CUSTOM PROSTHETICS & ORTHOTICS

We offer pre-surgical consultations for prospective amputees, their families, and their friends at no charge and with no obligation. Our Certified Prosthetists and assistants provide tours of the facility and explain our philosophy of care. We discuss concerns, goals, and possible treatment options with the individual and even encourage visiting multiple prosthetic companies to make an informed decision.

Coastal P&O collaborates with other medical professionals as part of our team approach to prosthetic care. Our prosthetists offer expertise to surgeons before procedures, in order to determine optimal amputation lengths for their patients. Upon request, prosthetists can visit area hospitals, rehabilitation centers, and nursing facilities to conduct appointments.

When prosthetists meet with amputees post-surgery, they are prepared to answer inquiries about wound care, address issues like phantom limb sensation, and discuss what lies ahead in the prosthetic process. With a doctor’s order, our prosthetists can apply rigid dressings, Adjustable Post Operative Devices such as Flo-Tech, LimbGuard and compressive socks (shrinkers).

The Flo-Tech & LimbGuard devices are immediate fit post-op prostheses that prepares the amputee’s residual limb for the future definitive prosthesis. This device can even be furnished prior to waking from surgery to assist with the physical and mental transition. They are also used in post-operative rehabilitation to protect amputees from injury while healing, provide access to bandages and dressings, and introduce weight-bearing and control swelling. When a doctor is satisfied with the residual limb’s condition and issues a prescription for treatment, we then move ahead to fitting the definitive prosthesis.

If you are a medical professional interested in knowing more about our distinct services, like pre- and post-operative collaboration, please contact us.

Coastal P&O is known for successfully fitting a wide array of amputees, even those who have not yet achieved a good fit for their socket interfaces at other prosthetic facilities. Working from the evaluation plan, our prosthetic team employs specialized fitting techniques that are unique to the industry. When a patient is satisfied with the evaluation and the prosthetist has a prescription to make a prosthesis, the fitting process begins with casting over the residual limb and fabricating a diagnostic check socket. At Coastal P&O, we fabricate our check sockets in our in-house lab and out of clear plastic, allowing prosthetists and assistants to observe pressure points and problem areas. If necessary, we make multiple preliminary sockets to achieve the right fit, including a walking check socket that can be used in the office. This well-established process is unparalleled in the profession and ensures a better fit and function. Using the latest in Computer Aided Design and Manufacturing; patients can be fit with an initial prosthesis within 3-4 working days! This is almost 1/3 less time most facilities take. Our efficiencies, experience and in-house fabrication allow us to spend the extra time needed to ensure the proper fit and function for patients.

By investing time in the diagnostic process, fitting issues are minimized during fabrication. As a result, we can design prosthetic sockets that encourage muscle growth in the residual limb, and we supply training to rebuild residual muscles, which is critical to achieving a healthy gait pattern on various forms of terrain and participating in an array of activities. We assert that a prosthetic limb is only as good as its socket interface – proper fit for proper function.

Once the socket interface is comfortable, a final definitive carbon fiber socket is created and fabricated with the associated components and interfaces.  These components and interfaces are carefully selected from leading manufacturers by a patient’s prosthetist based on the information gathered from his/her evaluation. Adjustments are easily made during fitting appointments and follow-up visits for optimal performance and ultimate safety. Throughout the prosthetic process, Coastal P&O works as part of a patient’s medical support network to furnish the best prosthesis possible.

Coastal P&O is one of few prosthetic providers in Southern California that actively uses computer aided design and manufacturing for prosthetic devices. In our office, scanning technology optimizes the process for prosthetic design and improved fittings. Once the modifications are completed, the design is carved out of dense foam and prepared for the initial fabrication and fitting. After assessing, or reassessing, a patient’s health and lifestyle, we can chose from a variety of bionic and prosthetic technologies on the market to recommend for the prosthesis. These products offer a range of benefits for the patient and, when combined with the socket design, improve quality of life and increase activity options. Not all insurances will provide benefits for this type of technology, however, with proper medical necessity and justification many will. We encourage patients to talk with our prosthetists and administrative staff to determine what is right for them.