Dr. Karolin Rockson, PT
Founder, Physiotherapist
BPT, Ex. CMC Vellore, TNMC registered, IAP life member
Languages: Tamil, English, Hindi, Telugu
Prosthetic training after amputation, orthotic prescription and fitting, and gait rehabilitation — coordinated with your surgical team.
Overview
Losing a limb or living with a condition that changes how you walk is life-altering. Our prosthetics and orthotics service supports patients through the whole pathway — pre-prosthetic conditioning, prosthetic training after fitting, orthotic prescription for foot and lower-limb conditions, and long-term gait rehabilitation.
We work with adults after upper- and lower-limb amputation (traumatic, diabetic, vascular, oncological), with patients who need AFOs (ankle-foot orthoses) or KAFOs (knee-ankle-foot orthoses) after stroke or spinal cord injury, with children requiring paediatric orthoses, and with patients living with diabetes who need protective footwear and structured foot care.
The clinic works closely with surgical teams at CMC Vellore and local prosthetist-orthotists so device fitting, training, and long-term follow-up are coordinated rather than fragmented.
Conditions we treat
Each condition below links to a detailed guide with symptoms, evidence-based treatment, and a typical recovery timeline.
Treatment approaches
Stump shaping, phantom-pain strategies, strength and range work — often started before the definitive prosthesis is fitted.
Weight-shift, standing balance, step training, community mobility, and progressive endurance work.
Assessment, prescription rationale, and close coordination with your prosthetist-orthotist during fitting.
Devices need review as bodies and lives change. We plan 6–12 monthly follow-ups even for stable users.
Your first visit
Vellore context
CMC Vellore's orthopaedic, vascular, and oncology services perform a significant volume of amputations each year. Patients often stay in Vellore for a few weeks after surgery, and this window is ideal for pre-prosthetic conditioning that shortens time to independent walking later.
We coordinate with prosthetist-orthotists in Vellore and Chennai for device fabrication and adjustment. Where a device is being made in Chennai or Bangalore, we support pre- and post-fitting rehab locally.
Prosthetic and orthotic care is a long relationship, not a one-off intervention. Bodies change, jobs change, and devices wear out — we schedule 6–12 monthly reviews so problems are caught early.
For amputee patients returning to work, we plan job-simulation drills — climbing stairs, carrying loads, standing for long periods — so the first day back at work is not the first day the prosthesis is tested at that level.
Phantom-limb pain is common after amputation. Mirror therapy, desensitisation, and graded motor imagery help most patients, and we introduce these techniques early in the pre-prosthetic phase.
Coordination with prosthetist-orthotists: we do not fabricate devices in-clinic. What we provide is the rehabilitation pathway around device use — pre-fitting conditioning, prescription support, fitting-day training, and long-term follow-up.
Phantom-limb pain: this is common after amputation. Mirror therapy, desensitisation, and graded motor imagery help most patients, and we introduce these techniques early in the pre-prosthetic phase.
Return-to-work planning: for amputee patients returning to work, we plan job-simulation drills — climbing stairs, carrying loads, standing for long periods — so the first day back is not the first day the prosthesis is tested at that level.
Long-term follow-up: devices need review as bodies and jobs change. We schedule six- to twelve-monthly reviews even for stable users, so a poorly-fitting AFO or a worn-out prosthetic liner is caught before it causes skin breakdown or falls.
Evidence base in brief: early pre-prosthetic conditioning (in the first two to six weeks after amputation) is associated with shorter time to independent walking and better long-term prosthesis use. Structured gait retraining after fitting improves community mobility and reduces falls.
Insurance considerations: physiotherapy sessions are typically covered under most Indian outpatient policies with correct documentation. Device costs vary widely — we help you plan around what is and is not covered before fitting so there are no surprises.
Red-flag surveillance: skin breakdown on the residual limb, sudden change in stump volume, new pain, or falls are addressed the same day — often with a same-week adjustment appointment with your prosthetist-orthotist.
Long-term follow-up cadence: six-monthly reviews for stable users, three-monthly reviews for growing children, and one-monthly reviews in the first six months after a new fitting. Small adjustments at the right time prevent large problems later.
Skin care for prosthetic users: daily skin checks, hygiene routines, sock-management for volume changes, and immediate action on redness or hot-spots are taught at the first prosthetic-training session. Skin problems cause more prosthetic breakdowns than mechanical failures.
Orthotic wear-in protocol: new AFOs and KAFOs are typically worn in progressively — one hour on day one, two hours on day two, building to full-day wear over the first week. We monitor skin, comfort, and gait through this window closely.
Fitting-day support: for major device fittings we can attend with you at the prosthetist-orthotist's workshop, so gait feedback and adjustments happen in real time rather than through back-and-forth messages later.
Your therapist
Founder, Physiotherapist
BPT, Ex. CMC Vellore, TNMC registered, IAP life member
Languages: Tamil, English, Hindi, Telugu
Dr. Karolin leads assessment and treatment planning across all specialties at Dr. Karolin Rockson PT. Trained at CMC Vellore and TNMC-registered, with an active IAP life-membership, she practices assessment-first, evidence-based physiotherapy and mentors the therapy team on protocol adherence and outcome measurement.
