Your Journey. Our Commitment.
Restoring Ability Across Maryland and Delaware Since 2001
Celebrating 25-years of Trusted, Compassionate Prosthetic & Orthotic Care | 2001 - 2026
Links and Resources //
Real Life Prosthetics™ does not warrant, endorse, guarantee, or assume responsibility for the accuracy or reliability of any information offered by third-party websites linked through the site or any website or feature linked in any banner or other advertising.
Support //
In 1986, a small group of amputee support group leaders recognized the need for an organization dedicated to the needs of people with limb loss, their families and healthcare providers. Working entirely as volunteers, they laid the foundation for what the Amputee Coalition is today, the leading national non-profit organization that empowers individuals with limb loss through education, support and advocacy.
Certified Peer Visitor (CPV) Program
Amputee Coalition offers peer support in the form of support groups, hospital partnership programs, youth camp, and our Certified Peer Visitor program.
Find out more by going to Amputee-Coalition.org
Health Care //
University of Maryland Upper Chesapeake Health
The University of Maryland Rehabilitation Network is dedicated to providing comprehensive and compassionate rehabilitation and support to individuals who have undergone limb amputation.
ChristianaCare Center Wilmington Hospital
November 2010
Center for Rehabilitation earns special certification for amputation patients
Resources //
Ability Magazine is published bi-monthly and features a wide range of disability issues including travel.
Amp'd connects you to the limb loss/difference community directly. Whether you're looking to learn, become an advocate for others, or speak directly with your peers, Amp'd has the tools and services to help you achieve your goals.
inMotion Magazine is published bimonthly for Amputee Coalition of America members for amputees, caregivers and healthcare professionals, providing timely and comprehensive information.
Living Adaptive is the podcasting home of the adaptive community. Keep current with adaptive happenings and listen to guests that include individuals that adapt to notable adversity and thrive, supporting organizations, and personalities that are making impacts within the adaptive world. You can adapt no matter the challenge.
The National Limb Loss Information Center®
Where can you turn when you have questions about limb loss? Here at the National Limb Loss Resource Center®, we provide comprehensive information and resources free of charge. All of the information that we provide is reviewed by the Coalition’s medical/scientific advisory committee of experts in the field of limb loss so you can count on the accuracy of the information.
The O&P Edge has been the industry’s leading and most-read publication among O&P professionals since 2002.
United Amputee Services Association (UASA)
U.S. Department of Veterans Affairs - Prosthetics
VA's Rehabilitation and Prosthetic Services is responsible for the national policies and programs for medical rehabilitation, prosthetic and sensory aids services that promote the health, independence and quality of life for Veterans with disabilities.
Links //
Frequent Asked Questions //
Getting Started
Q: What is a prosthesis, and how does it work?
A: A prosthesis is a custom built device designed to replace a missing limb or body part so you can move with greater comfort, stability, and confidence. It includes a carefully crafted socket, a suspension system to keep it secure, and components chosen to match your activity level and daily needs. Every socket is fabricated in-house by our skilled technical team, allowing us to control quality, precision, and comfort from start to finish. This hands-on approach ensures your prosthesis is shaped to you, your goals, your mobility, and your daily life. We walk with you through each step so your device supports both your independence and your well-being.
Q: How soon after amputation can I be fitted for a prosthesis?
A: The path to your first prosthesis begins once your residual limb heals and significant swelling reduces. That means first making sure your incision is healed and your limb is stable enough for casting, abut 6 - 8 weeks after surgery, though timing can vary widely depending on healing, overall health, and your comfort.
Q: Will a prosthesis be comfortable and wearable all day?
A: Comfort is a top priority. Initially, your residual limb may need gradual break in periods to adjust to the prosthesis, helping prevent soreness or skin irritation. Over time, with proper fit, alignment, and care, many patients are able to wear their prosthesis throughout the day with minimal discomfort. Our prosthetists works closely with you to monitor fit, recommend approrirate liners or socks, and provide guidance on skin care and adjustments. Regular follow-ups ensure your prosthesis continues to support safe, comfortable, and independent mobility, allowing you to engage fully in daily life and activities.
Q: Can I walk, run, or hike with a prosthetic limb?
A: Yes! Many return to walking, running, hiking, and even more advanced activities with the right prosthetic design and support. Today's prosthetic technology includes a wide range of components that can be matched to your goals and the terrain you want to conquer. From everyday walking feet to energy-return designs built for running, from microprocessor knees that help with speed and stability to specifalty feet made for uneven ground, trails, or ourdoor terrain. Your prosthesis can be custom designed to fit the life you are aiming to get back to. With a proper socket fit, consistent therapy, and a team commited to encouraging your progress, you can move forward with confidence and strength. We will help you choose components that support your mobility, your safety, and the activities that bring you joy.
