On Your Feet: Pedorthic Solutions for Stressed Out Feet
By Garrison Wells
Feet aren't just a built-in mode of transportation-they can be critical to a person's professional success. For a professional athlete, for example, foot wellness can translate into fame and a million-dollar salary. But there are a multitude of ot...
Staying Relevant: How Are Pedorthists Blazing Their Professional Trail?
By Judith Philipps Otto
O&P professionals are facing new challenges that may color and re-direct the future of their respective professions. The pedorthic profession in particular faces its own set of unique challenges in terms of building awareness and credibility, not...
Optimizing Foot Care through Pedorthic/Podiatric Partnerships
By Kate Hawthorne
As with any intricate piece of equipment with many moving parts, the human foot is subject to a wide array of possible malfunctions-ranging from congenital deformity and improper gait to partial foot amputation-as the result of trauma or systemic...
Pedorthic Solutions during Pregnancy
By Laura Fonda Hochnadel
While expectant mothers may be most focused on their growing abdomens and the needs of their unborn children, they may be feeling the effects of pregnancy on their feet as well. Softening and relaxing ligaments, pelvic bone changes, weight gain, a...
Bev Combs: Putting Her Best Foot Forward
By Laura Fonda Hochnadel and Andrea Spridgen
Combs models her custom shoes. Photographs courtesy of Bev Combs. If the shoe fits, wear it.
Successfully Dispensing Foot Orthotics: 12 Tips for Better Outcomes
By Séamus Kennedy, BEng (Mech), CPed
Dispensing custom foot orthotics successfully can be beneficial to patients, rewarding for the practitioner, and can also generate referrals that help a practice grow. Having more than 17 years of experience owning and running a foot orthotics lab...
Orpyx: Putting Feet First with "Sole-Full" Technology
By Laura Fonda Hochnadel
Get your feet wet. Get your foot in the door. Put your feet to the fire.
Quality Assurance: Are We Doing a Good Job?
By Tony Wickman, CTPO
When I started in this industry in 1984, I was amazed to find out that there wasn't any federal or state oversight in the production of orthoses or prostheses. You had to be state licensed to cut hair or even drive a hearse, but not to make a pros...
Looking Back, Looking Ahead
Pedorthics: Times, They Are A-Changin'
By Andrea Spridgen
If there is one thing that it seems everyone in the orthotic, prosthetic, and pedorthic professions can agree on, it's that the industry is continually changing. With increasing documentation requirements for diabetic footwear reimbursement, the g...
Face to Face
Jeff Cole, CPed
Jeff Cole spent his 28-year-career running a family business that represented machine tool manufacturers. The pride he took in his work and the attention he paid to providing good customer service are two of the traits he now applies to his post-r...
Got FAQs: Billing for services to patients prior to discharge from a skilled nursing facility or hospital, inserts for diabetic shoes, and verifying items on the PDAC list
By Lisa Lake-Salmon
Denials are difficult to identify and time-consuming to appeal. When denials have you at your wit's end, "Got FAQs?" can help you get your billing back on track. This month's column answers your questions about billing for services to patients pri...
Plenty of Shoes to Fill
By Karen Henry
The typical adult human skeleton has 206 bones. The human feet-with 26 bones each-accounts for just over 25 percent of the bones in the human body. From a purely statistical standpoint, this is significant, but when you consider the havoc that foo...
SurroGait Rx: More “Sole-Full” Technology from Orpyx
Impaired or loss of foot sensation is a common complaint among people who suffer from peripheral neuropathy, commonly caused by type 2 diabetes. This reduced sensation in the feet can lead to foot ulcerations because the patient has become impervi...
Endolite Presents the avalon–the Latest Advancement for the K2 Patient Population
EDGE Direct Endolite is proud to present the newest advancement for the K2 patient population-the avalon . The avalon , with controlled ankle motion and smooth roll over, offers the latest in biomimetic technology to level 2 amputees. The avalon...
Give your patients the most advanced KAFO technology combined with the most advanced fabrication! Ottobock's line of KAFOs is now available in prepreg, resulting in KAFOs that are up to 40 percent lighter than laminated alternatives. Prepreg also creates more consistent fabrication outcomes and avoids unwanted buildups.
Ottobock Fabrication Services offers decades of expertise, exceptional customer service, and an unparalleled reputation for quality. Our expert services include water transfer, lamination, and prepreg carbon fiber. You can count on timely turnaround and delivering the results you want.
Introducing the COBRA Baseball Throwing TD
The revolutionary design captures and returns energy for instinctive ball-throwing capability to speeds of 50+ mph and distances to 30+ meters.
Throw again with speed! Throw again with control!
The COBRA is fully adjustable to maximize ball-release speed and control direction and trajectory. Designed specifically for baseballs (hardballs), the COBRA uses TRS energy-capture-and-release polymer technology. Available in one model that provides a universal left or right fit.
Throw again with your kids! Play baseball again!
Patent Pending US13/572,503.
