Orthotics and Prosthetics

Q: How long will my orthotic device last?

It depends on the @type of device and the usage. Each device is made to last, but the length of need will vary. And if something malfunctions or doesn’t feel right, we’ll resolve the issue and make sure everything is working correctly.

We’re experts at identifying orthotic and prosthetic devices that fit just right and maximize mobility.

If you need an orthotic device (supportive brace) or a prosthetic device (artificial limb), or would like a second opinion on how your current device fits or functions, we can help. Finding the right device for your goals and lifestyle can be challenging, but it can also make all the difference when you do.

At Atrium Health Wake Forest Baptist, our expertise lies in working with you to identify the ideal orthotic or prosthetic device that maximizes your mobility, function and ultimately improves your quality of life.

Who can benefit from orthotic and prosthetic devices?

A prosthetic device (or prosthesis) is used to replace all or part of a missing or amputated limb, such as a hand, foot, arm or leg. If you have difficulty using your current device or are looking to get your first prosthesis, we can help you find the best possible fit for your unique needs.

An orthotic device (or orthosis) - such as a leg, foot or wrist brace, or a shoe insert - helps support weakened muscles, improves alignment, assists in movement and reduces pain. If you or someone in your family has undergone a surgical procedure, dealt with a neurological disorder or faced foot-related issues, an orthosis could bring major gains in overall function.

Orthotics

We work closely with you to identify the best orthotic device based on your physical needs, daily routine and lifestyle, and budget. Here are some of the orthotic options we offer:

Ankle and foot

Custom and off-the-shelf (OTS) diabetic shoes: Provide comfort, support and protection for diabetic feet
Custom and off-the-shelf (OTS) diabetic orthoses: Provide support and comfort for diabetic feet
Custom, functional foot orthoses (FOs): Enhance foot function and provide customized support
Shoe modifications (like shoe lifts, wedges and flares): Help improve alignment
Custom ankle-foot orthoses (AFOs): Provide support and alignment to improve mobility and stability
OTS ankle-foot orthoses (AFOs): Used for positioning, foot drop and contracture management

Knee

Basic neoprene (rubber) knee orthoses (KOs): Provide stability and support for mild knee or patellar injuries
Patellar stabilizing knee orthoses (KOs): Provide support and alignment for the kneecap, aiding in stability and reducing pain during movement
Postoperative range-of-motion (ROM) knee orthoses (KOs): Allow a controlled range of motion after knee surgery, promoting healing
Anterior cruciate ligament (ACL), posterior cruciate ligament (PCL) and combined instability knee orthoses (KOs): Provide support, correction, stability and protection for ACL and PCL injuries
Osteoarthritis (unloader/load shift) knee orthoses (KOs): Reduce pressure and pain for knee osteoarthritis

For complex conditions

Knee, ankle and foot orthoses (KAFOs): Provide support, alignment and stability for the knee, ankle and foot
Hip, knee, ankle and foot orthoses (HKAFOs): Provide support, alignment and stability for the hip, knee, ankle and foot
Stance control orthoses (SCOs): Provide stability by using mechanical or electronic systems to automatically control the knee joint during walking
Reciprocating gait orthoses (RGOs): Use mechanical systems to assist with impaired lower limb function, simulating a more natural walking pattern

Spine

Soft cervical collars: Provide positional support for neck strains, sprains or minor cervical injuries
Rigid cervical collars: Used to immobilize and support the cervical spine in cases of neck fractures
Lumbosacral orthoses (LSO): Provide support and stabilization for the lower back in cases of pain from overuse, osteoporosis, spondylolisthesis or fractures
Thoracolumbosacral orthoses (TLSO): Provide support and alignment for the thoracic, lumbar and sacral parts of the spine

Hand, wrist and shoulder

Basic off-the-shelf (OTS) wrist and hand orthoses (WHO): Provide support, immobilization and comfort for various conditions, like carpal tunnel or sprains
Wrist, hand, finger orthoses (WHFO): Used to support proper positioning and alignment
Elbow ROM and static elbow orthoses (EOs): Provide support, stability and immobilization for the elbow joint
Shoulder slings: Provide support and immobilization for shoulder injuries
Shoulder slings with abduction pillows: Promote proper positioning and recovery after shoulder surgery
Humeral fracture orthoses: Provide support, stabilization and immobilization for fractures in the humerus bone

