Q: Why do I need a prescription for the items I receive from CTOP, LP?

A: CTOP, LP is licensed by the State of Texas and as a licensed facility we are required to have a physician’s prescription for any devices that we provide. In addition, all insurance companies require prescriptions and Letters of Medical Necessity to establish grounds for payment.

Q: How much will my orthosis/prosthesis cost?

A: We cannot give estimates on the cost of a device without a practitioner seeing you first because of the varying additions many custom products require. After your initial evaluation we will be happy to review the costs of the various components of your orthosis/prosthesis with you.

Q: Will my orthosis/prosthesis be covered by my insurance?

A: As all insurance policies differ we cannot give you a definitive answer to this question without verifying your individual insurance policy. After your initial evaluation, insurance verification will be performed and you will be notified by our Insurance Specialist of your coverage benefits. 

Medicare generally pays 80% of the cost with the exception of certain excluded items. In the event that you have been prescribed an item excluded by Medicare you will be informed of this prior to the delivery of the device.

Q: What is an orthosis?

A: An orthosis is an orthopedic brace or appliance that is used to improve the function of a body part or to reduce pain during normal daily activities.

Q: What is involved in the fabrication process for custom orthoses?

A: The fabrication of custom orthoses typically requires two visits to our office. During the initial visit we will make any measurements and/or castings that will be required for the specific orthosis you have been prescribed. We will also take a brief medical history at this time. During the second visit you will be fit with the device we have fabricated and any necessary adjustments will be made. You will also be educated on the use of your orthosis during this visit.

Orthoses typically take approximately two weeks to fabricate from initial appointment to delivery.

Q: What is involved in the fabrication process for prostheses?

A: The process for prosthetic fabrication is similar for new and mature amputees. It typically requires 3-4 visits to our office. As with orthoses, casting and measurement is completed during the initial visit. A test socket is then fabricated and the patient returns to the office for a test fit of the device. The test socket is used to create the final socket for the prosthesis so it is important to have a proper fit. It is often necessary to fabricate more than one test socket to achieve the most intimate fit. The final appointment will include the delivery of the prosthesis and education on the proper wear and use of the prosthesis.

Prostheses typically take between 2-4 weeks to fabricate from initial appointment to delivery depending upon the complexity of the case.

Q: I need to have a strap/rivet/buckle replaced. Do I need an appointment?

A: We can often make minor repairs without an appointment; however, if your device requires further adjustment or major repairs you will need to schedule an appointment with a practitioner to ensure that all of your needs are appropriately met.

Q: What type of shoes do I need to wear with my orthosis/prosthesis?

A: We typically recommend a sturdy, supportive, lace-up type shoe that will properly accommodate the device. It is important to note that badly worn shoes can have an adverse effect on the performance of your orthosis or prosthesis. If you are unsure if your shoes are appropriate for your device, please consult your practitioner.

Q: Can I participate in sport/athletic activities with my orthosis?

A: Your orthosis should not prevent you from participation. If you have received bracing for a specific injury you should make sure that you have been cleared to participate by your physician.

Q: How often do I need to replace my orthosis/prosthesis?

A: You can expect your orthosis/prosthesis to last for several years. However, if you have a change in your condition, such as weight loss/gain, worsening of condition, etc. you may require a replacement sooner. We recommend a yearly evaluation with your practitioner to evaluate the effectiveness of your orthosis/prosthesis and encourage you to call immediately if you notice a decrease in effectiveness, comfort or a change in the performance of your device.

We suggest that foot orthotics be recovered on an annual basis to increase their life span.

Q: What is the difference between a preparatory and definitive prosthesis?

A: A preparatory prosthesis is the first prosthesis that a new amputee will receive. It is the prosthesis that is used for physical therapy, gait training and is used until the residual limb has reached its final shape and size, typically for 3-6 months. It does not normally have a cosmetic cover.

A definitive prosthesis is the second leg a new amputee will receive or a replacement prosthesis for a mature amputee. If you are a new amputee, your physician or surgeon will usually determine when you are ready for your definitive prosthesis. This prosthesis should last for several years and will have a cosmetic covering. It is possible to modify or change componentry of this prosthesis as the functional ability of the patient increases.

Q: My skin is red when I take off my orthosis/prosthesis. Is that ok?

A: A small amount of redness may be normal, it is important to check your skin again after 15 to 20 minutes to make sure that the redness has gone away. If you have any redness that persists for more than 20 minutes or any pain associated with the redness it is important to discontinue use of the device and call our office immediately for adjustments or modifications.

Q: Can I take a shower with my prosthesis on?

A: Not unless it was designed specifically for swimming or bathing. Any contact with water can cause rusting and malfunction of the components of your prosthesis.