you don’t need a prescription for include items such as socks, shrinkers, gel sheaths…etc. When in doubt just ask your prosthetist.

Q: When should I contact my prosthetist?

A: Whenever you have a question about something going on with your residual limb or with the fit or function of your prosthesis, you should contact your prosthetist and ask questions. Depending on the specific issue, you might need to make an appointment to go in and see your prosthetist. Always err on the side of caution. Many prosthetic questions can be addressed over the phone, but if not, make an appointment.

Q: How much should I wear my prosthesis each day?

A: New amputees should gradually increase their wear time as the days and weeks go by. A safe time frame would be 1-2 hours in the morning, then 1-2 hours in the evening for the first week, then each week after that add 1 hour to this time frame, so after 8 weeks you should be able to wear your prosthesis for 8 hours at a time (ex. Week 4 you would be wearing 4-5 hours at a time). This is a safe timeframe for new amputees, however, keep in mind some patients move much faster than this and some much slower. The most important thing is to put it on everyday to get use to wearing it and always keep a close eye on your residual limb for sores, blisters or any other tissue disturbance that can set you back.

Q: How should I clean my liners?

A: It is very important to maintain a clean liner. Anything that touches your skin must be clean! You can use warm soapy water (preferably an unscented soap like ivory). Turn your liner inside out and rinse with warm soapy water, dry off with towel and then turn fabric side back out. Another way is to use a 50/50 mix of rubbing alcohol and water. Turn liner inside out, spray liberally and wipe down. (Hoss uses the 50/50 mix method in the office, he says get in the habit of washing when you take off and right before you put it on)

Q. What is a sock-ply?

A: Stump socks are made in different thicknesses called “plies.” They start at 1-ply which is a very thin sock and typically go up to 5 or 6-plies. The higher the ply number, the thicker the sock. The looser the socket, the more sock-plies you need to add. The sock will either have a number printed on the front or it will be color coded.

Q: Why do I have to wear stump socks?

A: Stump socks are provided to help you manage changes in the volume of your residual limb. Your limb can lose volume from morning to afternoon. Each patient’s residual limb is different. Some may fluctuate 2-3 ply in a day, some may experience 6-8 throughout the day. It is important to adjust your sock ply accordingly to maintain proper fit, function, and comfort. Some signs that you may need to add a sock may include prosthetic socket or foot rotating or it feels like you have excessive pressure on the end of your residual limb. Try adding a one sock first, start with 1-2 ply and move up gradually until a level of comfort is reached. Adding one or more socks over your liner can often help to re-establish an intimate socket fit. Prosthetic socks can be layered on top of each other and should typically be worn over the outside of your liner. Over time, you will get used to adding and removing socks depending on what you are feeling in your socket. Whenever you leave home for the day, you should take some socks with you in the event you need to add them. And remember if you are in a locking pin style socket make sure your sock is clear of your pin.

Q: Do I wear it to sleep?

A: No, Prosthetics are designed to be worn during the day and while you are awake, removed while sleeping. We recommend that you wear a “shrinker” on your residual limb at night to maintain the shape and configuration and help reduce edema and swelling of the residual limb. We also recommend that you apply creams to the skin during the evening.

Q: Can I wear my prosthesis with different shoes?

A: If you wear similar styles of shoes such as, mainly tennis shoes (like New Balance, Nike etc.) there is usually no change in the way your prosthesis functions. However, if you are a person who wears boots, flats, heels tennis shoes etc., depending on the day or the activity, then you will need to discuss this with your prosthetist as the alignment of your prosthesis will change drastically based on the heel heights of various shoes causing ill alignment and function.

Q: How often should my prosthesis be checked?

A: If you receive a new prosthesis typically, we schedule the first follow-up appointment within 1-2 weeks. This is followed by 4–6-week follow-up. Then 8–10-week follow-up. After this, assuming there have been no complications we move you to quarterly follow-ups. For more experienced uses these dates can vary, but as a rule you should always contact your prosthetist with any issues sooner rather than later to avoid minor issues becoming major.