Q: How long will a prosthesis last, and will adjustments be needed?
A: The lifespan of a prosthesis varies depending on your activity level, weight, type of components, and changes in your residual limb over time. Even the most durable devices will eventually show wear and tear, and adjustments are normal part of long-term prosthetic care. Regular follow-ups with your prosthetist help ensure your prosthesis continues to fit comfortably, function properly, and support safe mobility. Our prosthetists are committed to being with you throughout your journey, making timely adjustments, performing maintenance, and providing guidance so your device continues to meet your needs, helping you stay active and independent for years to come.
Q: How should I care for my prosthesis?
A: Proper care is essential for comfort, safety, and long-term function. Daily hygiene includes cleaning your residual limb, washing liners or socks, and keeping the socket clean to prevent irritation or infection. Regularly inspect your skin for redness, pressure points, or sores and check your prosthesis for wear, loose components, or unusual noises. Scheduling routine follow-ups with your prosthetist helps catch issues early and ensures adjustments are made as your limb or activity level changes. Our prosthetists guides you through maintenance, recommends products for care, and provides ongoing support so your device continues to perform optimally and keeps you moving safely and confidently.
Q: Can I swim or shower with a prosthesis?
A: Some prostheses are waterproof or designed for water-friendly activities, but not all devices can safely get wet. If swimming, showering, or water sports are important to you, our prosthetists can recommend appropriate prosthetic components, liners, or covers that allow water exposure while protecting your device and residual limb. Proper care includes rinsing and drying components thoroughly, inspecting for wear, and removing the prosthesis when needed to prevent damage or skin irritation. With the right prosthetic solution and guidance, you can safely enjoy water activities while maintaining comfort and mobility.
Links //
Frequent Asked Questions //
Daily Living & Lifestyle
Q: What is a prosthesis, and how does it work?
A: A prosthesis is a custom built device designed to replace a missing limb or body part so you can move with greater comfort, stability, and confidence. It includes a carefully crafted socket, a suspension system to keep it secure, and components chosen to match your activity level and daily needs. Every socket is fabricated in-house by our skilled technical team, allowing us to control quality, precision, and comfort from start to finish. This hands-on approach ensures your prosthesis is shaped to you, your goals, your mobility, and your daily life. We walk with you through each step so your device supports both your independence and your well-being.
Q: How soon after amputation can I be fitted for a prosthesis?
A: The path to your first prosthesis begins once your residual limb heals and significant swelling reduces. That means first making sure your incision is healed and your limb is stable enough for casting, abut 6 - 8 weeks after surgery, though timing can vary widely depending on healing, overall health, and your comfort.
Q: Will a prosthesis be comfortable and wearable all day?
A: Comfort is a top priority. Initially, your residual limb may need gradual break in periods to adjust to the prosthesis, helping prevent soreness or skin irritation. Over time, with proper fit, alignment, and care, many patients are able to wear their prosthesis throughout the day with minimal discomfort. Our prosthetists works closely with you to monitor fit, recommend approrirate liners or socks, and provide guidance on skin care and adjustments. Regular follow-ups ensure your prosthesis continues to support safe, comfortable, and independent mobility, allowing you to engage fully in daily life and activities.
Q: Can I walk, run, or hike with a prosthetic limb?
A: Yes! Many return to walking, running, hiking, and even more advanced activities with the right prosthetic design and support. Today's prosthetic technology includes a wide range of components that can be matched to your goals and the terrain you want to conquer. From everyday walking feet to energy-return designs built for running, from microprocessor knees that help with speed and stability to specifalty feet made for uneven ground, trails, or ourdoor terrain. Your prosthesis can be custom designed to fit the life you are aiming to get back to. With a proper socket fit, consistent therapy, and a team commited to encouraging your progress, you can move forward with confidence and strength. We will help you choose components that support your mobility, your safety, and the activities that bring you joy.
Q: How long will a prosthesis last, and will adjustments be needed?
A: The lifespan of a prosthesis varies depending on your activity level, weight, type of components, and changes in your residual limb over time. Even the most durable devices will eventually show wear and tear, and adjustments are normal part of long-term prosthetic care. Regular follow-ups with your prosthetist help ensure your prosthesis continues to fit comfortably, function properly, and support safe mobility. Our prosthetists are committed to being with you throughout your journey, making timely adjustments, performing maintenance, and providing guidance so your device continues to meet your needs, helping you stay active and independent for years to come.
Q: How should I care for my prosthesis?
