When you attend your first appointment with APOS you will be assessed by a registered Prosthetist/Orthotist to determine the best treatment to meet your requirements.
Initially you will be asked questions relating to your presenting complaint (the main reason you have come to see us) based on your:
- General medical history,
- Daily activities including lifestyle, sports.
- Treatment expectations.
We will also perform a physical examination to assess the condition of the affected body part, including joint mobility, muscle strength, circulation, pain levels and sensation.
Please wear loose fitting trousers or shorts if we are assessing your legs or feet. You should also bring the shoes that you wear most often, both for work/school and at home. If you participate in sport bring your runners/boots.
If the assessment relates to your arms or spine please wear a t-shirt or vest.
It is helpful to bring any previous devices (insoles, braces, splints, prosthetic limbs etc) that you may have had, whether they were helpful or not, in order to see what else you have tried.
It is very important that you tell your clinician if you have any of the following:
- heart condition
- any allergies.
This is for your safety in case of an emergency while you are at the clinic and to ensure that your treatment is safe and appropriate for you.
At assessment, your clinician will discuss available options with you and recommend a course of treatment. They will take any necessary measurements and casts in order to supply a device that fits you well and that performs its task properly. Many of our devices involve taking a cast of the part of your body that needs treatment. This simple process involves Plaster-of-Paris bandage or fibreglass casting tape (the same materials used if you break your arm) dipped in warm water, then wrapped around the appropriate body part and allowed to harden. It is then carefully cut off and removed. The casting process usually takes approximately 20 minutes (or longer for more complex casts such as a spinal jacket).
We aim to provide you with your orthosis or prosthesis efficiently and expediently irrespective of private or medical card patient status. With a medical card, patients must wait for funding approval from the Health Board for your treatment. This can vary from a few weeks to several months depending on your county. As soon as funding is approved or a deposit paid (if you are a private patient), we will manufacture or order your device and fit it as soon as possible.
Sometimes, your device may need adjusting while you wait. This is not always possible so a second fitting may be required.
Please note that for private patients payment in full is required before we can supply your device. Payment can be made by cash, cheque or card.
Note regarding Orthopaedic Footwear:
Unlike with conventional shoes several measurements of your foot are required in the provision of orthopaedic footwear. This is because orthopaedic footwear manufacturers can offer up to twelve different fittings for a given size of shoe, rather than one or two fittings as in High Street shoe shops.
A range of styles and colours can be selected from our manufacturers’ catalogues allowing you to choose functional yet fashionable footwear. Your clinician will be able to assist you in making an informed choice.
All of our products and services include a six month guarantee (commencing from the day the device is supplied). If you feel your device is not comfortable, or not helping to resolve the problem or if it requires repair, make an appointment and we will address your concerns at no charge. If the guarantee has expired we will endeavour to ensure you are fully satisfied with your device but there may be a charge.
For medical card patients we will require a new referral letter (from your GP, physiotherapist, podiatrist/chiropodist or consultant) to apply to the health board to cover any costs after the guarantee period expires.
During the fitting appointment for your new device, the clinician will discuss a review schedule (‘follow up appointments’) with you dependent on your needs. Your opinion is important in determining the frequency of these review appointments. You may prefer to meet the clinician only when it is necessary (for example when you outgrow your insoles or when your shoes are starting to wear out) or perhaps after a specific period (following a course of physiotherapy).
You are free to make a review appointment at any time if you feel you require one. Please call us at 091 796983 for all appointment queries.
If you are unable to attend an appointment please let us know as soon as possible in order to reschedule your appointment and to offer your vacated time-slot to someone else.
Please call us at 091 796983 should you need to cancel or change your appointment and we will be glad to assist you.