Prosthetics

We work closely with you and collaborate with our team of experts to determine the ideal prosthetic device based on your physical needs, lifestyle and budget. We also have access to the latest prostheses, like microprocessor terminal devices, enabling a more functional and natural movement. Here are some of the prosthetic options we offer:

Lower extremity

Partial foot prostheses: Replace the missing portion of the foot, restoring mobility and function
Prosthosis: A hybrid device providing functional support and mobility for limb impairments with orthotic and prosthetic components
Symes prostheses: Foot-and-ankle device providing support and functionality after an ankle amputation
Transtibial prostheses: Replace the leg below the knee, restoring mobility and functionality
Transfemoral prostheses: Replace the leg above the knee, restoring mobility and functionality

Upper extremity

No prosthesis: For various reasons, such as pain or comorbidities (multiple medical conditions), some individuals may choose not to use a prosthesis
Partial finger: Restore fine motor control and appearance to portion of finger; these can be static, wrist-driven, manually positioned or myoelectric controlled (muscle controlled)
Finger or multiple finger prostheses: Restore fine motor control and appearance of finger(s) through the joint(s); these can be static, wrist-driven, manually positioned or myoelectric controlled
Partial hand prostheses: Improve grip strength, fine motor control and overall hand function; these can be static, wrist-driven, manually positioned or myoelectric controlled
Wrist disarticulation prostheses: Restore wrist mobility and hand control
Transradial prostheses: Restore arm function and natural movement below the elbow
Elbow disarticulation prostheses: Restore arm movement and enable activities requiring elbow mobility
Transhumeral prostheses: Restore arm function and natural movement above the elbow
Shoulder disarticulation prostheses: Restore natural arm movement from the shoulder
Interscapular-thoracic prostheses: Offer stability and mobility for the upper body

Patient Care - What to Expect

At your first appointment, you can expect an in-depth assessment and consultation with a prosthetist (an expert who specializes in prosthetic limbs) or an orthotist (an expert who specializes in orthotic devices).

Appointments may vary based on your unique condition and needs, but here are the typical steps we go through:

Assessment: We will evaluate your condition, go over your medical history and any other diagnoses you have (like diabetes), and discuss your challenges, goals and expectations.
Physical examination: To help determine how your orthotic or prosthetic device will fit, we’ll do a physical examination of the affected area to assess factors like joint function, muscle strength and range of motion.
Casting, measurements and imaging: Shape-capture techniques such as casting or 3D scanning are used to capture the size and shape of the affected area. We then use these measurements to order or create a device that’s tailored to you.
Prosthetic or orthotic options and education: We’ll discuss various devices that are suitable for your needs, look at samples, and talk about the potential benefits and limitations of each option. You’ll have the opportunity to ask questions and learn more about the process.

Typically, you’ll receive your orthotic or prosthetic device at your next 1 to 2 appointments. During that visit, we’ll have you put on and take off your device (don and doff) and move around in it. We’ll also finetune any components that need to be adjusted so the fit is just right.

Follow-up appointments are necessary for almost every device and their frequency depends on the severity of your condition. And if you ever experience pain or discomfort, schedule a follow-up appointment and we’ll make adjustments as needed.

We also offer preoperative consultations where we discuss the typical prosthetic process before an elective amputation.

Frequently Asked Questions

What conditions require orthotics?

Some common conditions that may require an orthotic device include:

Neurological disorders or conditions, like multiple sclerosis, stroke and cerebral palsy
Back and spine conditions, like scoliosis, degenerative disc disease and lower back pain
Arthritis and joint conditions, like osteoarthritis and rheumatoid arthritis
Sports injuries, like sprains, tears and stress fractures
Knee and leg conditions, like patellar dislocation
Foot and ankle conditions, like clubfoot, high arches and Achilles tendonitis

Some of the benefits orthotic devices provide include:

Enhancing stability
Compensating for muscle weakness or imbalances
Improving gait (the way you walk)
Improving mobility
Reducing pain
Cushioning and relieving pressure on affected areas
Stability during physical activities
Improving posture
Distributing body weight evenly

What’s the difference between prosthetics and prosthesis?

Prosthetics refers to the field of research and expertise in designing artificial limbs. Prosthetic can also be used as an adjective (as in prosthetic device).