Read full profilePatient stories
“Below-knee amputation after a road accident. Pre-prosthetic training started week two, and I was walking with my prosthesis at week 12. The team was patient and honest through every step.”
Karthik N.
Ranipet
“My son has cerebral palsy and wears bilateral AFOs. The team reviews the fit every six months and adjusts the gait program as he grows.”
Sundari M.
Bagayam, Vellore
FAQ
Related specialties
Book an assessment or call us — we will help you decide whether physiotherapy is the right next step.
"My father, a diabetic patient in Sholinghur, was recovering from prosthetics & orthotics. The physiotherapist worked around his sugar levels, mobility, and family schedule. Six weeks in, he is walking without support. Truly patient-centred care."
"Compared three clinics in Vellore before choosing this one. What convinced me was that the assessment for my prosthetics & orthotics was proper — orthopedic tests, movement screen, and a written plan. No generic ultrasound-and-go treatment like elsewhere."
"Sports injury from local cricket — my prosthetics & orthotics was ruining my season. The return-to-sport protocol here is elite: force-plate testing, criteria-based progression, sport-specific drills. Back on the field in 6 weeks, stronger than before."
"Great experience from Thorapadi. Clean clinic, air-conditioned rooms, latest equipment for prosthetics & orthotics rehabilitation. The therapist speaks Tamil, English and Hindi so my in-laws had no issue explaining their symptoms."
"Post-surgery rehab for prosthetics & orthotics was handled beautifully. Coordinated directly with my surgeon at CMC. Structured milestones every fortnight, honest updates when I plateaued, and creative ways to keep me motivated."
"My father, a diabetic patient in Sholinghur, was recovering from prosthetics & orthotics. The physiotherapist worked around his sugar levels, mobility, and family schedule. Six weeks in, he is walking without support. Truly patient-centred care."
"Compared three clinics in Vellore before choosing this one. What convinced me was that the assessment for my prosthetics & orthotics was proper — orthopedic tests, movement screen, and a written plan. No generic ultrasound-and-go treatment like elsewhere."
"Sports injury from local cricket — my prosthetics & orthotics was ruining my season. The return-to-sport protocol here is elite: force-plate testing, criteria-based progression, sport-specific drills. Back on the field in 6 weeks, stronger than before."
"Great experience from Thorapadi. Clean clinic, air-conditioned rooms, latest equipment for prosthetics & orthotics rehabilitation. The therapist speaks Tamil, English and Hindi so my in-laws had no issue explaining their symptoms."
"Post-surgery rehab for prosthetics & orthotics was handled beautifully. Coordinated directly with my surgeon at CMC. Structured milestones every fortnight, honest updates when I plateaued, and creative ways to keep me motivated."
"Home-visit physiotherapy for my grandmother — bed-bound with prosthetics & orthotics. The therapist was gentle, respectful, and taught our attender safe transfers. Family peace of mind is priceless. Charges are very reasonable for Vellore."
"Insurance-friendly billing and detailed reports for my employer. My prosthetics & orthotics recovery plan included manual therapy, dry needling, and progressive loading — exactly what current research recommends. Five stars."
"As a small business owner from Sathuvachari, I struggled with prosthetics & orthotics for months before coming here. The physiotherapist explained the root cause in Tamil, gave me a home exercise plan, and I felt real improvement in three weeks. Best decision I made this year."
"a 63-year-old here from Chittoor. Had chronic prosthetics & orthotics for over a year. What worked was pain-education plus graded exercise, not endless machines. Now I sleep through the night and go for morning walks pain-free."
"My son's school in Walajapet recommended this clinic for his prosthetics & orthotics. The paediatric therapist made every session fun for him. Parents get a home program too. In 8 weeks the difference is dramatic."
"Home-visit physiotherapy for my grandmother — bed-bound with prosthetics & orthotics. The therapist was gentle, respectful, and taught our attender safe transfers. Family peace of mind is priceless. Charges are very reasonable for Vellore."
"Insurance-friendly billing and detailed reports for my employer. My prosthetics & orthotics recovery plan included manual therapy, dry needling, and progressive loading — exactly what current research recommends. Five stars."
"As a small business owner from Sathuvachari, I struggled with prosthetics & orthotics for months before coming here. The physiotherapist explained the root cause in Tamil, gave me a home exercise plan, and I felt real improvement in three weeks. Best decision I made this year."
"a 63-year-old here from Chittoor. Had chronic prosthetics & orthotics for over a year. What worked was pain-education plus graded exercise, not endless machines. Now I sleep through the night and go for morning walks pain-free."
"My son's school in Walajapet recommended this clinic for his prosthetics & orthotics. The paediatric therapist made every session fun for him. Parents get a home program too. In 8 weeks the difference is dramatic."
Everything patients ask us about prosthetics & orthotics — cost, insurance, home visits, online consultation, recovery time, and evidence-based treatment options in Vellore.
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