Pedorthic Devices
Many people suffer from problems that exist primarily between the ankle and the toes. To meet their needs,(AAS) Orthotics and Prosthetics has several clinicians trained to treat this region of the body. Certified Pedorthists, a clinician professionally trained in treating the foot and ankle, and our Certified Orthotists, are ready to provide patients with the unique care they need. Our Certified Pedorthists (C. Peds.) work closely with many area Podiatrists in satisfying their patient's needs.
The C. Ped. certification was developed by the Board for Certification in Pedorthics (BCP) and is supported by the Pedorthic Footwear Association (PFA).
Many people suffer from problems that exist primarily between the ankle and the toes. To meet their needs,(AAS) Orthotics and Prosthetics has several clinicians trained to treat this region of the body. Certified Pedorthists, a clinician professionally trained in treating the foot and ankle, and our Certified Orthotists, are ready to provide patients with the unique care they need. Our Certified Pedorthists (C. Peds.) work closely with many area Podiatrists in satisfying their patient's needs.
The C. Ped. certification was developed by the Board for Certification in Pedorthics (BCP) and is supported by the Pedorthic Footwear Association (PFA).
LOWER EXTREMITY:
TYPES OF LOWER EXTREMITY ORTHOTICS.
TYPES OF LOWER EXTREMITY ORTHOTICS.
- FOOT ORTHOTICS
- FOOT ORTHOSES
- UCBL ORTHOSES
- ANKLE SUPPORTS
- PREFABRICATED AFO’S
- TOTAL CARBON FIBER AFO’S
- SOLID ANKLE AFO’S
- POSTERIOR LEAF SPRING AFO’S
- METAL DOUBLE UPRIGHT AFO’S
- GROUND REACTION AFO’S
- SPIRAL CARBON FIBER AFO’S
- CAM WALKER
- PRESSURE RELIEF AFO
- TIBIAL FRACTURE BRACE
- TIBIAL TORSION ORTHOSIS
- DYNAMIC ROM AFO
- PLANTAR FASCIITIS SPLINT
- CHARCOT RESTRAINT WALKER
- ARIZONA AFO
- KNEE PATELLA SUPPORTS
- KNEE IMMOBILIZERS
- ROM KNEE BRACES
- SINGLE UPRIGHT KAFO’S
- DOUBLE UPRIGHT KAFO’S
- FEMORAL FRACTURE BRACES
- FEMORAL FRACTURE BRACES
- ACL / PCL KNEE BRACES
- OA KNEE BRACES
- SWEDISH KO
- DYNAMIC ROM KAFO / KO’S
- HKAFO FEMORAL FX BRACE
- CUSTOM HKAFO
- RECIPROCATING GAIT ORTHOSES
- STANDING FRAME
- A-FRAME
- PARAPODIUM
- ADJUSTABLE HIP ABDUCTION
- PAVLIK HARNESS
- RHINO OR CRUISER HIP BRACES
- STATIC HIP ABDUCTION BRACES
- SCOTTISH RITE
- SWASH ORTHOSIS
- DYNAMIC HIP ABDUCTION.
CROW AFO (CHARCOT RESTRAINT ORTHOTIC WALKER)
- Commonly prescribed for the treatment of Charcot Ankle in combination with diabetic Plantar Neuropathy.
- Provides immobilization of the foot and ankle and is an excellent alternative to total contact casting.
- Incorporates a custom multidensity inlay for total contact and/or pressure relief on areas of the foot.
- The rocker bottom and custom molded insert enhance healing and eliminate shear forces on the planar surface of the foot.
FLOOR REACTION AFO
- Ideal for patients whose crouched position is due to weakness and lack of voluntary plantarflexion
- Uses floor reaction force through the toe aspect of the foot plate to prevent tibial progression and subsequent knee collapse.
- Blocks dorsifexion at the ankle.
DORSIFLEXION ASSIST AFO
- Commonly prescribed for neuromuscular conditions associated with foot drop and weak dorsiflexors.
- Provides a dynamic dorsiflexion assist with passive plantar flexion resistance.
- Aids in dorsiflexion during swing phase of gait for increased toe clearance and safety.
- Supports ligament instabilities and provides medial lateral stabilization
- Allows smooth plantar flexion from initial heel contact to foot flat insuring knee stability
PLANTARFLEXION STOP AFO
- Commonly prescribed for patients with weak dorsiflexors /drop foot. Can also be used to treat tight plantarflexors, peroneal nerve paralysis and knee hyperextension.
- Prevents unwanted plantarflexion while permitting free dorsiflexion.
- Provides additional medial/lateral stability, talar and subtalar joint stabilization.
- Not recommended for patients with weak quadriceps or knee flexion contractures.
FREE MOTION ARTICULATING AFO
- Commonly prescribed for posterior tibial tendon dysfunction and frontal plane instabilities of the subtalar and/or talor joint.
- Allows full plantarflexion and dorsiflextion.
- Maintains medial/lateral stability
- Not recommended for patients with weak quadriceps or knee instabilities.
SOLID ANKLE AFO
- Intended to provide maximum stability and control of the ankle and is often used in the absence of active range of motion.
