Care happens everywhere.
Flexibility and convenience are our top priority.
LOOKING FOR AN APPOINTMENT? Call or email anytime. Our mobile clinic provides you flexibility to see seen at home or join you at your surgeon or primary care medical appointment.
We work with your schedule to find the best time and location for your appointments.
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You may contact a prosthetist as soon as possible, and you can begin by asking for referrals from your team of medical professionals.
For exceptional care, the practitioner and facility you choose should be certified and accredited by the American Board for Certification in Orthotics, Prosthetics, & Pedorthics (ABC).
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Next Step Prosthetics uses a 3D printer for advanced technology, scanning of your limb (rather than casting), allows for a simple, accurate measurement of your residual limb, a faster time for your check socket to be ready for fitting, and a quick delivery of your prosthesis.
Next Step Prosthetics also works closely with our Amputee Support Group, in person in Flagstaff and via Zoom by request.
Visit to learn more: @nextstepxalexandra
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You will be seen by Mike Kayser, CPO. Mike is a certified Prosthetist and Orthotist with experience in pediatric and adult prosthetics. He is highly qualified to care for you and build the prosthetic that will best meet your needs.
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Yes, Next Step Prosthetics offers a mobile clinic and can come to you at home, join you at your surgeon or primary care medical appointment, or can see you in at the Flagstaff office. We do have additional options in surrounding communities to see you if that is most convenient, please ask for additional information.
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You will need a prescription for a prosthesis or an orthosis, but it is not required for an office visit. Your primary care doctor or surgeon may also need to provide clinical notes to NSP.
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Many insurance companies partially or fully cover a variety of orthotic and prosthetic services. You may need preauthorization for an orthotic/prosthetic product or service.
Contact your insurance company with any questions to fully maximize your benefits.
AHCCCS and Medicare also cover these products with the right process and authorizations.
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For your initial appointment, you will need to bring a photo ID, your insurance card, and the prescription from your doctor.
If you have Medicare or AHCCCS, please be sure to have a current copy of your card with you, because some forms will need to be filled out.
Custom solutions for the perfect fit.
MEASURED, CASTED AND FIT SPECIFICALLY FOR YOU. We 3D print molds to enhance your fit, comfort and function.
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Download our prosthesis timeline to get an outline of the typical process.
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A prosthesis is chosen to match your function levels. We will work together to consider your amputation level; your occupation; and activities you want to be able to do. There are many different prostheses available to match your needs.
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The prosthetist will discuss with you the most appropriate option for your prosthesis and level of activity. There are several different options – suction, pin-lock mechanism attached to a liner, a suspension sleeve, or elevated vacuum.
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Learning to use a prosthesis is a process that takes time, effort, strength, patience, and perseverance. We will teach you the basics in our office, many people find it helpful to continue physical therapy appointments and even to practice with parallel bars.
Physical therapists and continuing with recommended strength exercises will also help you walk better, and show you how to handle emergencies safely, such as falling down and getting up again.
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Most people are able to resume their occupation and their activities prior to amputation. However, you may have to do some things differently and you will need to practice your gait, balance, and coordination. The success you have with your prosthesis depends on your attitude, willingness to master wearing the prosthesis, and your rehabilitation goals.
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Before you take your prosthesis home, you will receive instructions on how to put it on and take it off. You’ll have some time to practice walking with it in our office and you will also be given instructions on how to care for it.
During the first year, your residual limb will be changing in shape and size and it will be necessary to see your prosthetist for adjustments. If your prosthesis is uncomfortable, you won’t want to wear it. Always call us when there is pain, chafing, or the fit is too loose or too tight. As your limb continues to change, you will need new prosthesis fitted to your needs.
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Feeling the missing limb is called phantom limb pain and it is a common sensation with amputees. If you experience phantom limb pain following your amputation, speak with your doctor, as therapeutic treatment options may be available. The amputees at our Support Group are also willing and able to offer advice and share experiences.
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Yes. We can apply a cover or silicone prosthesis over it. It will match your skin tone and include hair, veins, and freckles. Some of our patients prefer to have their prosthetic socket laminated with a design that matches their interests. We also have local artists working closely with us, including Hopi artist Duane Koyawena, for original artwork for your prosthetic.
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Your prosthesis is aligned for a particular type of shoe and heel height. The alignment of the prosthesis affects its stability and ease of walking. We can incorporate a special foot, with an adjustment mechanism, for patients who would like to wear different heel heights.
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An amputee will most likely be able to safely resume driving with the assistance of adaptive devices. Contact your car insurance company and local Motor Vehicles Department for more information.
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As you master the art of walking on a prosthesis, you may find it helpful to use a cane or a crutch for additional support. Crutches or a wheelchair are also helpful for nighttime trips to the bathroom, going into the shower, or taking a break from wearing the prosthesis.
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That depends on your activity level and how well you take care of your prosthesis. A rule of thumb is from two to four years. Often, it is the socket that wears out the fastest and that can be replaced without having to get an entire new prosthesis. You also will be replacing liners or socks on a regular basis.
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Follow-up visits are recommended every three to six months for normal maintenance and care. However, an inspection should be performed if you’ve experienced even a slight weight gain or loss or if your activity level has changed.