Prosthesis is the term for an artificial device or limb that replaces a missing body part. The plural of prosthesis is prostheses.

What conditions require prostheses?

Some of the common conditions that may require the use of prosthetic devices include:

Dysvascular amputation, resulting from a limb being surgically removed due to complications from poor blood circulation or neurologic conditions
Traumatic amputation, resulting from injuries or accidents (like a car crash)
Cancer-related amputation, resulting from a limb being surgically removed to prevent the spread of cancer
Congenital limb deficiencies, where a limb or limbs are missing or undeveloped at birth

Some of the benefits prosthetic devices provide include:

Restoration of function, allowing you to perform daily activities, such as walking, grasping objects and maintaining balance
Improved mobility, making it possible to move more freely, navigate your environment, and engage in hobbies and sports
Psychological well-being, by helping you regain a sense of control and confidence in your abilities

How long does it take to learn how to use a prosthetic device?

Typically, it takes several weeks to months to learn how to use a prosthesis effectively. The learning period varies based on your physical condition, motivation and the type of prosthesis you use. And it’s also an ongoing process. You’ll continue to refine your skills and adapt to your prosthetic device over time.

Working with your prosthetist and participating in rehabilitation can also help you achieve maximum use of your prosthetic limb.

How long will my orthotic device last?

It depends on the type of device and the usage. Each device is made to last, but the length of need will vary. And if something malfunctions or doesn’t feel right, we’ll resolve the issue and make sure everything is working correctly.

How long will my prosthetic device last?

How long prostheses last varies depends on factors such as age, activity level and how well you take care of the device. The parts of your prosthetic device that are made of durable materials, like aluminum or titanium, will last longer than the parts made of silicone or cotton. Regular maintenance by a prosthetist a few times a year is essential for optimal care.

Will my health insurance cover the cost of my prosthesis or orthosis?

It varies and depends on your coverage.

To the best of our abilities with the information we have, we will inform you of potential costs, provide estimates and address questions before ordering or starting fabrication. In certain cases, immediate stabilization takes priority, such as severe injuries or broken bones.

Your first appointment (the consultation) is complimentary (free).

Providers

Locations

Orthopaedic and Sports Medicine - High Point

Address

611 Lindsay St.

Suite 100, 102 and 200

High Point, NC 27262

Get Directions

Hours of Operation

Mon - Fri: 8 am - 5 pm

Contact Us

336-878-6520
336-905-6101 (FAX)

336-878-6525 | Physical Therapy

Orthopaedic and Sports Medicine - High Point, 611 Lindsay St. - Google Maps

Referring Physicians

At Atrium Health Wake Forest Baptist we understand the importance of referrals. Our Physician Liaisons partner with referring physicians in our community and beyond to provide information on our physicians and clinical services. Full list of new physicians.

Contact the Physician Liaisons

Insurance

Insurance Accepted

This chart is a list of the most common health insurance plans we accept. This list is subject to change. Please check your individual plan to confirm their participation and the coverage allowed.

Due to the different physician groups and hospitals within the Wake Forest Baptist system, physician services and hospital services are billed separately. Please remember that health insurance coverage varies, so some services may not be covered.

If you don’t see your plan or you have questions, please call our Customer Service Center at 877-938-7497. We will do our best to work with you and your plan.

Key

WFUHS - Wake Forest University Health Sciences (professional services)
NCBH - North Carolina Baptist Hospital
LMC - Lexington Medical Center
CHC - Cornerstone Healthcare
Wilkes - Wilkes Regional Medical Center
HPR- High Point Regional
N/A - Not applicable to services provided at facility and/or CHC
NC -Not Contracted, very low to no volume for facility and/or CHC

Wake Forest Baptist Health Managed Care/MA Contracts - January2022

AETNA CONNECTED ACA/Exchange: Accepted at all locations

AETNA (PPO & HMO): Accepted at all locations

AETNA MEDICARE: Accepted at all locations

AETNA WHOLE HEALTH: Accepted at all locations

ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, Davie, LMC, CHC and Wilkes (not applicable to services provided at High Point)