- Used when there is a lack of medial/lateral control or stability at the ankle.
- Can also influence the position of the knee when moderate knee instability is a concern.
- Prevents foot drop by blocking plantarflexion.
- Assist push off by not collapsing into dorsiflexion.
DYNAMIC POSTERIOR LEAF SPRING AFO
- Commonly prescribed for conditions like drop foot, CVA, CMT, MS, Peroneal palsy, and lower extremity weakness.
- Aids in dorsiflexion during swing phase of gait for increased toe clearance and safety.
- Controls platarflexion at heel strike and maintains dorsiflexion during swing phase.
- Flexibility and resistance to plantar flexion can be controlled by adjusting the trim lines at the ankle and length of the foot plate.
SUPRA MALLEOLAR ORTHOSIS (SMO)
- Commonly prescribed for young children who present with benign hypotonia and excessive pronation, or flexible pes planus.
- Assists in controlling medial and lateral ankle instability
- Used to properly align the foot in the optimal position for a more natural movement of the foot and ankle during gait.
- Improves balance and coordination while allowing for range of motion in the sagittal plane, so the child can stand, walk, run and jump.
AFO, Ankle Foot Orthosis, Floor Reaction (Custom-Molded)
Purpose of the Device:
Purpose of the Device:
- To provide ground reaction forces to the knee which assist in stabilizing the knee during ambulation
- Quadricep weakness
- Crouch gait
- Multiple Sclerosis
- CVA w/ quadricep weakness
- Dorsiflexion assist for foot drop
- Solid ankle designs available
- Can be made with carbon graphite for light weight needs such as multiple sclerosis
- This design can be incorporated into a KAFO for patients with severe weakness
AFO, Ankle Foot Orthosis, Articulated (Custom-Molded)
Purpose of the Device:
Purpose of the Device:
- Provides adjustable control of the ankle and foot
- Designed with an articulated ankle and plantarflexion stop
- Drop foot
- Paralysis
- Medial/lateral instability
- Stress fracture
- CVA
- Ankle joints
- Full foot plate
- Varus/Valgus corrective straps
- Pre-tibial shell
- Posterior stops
- Walking base
- Patient needs to wear a laced or velcro-closure type shoe
- Contraindications include diabetes and fluctuating edema
AFO, Ankle Foot Orthosis, Articulated (Custom-Molded)
Purpose of the Device:
Common Additions:
Purpose of the Device:
- Provides adjustable control of the ankle and foot
- Designed with an articulated ankle and plantarflexion stop
- Drop foot
- Paralysis
- Medial/lateral instability
- Stress fracture
- CVA
Common Additions:
- Ankle joints
- Full foot plate
- Varus/Valgus corrective straps
- Pre-tibial shell
- Posterior stops
- Walking base
- Patient needs to wear a laced or velcro-closure type shoe
- Contraindications include diabetes and fluctuating edema
Foot Orthoses, Active Functional
Purpose of the Device:
Purpose of the Device:
- Provides biomechanical control to establish better foot and leg function
- Plantar fasciitis
- Abnormal supination
- Metatarsalgia
- Heel spurs
- Neuroma
- Degenerative joint disease
- Posterior tibial tendonitis
- Knee pain
- Abnormal pronation
- Shin splints
- Achilles Tendonitis
- Heel spur pads
- Heel lifts up to 1/4 inch
- Morton's extensions
- Flexible plastic shell is combined with stable heel posting and soft arch fill to protect against pressure and impact shock
- Varying thicknesses of plastic and densities of heel posting and arch fill are available to suit individual patient needs
Foot Orthotic, Active Lite
Purpose of the Device:
Purpose of the Device:
- Provides biomechanical control to establish better foot and leg function
- Plantar fasciitis
- Abnormal supination
- Metatarsalgia
- Heel spurs
- Neuroma
- Degenerative joint disease
- Abnormal pronation
- Shin splints
- Achilles Tendonitis
- Heel spur pads
- Heel lifts up to 1/4 inch
- Metatarsal pads
- Morton's extensions
- Rigid to semi-rigid plastic shell is combined with stable heel posting for good bio-mechanical control
- A full-length soft cover helps protect against pressure and impact shock
- Varying thicknesses and types of plastics are available to suit individual patient needs
Foot Orthotic, Diabetic
Purpose of the Device:
Purpose of the Device:
- Provides support and protection for the diabetic foot
- Plastazote and poron top cover provides accommodation and cushioning
- EXP base with or without metatarsal pads supports longitudinal and transverse arches
- Plantar lesion
- Rocker/Charcot foot
- Bunion
- Plantar fasciitis
- Fat pad atrophy
- Insensate foot
- Cushion heel
- Accommodative cutouts
- Soft Morton's extensions
- Extra-depth shoes may be needed to accommodate the thickness of the orthotic
Foot Orthotic, Functional
Purpose of the Device:
Purpose of the Device:
- Provides biomechanical control to establish better foot and leg function
- Plantar fasciitis
- Abnormal supination
- Metatarsalgia
- Heel spurs
- Neuroma
- Degenerative joint disease
- Abnormal pronation
- Shin splints
- Achilles Tendonitis
- Heel spur pads