A: Proper care is essential for comfort, safety, and long-term function. Daily hygiene includes cleaning your residual limb, washing liners or socks, and keeping the socket clean to prevent irritation or infection. Regularly inspect your skin for redness, pressure points, or sores and check your prosthesis for wear, loose components, or unusual noises. Scheduling routine follow-ups with your prosthetist helps catch issues early and ensures adjustments are made as your limb or activity level changes. Our prosthetists guides you through maintenance, recommends products for care, and provides ongoing support so your device continues to perform optimally and keeps you moving safely and confidently.
Q: Can I swim or shower with a prosthesis?
A: Some prostheses are waterproof or designed for water-friendly activities, but not all devices can safely get wet. If swimming, showering, or water sports are important to you, our prosthetists can recommend appropriate prosthetic components, liners, or covers that allow water exposure while protecting your device and residual limb. Proper care includes rinsing and drying components thoroughly, inspecting for wear, and removing the prosthesis when needed to prevent damage or skin irritation. With the right prosthetic solution and guidance, you can safely enjoy water activities while maintaining comfort and mobility.
Glossary of Terms for Orthotics and Prosthetics //
ABC Certified Orthotist or Prosthetist
An allied health professional who has completed the necessary educational requirements and passed the examination prescribed by the American Board for Certification in Orthotics and Prosthetics, Inc. (ABC).
Abduction; motion of a limb or body part away from the median plane of the body. The resulting effect can cause problems with proper gain and/or ambulation and may prolong the rehabilitation process, especially in cases of lower extremity limb loss--- adduction is its opposite.
Adaptive Equipment; devices that assist in activities or mobility (i.e., wheelchair ramps, hand bars/rails, car and home modificatins, canes, crutches, walkers and other similar devices.)
AE (above-the-elbow); a specific level of amputation also known as transhumoral.
AFO (ankle-foot orthosis); is a commonly used orthosis in patients having weakness in the ankle dorsiflexor or plantarflexor muscles due to several disorders such as stroke, cerebral palsy, spinal cord injury, and peripheral nerve injury.
AK (above-the-knee); a specific level of amputation also known as transfemoral.
Alignment; the position of the prosthetic socket in relation to the foot and knee.
Alloplastics; also Anaplastics, the discipline of restoring the body through life-like, realistic means.
Alloplastologist; also Anaplastologist, one who practices in Alloplastology.
Alloplastology; also Anaplastology, the art and science of restoring the body through life-like, realistic means.
Ambulation; the action of walking or moving. Fo r lower extremity amputees, rehabilitation is primarily concerned with ehlping the patient achieve proper gait and/or ambulation.
BE (below-the-elbow); a specific level of amputation also known as transradial.
BK (below-the-knee); a specific level of amputation also known as transtibial.
Body-Powered Prosthesis (upper extremity); a arm prosthesis powered by movement in the upper extremity portion of the body, specifically the muscles of the shoulder(s), neck and back. The motion of these movements is then captured by a harness system that generates tension in a cable, allowing a terminal device (hook or prosthetic hand) to open and close.
Check or Test Socket; a temporary socket, often transparent, made over the plaster model to aid in obtaining proper fit and function of the prosthesis.
CO; Certified Orthotist
Contracture; the tightening of muscles around a joint, restricting the range of motion and suppressing muscular balance.
Contralateral; originating in or affecting the opposite side of the body.
CP; Certified Prosthetist
CPO; Certified Prosthetist and Orthotist
Custom Fit; fitting an individual with a device that is made from an image of the individual's anatomy and fabricated according to the needs of that individual.
Disarticulation; an amputation of a limb through the joint, without cutting any bone--- performed at the hip, knee, ankle, shoulder, elbow and wrist levels.
Distal; the end of the residual limb. The end that is farthest from the central portion of the body. Distal is the opposite of proximal.
Donning and Doffing; putting on and taking off a prosthesis, respectively.
Dorsiflexion; an upward movement or extension of the foot/toes or the hand/fingers.
Endoskeletal Prosthesis; a prosthesis built to imitate the movements and functional capabilities of the human skeleton, with all parts and componentry.
Extremity; synonymous with limb, usually referring to an arm or leg.
Gait; a manner of walking that is specific to each individual.
Gait Training; part of ambulatory rehabilitation, or learning how to walk with your prothesis or prostheses.
KAFO (knee-ankle-foot orthosis); a custom-molded plastic shell with contoured metal uprights and a variety of knee joints designed to provide support and correction to the knee, ankle and foot.
Lateral; to the side, away from the median plane of the body
Liner (roll-on liner); suspension systems used to hold the prosthesis to the residual limb and to provide additional comfort and protection for the residual limb. Roll-on liners can also accommodate volumetric changes in the residual limb. These liners may be made of silicon, pelite, or gel substances.
