FAQs

Find answers to some of the questions we hear most often from our PBO Group clients.

Prosthetics FAQs

The cost of a prostheses is extremely variable. An estimate can only be provided once the device design is complete following a full assessment. However, we will always provide these estimates so that you are aware well ahead of time what the costs will be.

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Bracing FAQs

The cost of bracing can vary widely.  For off-the-shelf bracing solutions, we will be able to give you a better sense of potential costs at your initial assessment. For custom bracing, an estimate is provided once the design of the brace is complete. We will always provide these estimates so that you are aware well ahead of time what the costs will be.

Orthotics FAQs

The cost of custom foot orthotics varies from $450 to $650 depending on the type of the device designed and created to meet your unique needs.

Foot orthotics can get wet without harm, however it is advised that moisture be kept to a minimum and that they be left to air dry (no heat) if they do become wet.

It may be necessary to increase the length or width of your shoes by a half size depending on the shoe style however, that is not always the case. Your Orthotist will be able to advise you on your shoe selection.

Your foot orthotics can be moved between shoes as long as the shoes are of an appropriate style to function well with your devices. Your Orthotist will be able to advise you on your shoe selection.

Foot orthotics will last anywhere between two to five years depending on the amount of use and environment.

There is no need to maintain your foot orthotics in any way other than cleaning them. You can clean them using warm water and a mild soap with a soft cloth to wipe all surfaces. Once clean they should be left to air dry. Do not heat your orthotics to dry them.

Osseointegration FAQs

As with most major medical procedures, Osseointegration surgery does carry potential risks. As the amputee’s implant protrudes through the skin to connect directly to the prosthesis, it is possible for bacteria to track up the metal implant to the femur. Diligent skincare at the exit point of the implant is critical in order to prevent potential skin complications and infection.

Low bone density can also lead to other complications if the bone is not strong enough to withstand a significant increase in force following the surgery. Potential risks related to low bone density include bone fracture at the top of the implant, splitting of the bone at the implant or lack of bone integration with the implant.

Until 2018, Canadian amputees had to travel to hospitals in Australia and Europe in order to undergo Osseointegration surgery. In 2018, the first Canadian Osseointegration surgery was performed in Montreal by Dr. Robert Turcotte. Two PBO Group clients have already undergone procedures there.

From our experiences with Ontario Osseointegration candidates, we have seen costs for services related to pre-surgery, surgery and post-surgery care be quite variable and cover a very dramatic range. Like most medical procedures, there are a variety of factors that can influence cost. Some of the factors that can impact the costs associated with Osseointegration include:

  • Length of residual limb
  • Level of amputation
  • Prosthetic requirements
  • Funding model and supplementary contributors
  • Travel expenses
  • Duration of rehabilitation
  • Potential post-surgical complications

As a result, we strongly recommend connecting with a Prosthetist at one of our locations to better understand your exact situation and determine a range of costs that will be narrower and more accurate.

Compression Therapy FAQs

The benefits of having custom-fit compression therapy solutions include a tailored fit based on your specific measurements, medical-grade levels of compression, better solutions for sensitive skin and helpful advice and support that can make for easier wear and care.

Cranial Remolding FAQs

Costs for cranial remolding helmets vary, but are generally in the $2200 to $2600 range.

Every case varies, but the typical range of time that cranial remolding helmets are worn by infants is usually between nine and sixteen weeks.

Early intervention is important, whether that is the use of a helmet, which is typically started when a baby is between five and six months old, or the use of conservative repositioning therapy, which can be started at a very young age. Having your baby assessed at a very young age will help ensure the best treatment plan can be developed for the best outcomes.

No, but most major insurance companies do cover the costs or a portion of the costs of cranial remolding helmets.

At PBO Group, we offer both helmet models because they each offer unique advantages. After assessing your baby’s skull, we’ll help you make the best choice for your baby’s specific needs. This blog post provides more details on some of the factors that we take into consideration.

Plagiocephaly is the most common cranial anomaly and presents as a parallelogram-shaped head. Plagiocephaly results in either the right or left side of the back of the head being flat. The asymmetries on the back of the head result in varying degrees of mal-alignment of the ears, forehead, eyes, nose, mouth and chin. Children with Plagiocephaly commonly have or are susceptible Torticollis, which is a tightening of the sternocleidomastoid muscle.

Brachycephaly can be divided into two separate categories. Symmetrical Brachycephaly is a disproportionate head shape where the entire back of the head is flat. This results in a head shape that is wider than it is long. Asymmetrical Brachycephaly is an asymmetrical head shape that is a combination of Plagiocephaly and Brachycephaly. Both categories are a result of prolonged positions on the baby’s back within the early years of development. Prolonged pressure on the back of the head causes the head to grow into areas that are not under the contact of the foreign object (i.e. car seat). This results in the head growing upwards, outwards and sometimes forward.

Scaphocephaly is the least common of the cranial anomalies and results in a head shape that is very narrow and long. It is commonly seen when the child has what is called Craniosynostosis, which is a premature fusion of the cranial sutures. Craniosynostosis needs to be ruled out prior to helmet therapy by your medical physician.

Torticollis is a condition where the sternocleidomastoid muscle (a muscle on the side of the neck) is tight. This inhibits the child’s ability to turn in the opposite direction. Eighty to ninety percent of children with Torticollis will develop varying degrees of Plagiocephaly. Therefore, it is important to communicate with your family doctor if you notice that your child has a tendency to tilt their head to one side or is unable to turn their head to one side. Stretching and passive ROM are the forms of treatment for Torticollis, which can be provided by a physiotherapist or chiropractor trained in pediatrics. By treating Torticollis at an early age, the chance of the child’s Plagiocephaly developing or progressing will be decreased.

Repositioning therapy, or tummy time, is a treatment modality for babies less than three- to five months of age that are starting to exhibit characteristics of cranial flattening. Children that are greater than 5 months of age will continue repositioning therapy if their CVAI measurement is less than 6.25 and their oblique difference is less than 10 mm. If the child is higher than these values at 5 months of age, then a remolding helmet is considered. You can find recommended tummy time exercises in this blog post.

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