★★★★★
“The team helped me figure out what I actually needed instead of just what was newest. Best decision I've made in years.”
About this service
Upper-Limb Prosthetics
Upper-limb prosthetics live or die on whether they help with the things you actually want to do. A device that’s impressive on paper but uncomfortable to wear, slow to use, or limited to one task ends up in the closet. We work the other direction: we ask what activities matter, then fit the device that gets you there.
Body-powered systems remain the workhorse for many patients, durable, lightweight, mechanically reliable, and direct in their feedback. Myoelectric and multi-articulating systems open up grasp patterns and finer control. Passive prostheses (including silicone-restored hands) prioritize appearance and protection.
We’re proud partners with i-Limb (Össur), Ottobock, Coapt, and others. Component choice follows the patient, not the showroom.
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By level of amputation
The full anatomical range.
From a single finger to a full shoulder disarticulation, each level brings its own clinical considerations, componentry options, and control strategy.
Shoulder
Shoulder disarticulation
The most complex upper-limb fitting. Endoskeletal and exoskeletal designs with coordinated elbow, wrist, and terminal-device control.
Above elbow
Transhumeral (above-elbow)
Elbow units, terminal devices, harness or self-suspending sockets, full myoelectric integration when appropriate.
Below elbow
Transradial (below-elbow)
The most common upper-limb fitting. Body-powered, myoelectric, or hybrid systems for unilateral and bilateral patients.
Partial hand
Hand or partial-hand
Custom partial-hand prostheses including i-Digits, X-Finger, and silicone-restoration options. See also our finger prosthetics page.
Bilateral
Bilateral upper-limb
Patients with two upper-limb fittings need a coordinated systems approach, matched harnessing, complementary control, paired training.
Pediatric
Pediatric upper-limb
Growing devices for growing children, see our pediatric page for the full pediatric approach.
Componentry & control
The technology behind the fitting.
- Multi-articulating handsi-Limb Quantum/Ultra, Ottobock Bebionic, and emerging systems, with full programming and training.
- Body-powered systemsHarness-driven cable systems for durable, mechanical control, often the right answer for heavy daily use.
- Myoelectric & pattern recognitionSurface EMG sensors with Coapt and similar pattern-recognition systems for intuitive multi-grip control.
- Activity-specific terminalsHooks, sport TDs, kitchen and tool-grip devices for specific work or hobby use.
- Silicone restorationHand-painted cosmetic restoration for patients who prioritize appearance over active function.
- Lifetime fitting supportSocket refits, terminal device service, harness changes, and component updates as your needs evolve.
Who this is for
Patients we commonly fit.
- Recent upper-limb amputees ready to begin prosthetic fitting after wound healing.
- Patients who’ve tried a prosthesis but found it unwearable or unhelpful for their daily work.
- Bilateral upper-limb amputees who need a coordinated systems approach.
- Patients curious about transitioning from body-powered to myoelectric (or vice versa).
How it works
Our fitting process.
01
Activity interview
We map your daily routines, work demands, hobbies, what the device has to do to be worth wearing.
02
Scan & design
MEDIXA digital scan, socket design, and component selection, with realistic tradeoffs explained.
03
Fabrication & fitting
Built in our lab. Initial fit, harness adjustment, training begins.
04
Training & refinement
Myoelectric calibration, occupational therapy coordination, and adjustment over weeks of real-world use.
Technology & materials
Why our fittings work.
Myoelectric fittings use surface EMG sensors that read the muscles in your residual limb. Pattern recognition systems (like Coapt) translate combinations of muscle signals into intuitive grasp patterns. We program, fit, and train on these systems in-house, then stay involved as you live with the device.
More about MEDIXA scanning →
Frequently asked
Common questions about upper-limb prosthetics.
Should I get a body-powered or myoelectric arm?
Depends entirely on what you want to do. Body-powered tends to be more durable for heavy work, has direct sensory feedback, and is lighter. Myoelectric provides more grip patterns and finer control but requires more maintenance. Many patients wear both at different times. We’ll talk through fit during your consult.
How long does a myoelectric fitting take?
Typically 4–6 weeks from scan to functional fit, plus an additional 4–8 weeks of training to use the device fluently. Pattern-recognition systems extend training timelines.
Will I get sensation back?
Current commercial prosthetics don’t restore neural sensation. Body-powered devices give proprioceptive feedback through the harness, which most users find helpful. Sensory-feedback systems are in research; we’ll discuss what’s realistic now vs. on the horizon.
Does insurance cover myoelectric arms?
Most commercial plans, Medicare, and VA cover myoelectric devices when medically justified, but criteria vary. We handle the pre-authorization and document the case. Coverage decisions usually take 2–6 weeks from submission.
Related services
Other ways we can help.
Let’s talk about what you need.
Free consultations. We answer the phone. We’ll tell you exactly what comes next.
Book a Free Consultation Call (813) 801-9110