Short answer: Yes! Long answer: Still yes, with evidence to back up that claim in this article.

From fingertip covers to shoulder-level devices to bilateral prostheses – most people who have an upper-limb prosthesis can wear their device all day. We say most because there are factors to consider such as scarring, sensitivity, pressure tolerance, altered sensation, tissue healing, and tolerance for the weight of the device. An individualized wear schedule is established with the patient to support functional needs while monitoring for and minimizing potential adverse effects.

On day one of receiving your prosthesis, can you wear it for twelve hours? Well, no. Your body (muscles, skin and more), need time to adjust to a prosthesis, so when your occupational therapist goes over your at-home instructions, they will give you a wear schedule. You can get an idea of what a wear schedule looks like for most patients in our article “Suggested Wear Schedule for a New Prosthesis.” While the goal is to encourage patients to wear their device for their desired duration, it is important to gradually increase wear time to allow the patient’s body to adjust and minimize the risk of setbacks.

Abe and Angie

But once you are past the adjustment period, how is it possible to wear a prosthesis all day? For us, it’s about making a comfortable, balanced prosthesis. For comfort, one of the major ingredients in our secret sauce is a silicone socket. You have probably run into silicone before – it’s used to make spatulas in the kitchen, babies' pacifiers and even smartwatch straps. When used as a socket, it conforms perfectly to our patients' residual limb without slipping off. It’s flexible. As our patient Peter puts it: “The silicone socket is a lot more streamlined and a lot less bulky than the thermoplastic socket I was in before.” It feels lighter and cooler to our patients, meaning our patients sweat less while wearing it. Additionally, its properties can sometimes help promote the growth of new skin. Don’t let anyone tell you that you have to “build up a callus” to feel comfortable wearing a device all day. Our patient Jason was told exactly that by his first prosthetist, before he came to us. He found out there was simply no reason for that kind of care (or lack thereof) – not when silicone sockets exist.” 

Because all of our prosthetists are upper-limb specialists, they have years of experience figuring out how best to balance a prosthesis so that the patient’s whole body feels balanced – or in the case of a partial hand difference, the residual hand. Knowing which device to use, how to build the frame and how to make it all work together with the socket can make a huge difference in creating something a patient can wear all day long.

So how long do our patients wear their devices? Joe: “I’ll wear the prosthetic for eight hours or more.” Todd: “My prosthesis is on all day. I work the night shift, so it’s on from about three in the morning until nine at night.” John: “I’ll usually put it on at four, four-thirty in the morning and sometimes take it off at seven o’clock at night, sometimes one in the morning.” Mandie: “On the days that I’m out and about, I wear it all day long.” Isaiah (pictured below): “Being able to wear something for eight, sometimes twelve hours, is pretty great.”

Isaiah Bartending-Listing

We love that our patients are able to wear their devices for such long periods of time – but we also love it when our patients are cautious and know when not to push it. Our patient Gerry, who has a bilateral amputation that resulted from an electric shock, told us: “When it’s really cold or really hot, wearing my prostheses can be an issue. When it’s cold, my muscles contract and the myoelectric sensors don’t work as well. And with heat and humidity, if I’m sweating a lot, I have to be careful. That moisture builds up inside the socket, and again, the myoelectric sensors won’t work sometimes. Another thing is that I have a lot of skin grafts on my residual limb, and if I sweat too much, the skin tears easily. I have to make time to take my prostheses off to let them dry thoroughly and let my limbs dry thoroughly. But as long as I’m careful and take breaks, I can wear it all day the rest of the time and sometimes, at the end of the day, I don’t want to take it off – these things give me so much independence.”

We work with each patient to provide a comfortable, durable, and aesthetically appealing prosthesis while helping them confidently integrate their device into the activities, functional tasks, and hobbies that are meaningful to them. Each patient gets an individualized wear schedule that considers their functional needs, skin integrity, and the need for appropriate breaks. Here’s what days look like for several of our patients:

If you would find wearing a prosthesis all day helpful and want to know how you could achieve that, please contact us. If you would like to leave a comment, you are welcome to do so below.

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