- Heel lifts up to 1/4 inch
- Metatarsal pads
- Morton's extensions
- Rigid to semi-rigid plastic shell is combined with stable heel posting for good bio-mechanical control
- A full-length soft cover helps protect against pressure and impact shock
- Varying thicknesses and types of plastics are available to suit individual patient needs
Foot Orthotic, Multidensity Inlay
Purpose of the Device:
Purpose of the Device:
- Provides cushioning shock absorption and pressure redistribution
- Is ideal for the diabetic foot
- Any number of layers of soft accommodative materials may be incorporated into inlay to suit individual patient needs
- Plantar lesions
- Metatarsalgia
- Insensate foot
- Charcot foot
- Metatarsal pads
- Accommodative cutouts
- Extra depth shoes may be needed to accommodate the thickness of the inlay
Foot Orthotic, Rigid/Semi-Rigid Functional Full-ControlPurpose of the Device:
- Combines longitudinal arch support with firm heel posting and/or forefoot posting to provide moderate to maximum levels of biomechanical control
- Plantar fasciitis
- Abnormal pronation
- Shin splints
- Degenerative joint disease
- Heel spurs
- Neuroma
- Metatarsalgia
- Posterior tibial tendonitis
- Knee pain
- Achilles tendonitis
- Heel spur pad
- Whitman extension
- Heel lifts up to 1/4 inch
- Metatarsal pads
- Roberts extension
- Deep heel cup
- Morton's extension
- Varying types and thicknesses of plastics, along with a variety of topcovers, are available to suit individual patient needs
Foot Orthotic, Slim-Line DressPurpose of the Device:
- Provides biomechanical control to establish better foot and leg function
- Plantar fasciitis
- Neuroma
- Heel spurs
- Knee pain
- Posterior tibial tendonitis
- Degenerative joint disease
- Abnormal pronation
- Metatarsalgia
- Heel spur pads
- Metatarsal pads
- Varying thicknesses and types of plastics are available to suit individual patient needs
- Accomodates dress shoes but with reduced biomechanical control
Foot Orthotic, Soft AccommodativePurpose of the Device:
- Provides minimal biomechanical control but is well suited for patient who needs shock absorbency and pressure redistribution
- Base of rigid foam or cork provides support to the medial and transverse arches
- For diabetic patients, top cover of pink plastazote is used to interface with the sensitive plantar surface of the foot
- Plantar fasciitis
- Leg Fatigue
- Degenerative joint disease
- Metatarsalgia
- Insensate foot
- Neuroma
- Bunions
- Plantar lesion
- Charcot foot
- Cushion heel
- Soft Morton extensions
- Metatarsal pads
- Accommodative cut outs
- A variety of soft materials may be used to suit individual patient needs
- Extra depth shoes may be needed to accommodate the thickness of the orthotic
Pedorthic Toe/Shoe FillerPurpose of the Device:
Special Considerations:
- Provides filler for patients with forefoot or toe amputations
- Use of this item aides in balance, prevents slippage and eliminates the need for custom-made shoes
- Toe or partial foot amputations
- Available for partial foot/toe amputee to a Chopart-level amputee
Special Considerations:
- Some shoe styles not indicated
Shoes, Darco
Purpose of the Device:
Purpose of the Device:
- Temporary shoe with velcro closures to the toes, for use when a patient is unable to wear a normal shoe
- Post-operative applications
- Edema
- Inserts, to relieve pressure areas on the plantar surface of the foot
- Shoe easily adjusts for changes in volume due to edema, post-operative dressings, etc.
Shoes, Darco WedgePurpose of the Device:
- Temporary shoe with velcro closures, used to unweight the forefoot
- Negative heel and rocker modification transfers weight from the forefoot to the hindfoot
- Forefoot ulceration
- Forefoot fracture
- Amputation
- Shoe easily adjusts for changes in volume due to edema, post-operative dressings, etc.
Shoes, Depth Inlay
Purpose of the Device:
Purpose of the Device:
- Provides extra toe box depth to accommodate various needs
- Hammertoes
- Diabetes
- To accommodate foot orthotics
- Hard-to-fit feet
- Attachment to metal orthosis
- Accommodate plastic orthoses that fit in the shoes
- Wedges, lifts and rocker bottoms depending on patient needs
Shoes, Orthofeet Casual ShoePurpose of the Device:
- Specifically addresses the biomechanics of walking by limiting stress at the areas of the foot most susceptible to pain
- Diabetes
- Hammer toes
- When a patient's foot orthotics necessitate a very deep shoe
- Arthritis
- Healing ulcerations
- Fat pad atrophy
- Custom multi-density inserts
- Steel shanks
- Velcro closure
- Attach to metal lower-extremity brace
- Heel or sole lifts
- Shoes are constructed with rocker bottom soles, which are lightweight polyurethane for good shock-absorption resilience
- Rocker design reduces stress in the metatarsal heads, and the recessed heels delay impact at heel strike
- Also feature three removable insoles for extra depth and a perfect fit
- One of the insoles is an Anti-shox orthotic that provides longitudinal arch support and a metatarsal cushion