Q: How long will my first prosthesis last?

A: Your first prosthesis is used for approximately 3-6 months. During these first few months is when we notice the greatest changes in your limb. We usually need to make multiple adjustments to both alignment and fit. Once your limb becomes more consistent and has fewer fluctuations, we will discuss a socket replacement to provide a nice intimate fit. After this a typical prosthesis can last 2-5 years. Certain circumstances can allow for these timelines to increase or decrease. Always call and schedule an appointment with your prosthetist to monitor your residual limb and your prosthesis.

Here's what our patients are saying about us

Sherry Testimonial Closed Captions Transcript

I’ve had a prosthetic for about twenty plus years. As time went on, I’ve had to take away some of my own everyday hobbies, like playing tennis with the kids or doing hiking or anything like that. Hoss was the one that was able to fix and correct what I wasn’t able to have in the previous years. At SEMO Prosthetics & Orthotics, that’s where I felt at home and I’ll never go any other place other than this.

Sean & David Testimonial Closed Captions Transcript

So I started seeing Hoss about three or four years ago, and I live in Memphis. So I’ve had nothing but troubles with getting legs that fit right and talking to Lack here about Hoss and all the success he’s had. I started driving from Memphis, fixed my leg and got me going again. It’s just been a blessing for me. When they put my nub back together all kind of weird, so everything has to be custom. So it’s hard on Hoss but he does everything he can to make sure I’m walking.

Steve Testimonial Closed Captions Transcript

Hi I’m Steve Murphy and I been coming here about 17 years to SEMO Prosthetics. So the sand boxes and the gravel boxes they relate real good, I paddle on the rivers a lot and when you’re hauling your boat or you’re having to do a portage and walk through all that lose gravel and all that lose sand. Without these boxes a person would have a hard time being prepared for those situations. Every time I’ve had a problem, they’re there for me, and so I wouldn’t go anywhere else.

Brandon Testimonial Closed Captions Transcript

Hi my name is Brandon Peters and I’ve been coming here to SEMO Prosthetics and Orthotics for about 9 years now, since I was 12 years old. The equipment here at SEMO Prosthetics and Orthotics it works really well. The gravel box and the sand box both give you a realistic view of what it would be like to walk on a beach or maybe even a park to play with your children. Coming to SEMO, it’s been a great time. I would rather not be anywhere else. I get taken care of greatly here and I really appreciate the work everyone does.

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Testimonials

The best place to go for prosthetics!! I've tried the other two companies in Cape before and SEMO Prosthetics is the BEST!! Their work and customer service are A+! Horace goes above and beyond to make sure his customers are taken care of. I wish I would have known about this place sooner.

Charles M.

They are so knowledgeable and helpful. They worked hard to provide me with the right insert, size, fit, and workability. The staff is absolutely wonderful and accommodating. I recommend coming to see them for any and all specialty shoe and foot/ankle needs.

Cassandra S.

This office is the most absolute professional and caring staff I have ever met! Feels like home when I enter the door! They were so kind and loving to my daughter and myself! Thank you so much for making our days bright when we leave the office!

Denise and Sophia

I HIGHLY recommend these wonderful people! Hoss and Stephanie treated us like old friends, from the 1st phone call and consultation, to making sure my husband's new prosthesis, that Hoss made, was the perfect fit! Then they customized inserts for both my 11 year old son, and my husband. Both say they help tremendously! No stress involved with our experience here. They take care of you. Try them out!!!

Sarah

I am a below the knee double amputee and have been taken care of by all these wonderful, caring professionals since 2012. The personal care is outstanding and not like a "corporate owned" service that slaps legs on you and sends you on your way. I think I have driven Hoss Hodges and prior to him his father Bill (RIP) nuts because I am pretty fussy. They listened to me and turned my concerns into real solutions. No appointment is short. Time is taken to talk, listen and make the outcome successful. I love these guys. They gave me back my independence. I am so glad you are reaching out to others because you are the best and everyone should know this. Thank you!

Vivian