Doctor Bella Zimilevich, MD of Mill Basin, Brooklyn (NY)

Orthotics & Prosthetics (O&P)

Orthotics & Prosthetics (O&P)

“Orthotics and prosthetics care focuses on evaluating, designing, and implementing supportive devices to improve mobility, alignment, and function. Orthotics involves external supports such as braces, while prosthetics focuses on artificial limbs and training for their use. As part of a comprehensive rehabilitation approach, O&P services are often integrated with physical therapy, gait training, and other interventions to help patients regain independence and improve quality of life.”

-Dr. Anatoly Pisman, MD

What are Orthotics & Prosthetics?

Orthotics & Prosthetics (O&P) is a specialized area of care dedicated to improving movement, stability, and function through the use of external devices. Orthotics includes braces and supports designed to correct or assist musculoskeletal alignment, while prosthetics involves artificial limbs designed to replace missing body parts.

These services are often recommended as part of a broader joint and soft tissue care and rehabilitation plan, particularly for patients recovering from injury, surgery, or neurological conditions.

Conditions That May Benefit from O&P Services

Orthotics and prosthetics may be recommended for a wide range of conditions affecting mobility and function:

  • Neurological conditions affecting movement or coordination
  • Musculoskeletal injuries involving joints, ligaments, or tendons
  • Limb loss or amputation
  • Post-surgical recovery requiring support or stabilization
  • Chronic pain conditions affecting gait or posture
  • Weakness or instability in the lower or upper extremities

Orthotics: Support and Alignment

Orthotics are devices designed to support, align, or improve the function of a body part. They are commonly used to reduce pain, prevent injury, and enhance mobility.

Orthotics may be recommended for conditions affecting the spine, joints, or lower extremities, and are often paired with rehabilitation strategies and other treatments such as trigger point injections or viscosupplementation (gel injections) when joint pain is present.

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Prosthetics: Replacement and Rehabilitation

Prosthetics are artificial devices used to replace missing limbs or body parts. Beyond fitting the device, prosthetic care includes training and rehabilitation to help patients adapt, improve strength, and regain functional independence.

This process is highly individualized and may involve coordination with physical therapy and movement retraining to optimize outcomes.

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Gait and Movement Assessment

Movement analysis plays a critical role in orthotic and prosthetic care. Evaluating how a patient walks helps identify imbalances, inefficiencies, or compensatory patterns that may contribute to pain or instability.

Gait assessment is often performed alongside other evaluations and may include:

  • Joint alignment and posture analysis
  • Balance and coordination testing
  • Functional movement evaluation

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How O&P Services Work

The process typically begins with a comprehensive evaluation of physical function, mobility, and clinical history. Based on the findings, a customized solution is developed, which may include:

  • Selection and fitting of orthotic or prosthetic devices
  • Adjustments for comfort, alignment, and function
  • Training on proper use and maintenance
  • Ongoing follow-up for optimization

When Orthotics & Prosthetics Are Recommended

O&P services are typically recommended when:

  • There is difficulty with walking, balance, or stability
  • Joint or limb support is needed to reduce pain or prevent injury
  • A patient is recovering from surgery or trauma
  • There is limb loss requiring prosthetic replacement and training
  • Neurological or musculoskeletal conditions affect mobility

What to Expect at Your Visit

During your evaluation, your mobility, posture, strength, and functional limitations will be assessed. A detailed examination and gait analysis may be performed to determine the most appropriate orthotic or prosthetic solution.

A personalized plan will then be created, which may include device fitting, rehabilitation, and coordination with other treatments such as interventional procedures, physical therapy, or diagnostic testing to support overall function and recovery.

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