Care happens everywhere.
Flexibility and convenience are our top priority.
LOOKING FOR AN APPOINTMENT? Call or email anytime. Our mobile clinic provides you flexibility to see seen at home or join you at your surgeon or primary care medical appointment.
We work with your schedule to find the best time and location for your appointments.
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You may contact a prosthetist as soon as possible. You can begin the process by asking for a referral from your medical care team.
For exceptional care, the practitioner and facility you choose should be certified and accredited by the American Board for Certification in Orthotics, Prosthetics, & Pedorthics (ABC).
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Next Step Prosthetics uses advanced scanning technology with 3D printing instead of the traditional casting process.
This allows for a simple, accurate and ultra personal measurement of your residual limb– allowing us to create a personalized check socket quickly so you are on your way to a fast delivery of your prosthesis.
Throughout the process we offer flexible appointment options as well as the opportunity to meet with our Amputee Support Group either in person or via Zoom by request.
Visit to learn more:
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You will be seen by Mike Kayser, CPO. Mike is a certified Prosthetist and Orthotist with experience in pediatric and adult prosthetics. He is highly qualified to care for you and build the prosthetic that will best meet your needs.
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Yes! We can come to your house or join you at another appointment with your care team.
We also offer mobile clinic days in the surrounding communities if reaching our offices in Flagstaff is a challenge.
To take advantage of our personal 1 to 1 visits or mobile clinic days, please call our office to make arrangements.
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You will need a prescription (with clinical notes) from a primary care doctor or surgeon to obtain a prosthesis or an orthosis. However, it is not required for an informal inquiry or office visit.
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Many insurance companies partially or fully cover a variety of orthotic and prosthetic services. You may need preauthorization for an orthotic/prosthetic product or service.
Contact your insurance company with any questions to fully maximize your benefits.
AHCCCS and Medicare also cover these products with the right process and authorizations.
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For your initial appointment, you will need to bring a photo ID, your insurance card and the prescription from your doctor/surgeon.
If you have Medicare or AHCCCS, please be sure to have a current copy of your card with you, because some forms will need to be filled out.
Custom solutions for the perfect fit.
MEASURED, CASTED AND FIT SPECIFICALLY FOR YOU. We 3D print molds to enhance your fit, comfort and function.
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Download our prosthesis timeline to get an outline of the typical process.
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There are many different prostheses available to match your needs! First and foremost a prosthesis is selected to match your function levels. We will work together while considering your amputation level, occupation and desired sports or activities you want to do.
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The prosthetist will discuss with you the most appropriate option for your prosthesis and level of activity. There are several different options – suction, pin-lock mechanism attached to a liner, a suspension sleeve, or elevated vacuum.
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Learning to use a new prosthesis takes time, effort, strength, patience, and perseverance. We get you started and teach you the basics in our office. From there many find it helpful to continue their progress with physical therapy appointments and practice with parallel bars.
We recommend to continue meeting with physical therapists and recommended strength exercises. Doing so will improve your stride and prepare you for how to safely handle fall emergencies.
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Most people are able to resume their occupation and their activities prior to amputation. However, you may have to do some things differently and you will need to practice your gait, balance, and coordination. The success you have with your prosthesis depends on your attitude, willingness to master wearing the prosthesis, and your rehabilitation goals.
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Before you take your prosthesis home, you will receive instructions on how to put it on and take it off. You’ll have some time to practice walking with it in our office and you will also be given instructions on how to care for it.
During the first year, your residual limb will change in shape and size, so it is important to stay in contact with your prosthetist. He can make adjustments if your prosthesis becomes uncomfortable. Some examples are: Pain, chafing, or the fit has become too loose or too tight.
These check-ins can be a great time to get new socks and liners to help maintain the health of your residual limb.
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Feeling the missing limb is called phantom limb pain and it is a common sensation with amputees. If you experience phantom limb pain following your amputation, speak with your doctor because therapeutic treatment options may be available. The amputees at our Support Group are also willing and able to offer advice, tips and experiences.
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Yes. We can apply a cover or silicone prosthesis over it. It will match your skin tone and include hair, veins, and freckles. Some of our patients prefer to have their prosthetic socket laminated with a design that matches their interests. We also have local artists working closely with us, including Hopi artist Duane Koyawena, who can create original artwork for your prosthetic.
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Your prosthesis is aligned for a particular type of shoe and heel height. The alignment of the prosthesis affects its stability and ease of walking. We can incorporate a special foot, with an adjustment mechanism, for patients who would like to wear different heel heights.
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An amputee will most likely be able to safely resume driving with the assistance of adaptive devices. Contact your car insurance company and local Motor Vehicles Department for more information.
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As you master the art of walking on a prosthesis, you may find it helpful to use a cane or a crutch for additional support. Crutches or a wheelchair are also helpful for nighttime trips to the bathroom, going into the shower, or taking a break from wearing the prosthesis.
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That depends on your activity level and how well you take care of your prosthesis. A rule of thumb is anywhere between two and four years. Often, the socket wears out the fastest, but it can be replaced without having to get an entire new prosthesis.
Two elements that require regular replacement for your health and comfort are socks are liners.
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Follow-up visits are recommended every three to six months for normal maintenance and care. However, an inspection should be performed if you’ve experienced even a slight weight gain or loss or if your activity level has changed.