Prosthetics, Orthotics & Gait Training
Restore Mobility. Prevent Complications.
What are prosthetics and orthotics? Prosthetics and orthotics are custom devices—orthoses support weak or deformed limbs, while prostheses replace missing limbs—to restore mobility and prevent complications. Problem: Diabetic foot ulcers threaten your mobility. Charcot foot deformity makes every step painful and dangerous. Amputation changes everything—fear, frustration, the struggle to walk again. Agitate: The constant worry about infection. The fear of losing more than you already have. The frustration of being dependent. The overwhelming sense that life will never be normal again. What services do we provide? Solution: DakshinRehab provides comprehensive prosthetics and orthotics services in Moosapet, Hyderabad—from diabetic foot risk screening and offloading for ulcer prevention to CROW (Charcot Restraint Orthotic Walker) management for Charcot foot and advanced prosthetic limb fitment after amputation. What is CROW walker? CROW walker is a custom-fitted brace that protects and offloads Charcot foot deformity, preventing fractures and promoting healing. How do we ensure proper fit? Our team integrates pressure mapping, 3D gait analysis, and objective mobility indices (AMP, LCI-5, TUG, 6MWT) to select the right device, optimize fit and alignment, and train you toward confident, energy-efficient walking. We've helped thousands prevent complications, manage deformities, and regain independence. Your mobility restoration journey starts here.
Where Technology Meets Clinical Craft
- Diabetic foot screening and offloading
- Total contact insole and custom footwear
- CROW walker for Charcot foot
- AFO, KAFO, spinal and upper-limb orthoses
- Pressure mapping and gait analysis
- InBody body composition tracking
- Transtibial/transfemoral prosthetics
- Socket options: PTB, TSB, liner systems
- Feet: SACH, multi-axial, carbon ESR
- Alignment tuning and energy efficiency
- Amputee gait and balance training
- Outcomes: AMP, LCI-5, TUG, 6MWT
"Care pathway: Risk screening → Device prescription (offloading/orthosis/prosthesis) → Fabrication & fitment → Alignment & gait training → Strength & balance → Outcomes tracking (AMP, LCI-5) → Long-term prevention."
Our Prosthetics & Orthotics Care Protocol
A structured, outcome-driven protocol—from assessment and device selection to training and long-term prevention—ensures each patient receives the right device, the right fit, and the right training at the right time.
Comprehensive Assessment
Medical history, foot and limb examination, vascular/neuropathy screens, residual limb assessment post-amputation. Pressure mapping and gait analysis to identify ulcer risk, deformity, limb length, step mechanics and compensations.
Device Selection & Prescription
Orthotics: total-contact insoles, custom diabetic footwear, AFO/KAFO, spinal braces, CROW walker for Charcot. Prosthetics: socket (PTB/TSB, liner systems, suction/pin-lock), components (pylons, single-/multi-axial or carbon energy-storing feet).
Fabrication, Fitment & Alignment
Casting/scanning, trial fit, trim lines and pressure reliefs, static/dynamic alignment. Validate offloading (for ulcers/Charcot) and tune prosthetic biomechanics for symmetry, comfort and energy efficiency.
Training, Strength & Balance
Amputee gait training (parallel bars → aids → community), balance, limb loading, core and hip strengthening, step strategy and fall prevention. Neuromuscular re-education and EMG biofeedback when indicated.
Follow-up & Outcomes
Review skin integrity and device wear, re-check pressure points, alignment and gait. Track AMP/AMPPRO, LCI-5, TUG, 6MWT, and patient-reported outcomes. Update device and program as goals progress.
Clinical Pathways: Orthotics & Prosthetics
We run two integrated pathways: orthotics for limb preservation and deformity control, and prosthetics for post-amputation mobility. Both emphasize pressure relief, alignment, strength, balance, and validated mobility outcomes.
Phase 1: Assessment & Casting/Scanning
Diabetic/vascular screening, neuropathy tests, pressure mapping and gait analysis. Residual limb exam post-amputation, volume, skin, bony prominences. Casting or digital scanning for orthoses/prostheses; select materials and liners.
Phase 2: Device Fabrication & Trial
Orthotics: total-contact insole, custom footwear, AFO/KAFO, CROW walker for Charcot. Prosthetics: diagnostic socket, component selection (foot/ankle), suspension (suction, pin). Trial fit to evaluate comfort, skin protection and offloading.
Phase 3: Fitment, Alignment & Education
Trim lines and reliefs, static/dynamic alignment with video feedback. Education on don/doff, skin checks, sock management, wear schedule, offloading adherence. Immediate adjustments to optimize comfort and safety.
Phase 4: Training & Outcomes
Amputee gait progression, stairs/ramps, uneven surfaces, aid weaning, hip/core strengthening, balance strategies. Orthotics pathway: offloading verification and progressive return-to-walk. Outcome measures: AMP/AMPPRO, LCI-5, TUG, 6MWT with re-test every 4–6 weeks.
Why a Pathway Approach Works
Diabetic feet need pressure relief at risk zones to prevent ulceration and progression to Charcot or amputation. Amputees need a socket that protects tissues, components that match activity level, and training that restores symmetry. Technology—pressure mapping, gait video analysis, InBody, EMG—lets us quantify offloading efficacy, tune prosthetic alignment, and ensure training changes real-world function. Validated scales (AMP/AMPPRO, LCI-5) and functional tests (TUG, 6MWT) confirm progress, reduce complications, and accelerate safe return to community mobility.
Example:
Clinical example: A Charcot foot with midfoot collapse managed in a CROW walker shows >30% pressure reduction at plantar hot-spots and improved midfoot stability, halting ulcer recurrence. A transtibial amputee progressed from AMP 27→41 and LCI-5 38→54 over 12 weeks with alignment tuning, hip strengthening and cueing to eliminate vaulting and circumduction.
Our Serving Areas
We proudly serve patients from the following areas within a 5km radius of our clinic
5km Radius
From ARD Magnum
Moosapet, Hyderabad
Convenient Location
All areas listed are within a 5km radius of our clinic at ARD Magnum, Moosapet. We also provide home physiotherapy services throughout Hyderabad for patients who prefer in-home care.
Frequently Asked Questions
Key questions about orthotics for diabetic foot and Charcot management, and prosthetics after amputation.