Orthotics and Prosthetics Advice

Clinician-written answers to the questions patients ask us most about orthotics and prosthetics.

A below-knee graduated compression stocking shown against a plain background
General

Support Stockings vs Compression Stockings: What Is the Difference?

A support stocking has no defined pressure and no defined gradient; a medical compression garment has both, certified at the ankle and sized from measurements of your leg. For tired legs and long flights the pharmacy pair is genuinely the right buy, and here is exactly where that stops being true.

4 September 20268 min read
Young child's bare feet with flexible flat arches standing on a wooden floor
Orthotics

Child Walking on Toes: When Should You Worry?

Toe walking, bow legs, knock knees and flat feet each have a normal age window, and most children grow out of them with no device at all. Here is what is developmentally normal, what genuinely warrants assessment, and what treatment involves when it is actually needed.

3 September 20267 min read
Clinician and patient completing funding paperwork for a prosthetic limb at a consulting room desk
Prosthetics

How to get a prosthetic leg in South Africa without medical aid

If you cannot pay privately, the public health system is your route, and for fully subsidised patients a prosthesis costs nothing. Here is how referral, PMBs, COIDA, the RAF and the few verifiable donor programmes actually work.

2 September 20268 min read
Orthotist with a clipboard consulting a patient during a home visit assessment
General

Do Orthotists Do Home Visits? What Happens at a Home or Bedside Appointment

Yes, orthotists do home visits. Assessment, measuring, casting and most fittings can all be done in your own home or at a hospital bedside. Only the making of a custom device needs a workshop.

1 September 20267 min read
Orthotist with a clipboard consulting a patient during a home visit assessment
General

Do I Need a Referral to See an Orthotist or Prosthetist in South Africa?

You can book directly with an HPCSA-registered orthotist or prosthetist in South Africa without a referral. It's medical aid funding, not the consultation, that usually needs a doctor's prescription.

14 July 20265 min read
Young child's bare feet with flexible flat arches standing on a wooden floor
Orthotics

Does my child need orthotics for flat feet?

Most children with flat feet need nothing more than time and sensible shoes. Here's how to tell the difference between a normal stage of development and the red flags that warrant an assessment.

7 July 20267 min read
Adult feet with flattened arches standing on a wooden floor
Orthotics

Can Orthotics Fix Flat Feet Permanently?

Orthotics can ease the pain and strain of flat feet, but they don't reshape an adult arch permanently. Here's what the evidence actually says, and when flat feet need proper treatment.

24 June 20266 min read
Generic pharmacy insole compared side by side with a contoured custom orthotic insole
Orthotics

Are Custom Orthotics Worth It?

The honest, evidence-based answer is: it depends on why your feet hurt. Here's when a pharmacy insole is genuinely enough, and when a clinician-assessed custom orthosis is worth the extra cost.

10 June 20266 min read
Custom-moulded orthotic insoles beside a foam foot impression box in a clinic
Orthotics

How Much Do Custom Orthotics Cost in South Africa?

There's no single national price list for custom orthotics in South Africa. Pricing is built around your assessment, casting method and materials. Here's what actually drives the cost, and how medical aid funding for orthotic insoles usually works.

27 May 20265 min read
Person walking between parallel bars on a below-knee prosthetic leg during physiotherapy
Prosthetics

Can you walk normally with a prosthetic leg, and how long does it take to learn?

Most people can learn to walk confidently with a prosthetic leg, though "normal" looks different for everyone. Here's what shapes the timeline, and what physio and prosthetic rehab actually involve.

6 May 20267 min read
Prosthetist servicing a prosthetic leg on a workshop bench
Prosthetics

How long does a prosthetic leg last and how often should it be replaced?

A prosthetic leg typically lasts three to five years, but the socket often needs attention much sooner. Here's what determines your timeline, and how to plan a replacement around your medical aid's benefit year.

15 April 20266 min read
Clinician fitting a compression liner over a below-knee residual limb during rehabilitation
Prosthetics

How long after an amputation can I get a prosthetic leg?

Wound healing, shrinkers and an interim prosthesis come first. A definitive prosthetic leg is usually fitted somewhere between two and six months after surgery, often sooner in practice on the private route.

25 March 20266 min read
Clinician and patient completing medical aid funding paperwork at a consultation desk
General

Does Medical Aid Cover Prosthetics and Orthotics in South Africa?

Most South African medical aids do cover prosthetics and orthotics, but the rand amount, the paperwork and the co-payment can catch patients off guard. Here is how the funding actually works.

3 March 20267 min read
Below-knee prosthetic leg with carbon-fibre socket and titanium pylon on a prosthetics workbench
Prosthetics

How much does a prosthetic leg cost in South Africa?

Prosthetic leg costs in South Africa vary by component level and funding route. Here is what drives the price, why it is quoted per patient, and how medical aid, the RAF and COIDA fit in.

11 February 20266 min read