AMBETTER OF NC: Accepted at all locations

AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted at all locations

APEX MEDICARE ADVANTAGE: Accepted at all locations

BCBSNC (PPO & HMO): Accepted at all locations

BCBS HIGH PERFORMANCE (NATIONAL NETWORK): Accepted at all locations

BLUE LOCAL WITH ATRIUM HEALTH: Accepted at all locations

BLUE MEDICARE: Accepted at all locations

BLUE VALUE: Accepted at all locations

CAROLINA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and CHC (not applicable to services provided at Davie, LMC, Wilkes and High Point)

CIGNA: Accepted at all locations

CIGNA BEHAVIORAL HEALTH: Accepted at NCBH and High Point (not applicable to services provided at Davie, LMC, CHC and Wilkes)

CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, Davie, LMC, CHC and High Point (not applicable to services provided at Wilkes)

CIGNA LIFESOURCE (TRANSPLANTS): Accepted at WFUHS and NCBH (not applicable to services provided at Davie, LMC, CHC, Wilkes and High Point)

COVENTRY/WELLPATH: Accepted at all locations

CRESCENT PPO (ASHEVILLE): Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)

DEVOTED HEALTH: Accepted at all locations

DIRECT NET: Accepted at WFUHS, NCBH, Davie, LMC, Wilkes and High Point (not contracted, very low to no volume for CHC)

FIRST HEALTH (COVENTRY): Accepted at all locations

FIRSTCAROLINACARE (PINEHURST, NC): Accepted at NCBH (not contracted, very low to no volume for WFUHS, Davie, LMC, CHC, Wilkes and High Point)

GATEWAY HEALTH ALLIANCE (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)

GOLDEN RULE INS (UNITED): Accepted at all locations

HEALTHGRAM (formerly PRIMARY PHYSICIAN CARE): Accepted at WFUHS, NCBH and LMC (not contracted, very low to no volume for Davie, CHC, Wilkes and High Point)

HEALTHTEAM ADVANTAGE: Accepted at all locations

HUMANA CHOICECARE: Accepted at all locations

HUMANA MEDICARE ADVANTAGE: Accepted at all locations

LIBERTY ADVANTAGE (MEDICARE ADVANTAGE): Accepted at WFUHS and NCBH (not applicable to services provided at Davie, LMC, CHC, Wilkes and High Point)

MAGELLAN (BEHAVIORAL HEALTH): Accepted at WFUHS, NCBH and CHC (not applicable to services provided at Davie, LMC, Wilkes and High Point)

MEDCOST: Accepted at all locations

MEDCOST ULTRA: Accepted at WFUHS, NCBH, Davie, LMC, Wilkes and High Point (not applicable at CHC)

OPTUMHEALTH (TRANSPLANTS - APPLICABLE TO NCBH/WFUHS ONLY): Accepted at WFUHS and NCBH (not applicable to services provided at Davie, LMC, CHC, Wilkes and High Point)

PREFERRED CARE OF VA INC: Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)

SOUTHERN HEALTH SVCS (COVENTRY-PPO ONLY): Accepted at WFUHS, NCBH, Davie and CHC (not contracted, very low to no volume for LMC, Wilkes and High Point)

TWIN COUNTY (VIRGINIA): Accepted at WFUHS and NCBH (not contracted, very low to no volume for Davie, LMC, CHC, Wilkes and High Point)

UNITED BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH, CHC and High Point (not applicable to services provided at Davie, LMC and Wilkes)

UNITED BEHAVIORAL HEALTH INTENSIVE OUTPATIENT PROGRAM (WFUHS ONLY): Accepted at WFUHS (not applicable for services provided at NCBH, Davie, LMC, CHC, Wilkes and High Point)

UNITED HEALTHCARE: Accepted at all locations

UNITED HEALTHCARE ESSENTIALS ACA/EXCHANGE: Accepted at all locations

UNITED HEALTHCARE MEDICARE: Accepted at all locations

VA CCN: Accepted at all locations

WELLCARE: Accepted at all locations

WELLPATH (COVENTRY): Accepted at all locations

Key

WFUHS - Wake Forest University Health Sciences (professional services)
NCBH - North Carolina Baptist Hospital
LMC - Lexington Medical Center
CHC - Cornerstone Healthcare
Wilkes - Wilkes Regional Medical Center
HPR- High Point Regional
N/A - Not applicable to services provided at facility and/or CHC
NC - Not Contracted, very low to no volume for facility and/or CHC