This phase may raise specific problems for the teenager. Physical appearance becomes especially important. Particular attention should be paid to a good cosmetic appearance by the professionals at the Disablement Services Centres. Stigma and prejudice may also take on new dimensions, as the young person moves out of the school environment into either further education or employment. The individual's positive self image will help to provide a firm foundation and few problems persist.
Some deficiencies are so mild as to require no treatment or support.
Minor leg length differences can be accepted at least for the first few years of life. This is acceptable if it is not so much as to make the shoe cumbersome, heavy and ugly. A specially made shoe may be needed. A splint or calliper may be necessary with or without a special shoe. An extension prosthesis is required when the leg is deformed and too short to be corrected by a shoe raise.