Orthopaedic appliance and rehabilitation guidance centre · Consultation & fitment of orthotics, prosthetics and mobility aids · Kalyan West since 2006

How a fitting works

Seven steps, and none of them is the same day.

Almost everybody arriving for the first time expects to walk out wearing it. Knowing the real shape of it in advance takes most of the frustration out of the waiting.

The sequence

01

Assessment

Around 30–45 minutes

The limb is examined, the doctor’s letter is read, and what you actually need to do — work, stairs, squatting, a two-wheeler — is talked through. You are told what can be made, what it will involve and roughly what it will cost. Nothing is made yet.

02

Measurement and cast

Around 30 minutes

Measurements are taken, and for anything custom a plaster cast of the limb. It is not uncomfortable, it is a little messy, and loose clothing or shorts make it far easier.

03

Fabrication

Days, not hours

The cast is rectified — built up where load should not go, relieved where it must not — and the socket or brace is made on it. A simple insole can be same-day; a limb takes longer, and the waiting is the part nobody enjoys.

04

First fitting

Around an hour

You put it on. It will feel tight, heavy and strange — all three are normal. What is being looked for is where it presses, and that is found by watching you stand and take a few steps, not by asking how it feels.

05

Alignment

Same visit, and again after

For a limb, the angles and the height are adjusted while you walk. This is the difference between a leg you tolerate and one you forget you are wearing, and it is almost never right on the first attempt.

06

Walking practice

Over days or weeks

Wearing time is built up gradually — an hour, then two, then a morning. Rushing this is how the first pressure sore happens, and a pressure sore costs more days than the patience would have.

07

Review

And again whenever it changes

Come back when it rubs, when it loosens, when your weight changes, or when a child grows. A stump shrinks for a year or more after amputation — that is not a fault in the socket, it is the body settling.

Information, not advice. This site describes the work of an orthotics and prosthetics practice and is published for information. It is not medical advice, not a diagnosis, and not a substitute for seeing your doctor or surgeon. Whether a particular limb, brace or appliance is right for you depends on your own examination and on your treating doctor’s opinion.

Two things that decide the outcome, and neither is the equipment

🔧 Expected

Coming back for adjustment

An appliance that presses is not a failed appliance — it is an unfinished one. The people who end up wearing theirs every day are the ones who came back three times in the first month. Adjustment is part of the job and is treated as such.

⏱ Unglamorous

Building the wearing time slowly

The temptation after waiting weeks is to wear it all day immediately. That is how skin breaks down, and a broken-down stump cannot be fitted at all until it heals — so the shortcut costs weeks rather than saving hours.

Plan the journey around the hours

There is a long midday break and the shop is shut on Saturday. For somebody travelling in with difficulty, that is worth checking before setting out.

Monday to Friday — 10.00 a.m. – 2.00 p.m. · 6.00 p.m. – 8.00 p.m.

Sunday — 10.00 a.m. – 1.00 p.m.

Saturday — Closed

Come and be measured

Bring the doctor’s letter and whatever you already use. The first visit is an assessment — nothing is made until you have been told what it will be and what it will cost.

5, Jasraj Society, Vallipir Road, Kalyan (West), Thane — 421301 · Closed Saturday · Closed 2–6 p.m. on weekdays