Medial; motion of a body part toward the median plane of the body.
Microprocessor-Controlled Knee; these devices are equipped with a sensor that detects full extension of the knee and automatically adjusts the swing phase of ambulation, allowing for a more natural gait.
Myoelectrics; technology used mainly in upper extremity prosthetics to control the prosthesis via muscle contraction using electrical signals from the muscles to power the prosthesis.
Neuroma; when a nerve is severed during amputation, the nerve endings form a mass (neuroma) reminiscent of a cauliflower shape. Neuromas can be troublesome, especially when they are in places that are subject to pressure from the socket.
Orthoses; the plural of orthosis.
Orthosis; a customized appliance used to help straighten or help prevent a deformity.
Orthotics; the professional practice of providing orthopedic appliances or braces.
Orthotist; professional health practitioner who provides orthotic services.
Osseointegration; the growth action and adhesive nature of bone tissue with titanium, which allows an individual to have a prosthesis attached so as to become part of their body's own structure. The process was developed by Professor Ingvar Brånemark of Sweden in the 1960's and is commonly used in dentistry and metacarpophalangeal (MCP) joint replacement in the hand.
Pedorthic; the design, manufacture modification and fit of shoes and foot orthoses to alleviate problems caused by disease, congenital condition, overuse or injury.
Phantom Pain; painful sensations, usually moderate, that originate in the amputated portion of the limb.
Phantom Sensation; this is the feeling that the missing body part is still there. It may involve uncomfortable but not necessarily painful sensations such as burning, tingling and/or itching.
Pistoning; refers to the residual limb slipping up and down inside the prosthetic socket while walking.
Plantarflexion; when the toe/foot is pointing down, away from the median plane of the body.
Posterior; the backside of the body or part in question (i.e., posterior knee or patellar region.)
Prostheses; the plural of prosthesis.
Prosthesis; a custom-designed artificial limb or body part.
Prosthetics; the professional practice of providing artificial limbs.
Prosthetist; a professional health practitioner who designs, creates and fits artificial limbs or body parts.
Prosthosis; a custom hybrid designed prosthetic incorporating a hinged portion of an orthotic device.
Proximal; nearer to the central portion of the body. Proximal is the opposite of distal.
Range of Motion; the amount of movement a limb has in a specific direction.
Rehabilitation; the process of restoring a person who has been debilitated by a disease or injury to a normal, functional life.
Residual Limb; the portion of the arm or leg remaining after an amputation, sometimes referred to as a stump or residuum.
Range of Motion; the amoutn of movement a limb has in a specific direction.
SACH foot (solid-ankle cushion heel); the foot is made of wood with a flexible rubber shell that surrounds the wooden core. The SACH foot is usually prescribed to moderately active or less active amputees, but can be prescribed to amputees of all activity levels. SACH feet are also used in the design of foreshortened prostheses, or stubbies.
Shrinker; an elastic wrap or compression sock worn on the residual limb to reduce swelling and to help properly shape the residual limb.
Socket; the portion of the prosthesis that fits around and envelopes the residual limb and to which the prosthetic components are attached.
Stance Control Knee; these prosthetic knee joints typically offer a weight-activating friction brake that locks the knee into place during pivotal points of ambulation, offering stability and balance where needed.
Stubbies (foreshortened prostheses); stubbies are used during and sometimes after initial ambulatory. habilitation. They are customized to each individual and are usually made up of standard sockets, no articulated knee joints or shank, with modified rocker bottoms or SACH feet turned backward for balance and stability.
Suction Socket; mainly for use by AK level amputees, this socket is designed to provide suspension by means of negative pressure vacuuming. T his is achieved by forcing air out of the socket through a one-way valve when donning and using the prosthesis. In order for this type of socket to work properly, the soft tissues of the residual limb must precisely fit the contours of the socket. S uction sockets work very well for those whose residual limbs maintain a constant shape and size.
Suspension System(s); one of many suspension systems must be used in order to keep the rposthesis attached to the residual limb. Mos t of these systems are integral parts of the socket and prosthesis.
Swing Phase; this is when the prosthesis moves from full flexion to full extension. Th e term is usually used in reference to prosthetic knee units.
Symes Amputation; an amputation through the ankle joint that retains the fatty heel pad portion and is intended to provide end weight bearing.
Unilateral; an amputation that affects only one side of the body (opposite of bilateral).
UE (upper extremity); having to do with the upper part of the body. It is used in reference to amputees with arm or shoulder amputations.
WD (wrist disarticulation); an amputation through the wrist.
WHO (wrist-hand orthosis); primarily used to support weak muscles and/or immobilize or limit the motion of the wrist while allowing the fingers to move.