It's proven: The superior integrity of the RAPO™ Orthosis delivers more effective results.
The newly upgraded RAPO™ Orthosis features an additional Velcro® pile/loop strip for added durability and security, improving patient compliance and function. It's more secure for ambulation and more durable for extended wear. This is a standard upgrade, available at no additional charge. Save nearly 45% off traditional PRAFO® orthosis pricing.
- Proven superior integrity of the superstructure.
- Ergonomically-designed footplate.
- Custom-contoured heel connector bar.
- Liners replaced without tools.
- Adult, pediatric, and infant sizes.
Anatomical Concepts Inc.
The echelonVT merges the fluid movement of our hydraulic ankle with the responsive function of our e-carbon foot springs and machined titanium spring. This combination results in a smooth heel-to-toe transition on all surfaces, absorbs ground forces, and provides energetic tibial progression and up to 15° of axial rotation.
- Self-aligning feature provides comfort while standing or traversing varied terrain.
- Independent, hydraulic-controlled plantarflexion and dorsiflexion.
- Hydraulic ankle dorsiflexes, which allows for greater toe clearance in swing phase.
- A dynamic, precision-engineered spring enhances the ankle's fluid movement.
- Foot shell and glide sock included.
The Tactical Soleus is available in limited quantities, and $200 of every Tactical Soleus sold will be donated to Purple Heart Homes. This organization is committed to providing housing solutions for service-connected, disabled veterans. The Tactical Soleus is engineered and manufactured in the U.S.A. and custom built for the heroes among us. College Park has removed unnecessary weight while retaining superior strength. A new heel-spring design and a new mid-spring design, combined with a new belt-attachment system, have created a foot that is 40% stronger and 10% lighter.
College Park Industries
Our new LimbLogic® Sleeve works with the LimbLogic controller to ensure an airtight, secure system. This fabric-covered silicone sleeve comes with a separate silicone cuff. The cuff is placed directly over the socket's trim line for extra protection from wear and impact. The sleeve is then donned over the cuff.
This clever, yet simple, design allows the cuff to be repositioned. Should a patient puncture the sleeve, he or she can immediately rotate the cuff and regain an airtight seal. Additionally, the fabric used on the LimbLogic Sleeve enhances knee flexibility for ease and comfort of movement.
Every ToeOFF® and BlueRocker™ should have a soft interface between the orthosis and tibial crest. We now offer a beige SoftKIT™ to match perfectly with the ivory-colored ToeOFF Fantasy.
The kit includes pre-cut, pressure-sensitive MikroFIX tabs to easily affix the pad to the orthosis. The system also includes two narrow neoprene pads to create a pressure-free channel to help relieve any potential discomfort from bony prominences.
Each SoftKIT comes with an extra pad so that one can be worn while the other is being laundered.
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- KKDorsiflexes from midstance to toe off for a smooth rollover.
- KK Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- KK Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- KK Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
The new Breg T-Scope® Post-Op Elbow Brace is ideal for providing fixed or controlled range of motion. This off-the-shelf brace incorporates the patented T-Scope hinge, telescoping struts, and drop-lock to prevent flexion and extension at any angle. A detachable shoulder sling is included. Weighing just 13 oz., the T-Scope brace is an excellent alternative to casting. The low-profile design conforms to a patient's arm and offers extension control from 10°-110°, and flexion control from 10°-120°. It can be used pre- or post-operatively. Sizes: regular, long.
PEL Supply Company
The new and improved Pyramid Receiver PR-SL-R-TI is the newest addition to Prosthetic Design's Pyramid line. It offers sliding and 360 degrees of rotation with a low profile of only 30.5mm. This component is manufactured of titanium and is compatible with the European 4-hole pattern. The rotation is locked into place by tightening the four adjustment setscrews on the receiver. The rotation is positively controlled in three-degree increments with the use of interfacing radial serrations. The slide function is locked at the same time the receiver's four adjustment setscrews are tightened.
Prosthetic Design Inc.
The custom silicone liner for the best choice in vacuum and explusion systems.
Evolution Industries Inc.
Now Available in a New, Larger Size
Tamarack now offers a new 15/16-in. XL size ShearBan Rivet Cover Patch in an 84-piece pack. The patches are pre-cut, adhesive-backed circles that can be used to cover exposed rivet heads on the inside of your orthotic or prosthetic design. Also available in the standard 3/4-in. size in a 138-piece pack. The packs are sold in beige and are available through Becker Orthopedic.
U.S. Patent 6,362,387 EC Patent 1087738.
The T-Strap from Allard USA is another innovative ToeOFF™ Family product available from PEL. The T-Strap pulls the talocrural and subtalar joints laterally to position them underneath the tibia.
- Quick and easy to apply: Distal end attaches to bottom of ToeOFF footplate—the proximal "T" wraps around the ankle and attaches to any ToeOFF Family product lateral strut.
- Easy to customize to patient's medial malleolus height.
- Plastazote® inner core can be heated to improve shape and fit.
- Soft, breathable, supportive outer fabric.
IMPORTANT: T-Strap is intended only for use in conjunction with ToeOFF Family products AND a custom orthotic appropriate to meet patient's foot positioning requirements.
PEL Supply Company
The Stride4™ Shadow is a lightweight KAFO that combines structural strength and cosmetic appeal with the new Stride4 mechanical stance control orthotic knee joint from Becker Orthopedic.
Stride4 features include:
- Three operation modes: stance control, free motion, and locked with stance phase knee flexion.
- Four-bar linkage mechanism to afford stability and mimic anatomical knee motion.
- Integrated extension assist.
The inherent rigidity of the Stride4 Shadow ensures that optimal joint alignment and function is maintained throughout the gait cycle.
Ability Dynamics is a medical-device company created with a passion for helping amputees through the utilization of advanced technology.
Our state-of-the-art Rush Foot™ uses Flexeon™, a specially formulated, reinforced fiber-composite material that is nearly indestructible and three times more flexible than carbon fiber. This translates into fewer repairs, maintenance, and warranty claims.
Our full rocker sole is designed for the needs of above the knee amputees. The half rocker sole is designed for the needs of below the knee amputees.
The FlexCell™ battery system by Infinite Biomedical Technologies is an innovative battery system for myoelectric prostheses. The proprietary lithium polymer-gel technology allows the FlexCell to conform to curved surfaces. The FlexCell is available in two different sizes and offers the ability to add multiple cells for greater capacity.
Contact us to learn more!
The Ortho Remedy
GRACE Plates are round, thermoplastic or laminated socket adaptors with a European-pattern design that fit most all prosthetic components. Our plates allow for ease of alignment after sockets are fabricated. Created with state-of-the-art aircraft aluminum, the GRACE Plate has been used in thousands of prostheses. For your convenience, GRACE Plates come with the appropriate hardware for one low price. Please visit us online to order or for additional information.
Grace Prosthetic Fabrication
+PLUSeries® Solvent Replacement Wipes are specifically designed to replace the use of acetone and other toxic solvents in your work environment, greatly reducing your exposure to harmful toxic chemicals.
Fabtech Systems LLC
We've added a new, low-profile carbon-fiber foot to the popular Triton family! Now patients with lower clearance (2.5") can take advantage of the same smooth rollover and robust function as the original Triton. The multiaxial Triton LP provides excellent dynamics and flexibility for individuals with transfemoral or transtibial amputations. A titanium adapter makes the foot waterproof and especially robust (maximum weight 330 lb., up to K4). With a split-toe design for safety, stability, and control, the Triton LP is ideal for all of your active patients.
Orthomerica® gauntlets are now able to be worn throughout a patient's volume changes via unlimited heat adjustments to the plastic material sandwiched between the leather or synthetic material. A unique plastic allows for a dynamic orthosis, saving both time and money. Our unique, innovative designs have been tested and refined in high-volume orthotic centers. The resulting high-quality custom AFOs and synthetic and leather gauntlets offer optimal fit and are less expensive in today's ultra cost-conscious environment, without compromising comfort or function. Orthomerica's experienced custom fabrication team delivers prompt, exceptional service at highly competitive prices.
With K2, K3, and K4 models to choose from, the Össur® Total Knee® enables a broad range of amputees to walk with a smooth, more natural, energy-efficient gait, enhancing their confidence and stability. Key features include geometric locking for stability, plus mid-swing shortening designed to prevent hip-hiking and reduce the chances of tripping. Each model fits a wide range of amputees and is lightweight and easy to finish cosmetically.
The newest fit-management tool for elevated vacuum sockets! The Super Shear Gel Liner is a very conformable and soft mineral-oil gel liner that offers an ideal solution to provide relief over bony prominent areas or to give a slight improvement in socket fit.
The Super Shear Gel Liner is 14-inches long and can be trimmed to shorter lengths; it is offered in three widths to accommodate virtually any size. There are two gel liners per package.
Comfort Products Inc.
The TARSO Clubfoot AFO is for use in the
Ponseti Method of clubfoot treatment.
- Symmetrical shape for use on either foot.
- Semi-rigid construction with soft lambskin lining.
- Convenient, reversible hook-and-loop closures at top and bottom.
- Strong, secure buckle and strap with dorsal pad to lock the foot down and hold it in place.
- Rigid base plates with threaded receptacles for mounting to the Dobbs Dynamic Clubfoot Bar, Horton Click Bar, or traditional Denis Browne abduction bars.
M.J. Markell Shoe Company Inc.
Accepting Applications Now!
Begin your P&O career at NUPOC! Learn from leaders in the P&O profession! The NUPOC MPO is a 21-month graduate curriculum that prepares you to enter an accredited residency, sit for certification examinations, and become a P&O practitioner.
The online portion of the program includes live and streamed lectures, videoconference discussions, group projects, and case-study sessions that help you learn, apply, and review knowledge. The on-campus practicum offers supervised opportunities to practice technical and clinical skills with patient models who have neuromuscular impairments.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine