Ankle Foot Orthoses

AFO’s protect, support and prevent further deformity or damage to the ankle and foot.

They can be custom made from a mold of the patient’s foot, or prefabricated, depending upon the control needed.

Indications for an Ankle Foot Orthosis include:

  • Drop Foot
  • CVA/Stroke
  • Arthritis
  • Posterior Tibial Tendon Dysfunction
  • Ankle Instability
  • Paralysis
  • Ankle Fusion
  • Multiple Sclerosi

Knee Orthoses – Prefab & Custom

Designed to support, protect and prevent deformity of the knee joint, this orthotic can be prefabricated or custom molded.

Indications for a Knee Orthosis include:

  • Osteoarthritis
  • Knee Instability
  • ACL/PCL Tear or Repair
  • Varus (Inward Angle) or Valgus Outward Angle) Deformities
  • MCL/LCL Insufficiencies
  • Post Operative
  • Patella Dislocation
  • Multiple Sclerosis

Fracture Orthoses

Commonly referred to as “removable casts”, these devices are designed to protect and prevent deformity from a non-displaced (simple) fracture.

Minimal movement of the fractured area stimulates bone growth resulting in faster healing.

Indications for a Fracture Orthosis include:

  • Fracture of the Tibia
  • Fracture of the Femur

Patella Tendon Bearing Orthoses

A PTB shifts weight bearing from the ankle/foot to the patella tendon and other pressure areas.

Indications for a PTB Orthosis include:

  • Ankle Fracture
  • Plantar Surface Heel Ulcer
  • Distal Tibial Fracture

Knee Ankle Foot Orthoses

KFAOs support, protect and prevent deformity of the knee, ankle and foot. They are usually custom made from a mold of the patient.

Several variations can be incorporated into a KAFO including range of motion knee joints, free motion ankle joints, varus/valgus correction straps and thigh lacers.

Indications for a Fracture Orthosis include:

  • Instability of the Knee and Ankle
  • CVA or Stroke
  • Paralysis Knee Replacement
  • Weak quadriceps
  • Genu Recurvatum (Knee bends backwards)
  • Spina Bifida
  • Post Polio
  • Cerebral Palsy

Hip Abduction Orthoses

Designed to support, protect and prevent deformity of the hip joint, this orthosis is used to prevent excessive hip flexion or extension and to limit hip abduction (the legs moving together).

Indications for a Hip Abduction Orthosis include:

  • Hip Dislocation
  • Hip Dysplasia
  • Hip Arthroplasty

Reciprocating Gait Orthoses

Designed to support, protect and prevent deformity of the hip, knee and ankle joints, RGOs aid in ambulation by allowing one leg to be placed in front of the other. As one leg is flexed and brought forward, it initiates a reciprocal extension of the other leg.

Indications for a Reciprocating Gait Orthosis include:

  • Paralysis
  • Spinal Cord Lesions T12 to L3
  • Spina Bifida
  • Paraplegia
  • Muscular Dystrophy

Myoelectric Orthoses

This orthosis uses Functional Electrical Stimulation (FES) to stimulate the peroneal nerve which is responsible for lifting the foot up. Through utilization of this orthosis, a patient no longer needs to wear an AFO.

Indications for a Myoelectric Orthosis include:

  • Cerebrovascular Accident (CVA)
  • Incomplete Spinal Cord Injury
  • Traumatic Brain Injury
  • Multiple Sclerosis
  • Cerebral Palsy
  • Orthotics (from drop down menu)

Foot Orthoses

This is a custom made device that controls excessive inward roll of the foot (pronation) or outward roll of the foot (supination).

Indications for functional foot orthoses include:

  • Plantar Fasciitis
  • Heel Spurs
  • Degenerative Joint Disease
  • Pes Planus (flat feet)
  • Shin Splints
  • Posterior Tibial Tendonitis
  • Metatarsalgia (inflammation of the ball of the foot)Neuroma (growth of nerve tissue)

Diabetic And Custom Molded Shoes

These specifically designed shoes reduce the risk of decubitis ulcers (and protect the neuropathic foot.

Indications for diabetic and custom molded shoes include:

  • Diabetes
  • Peripheral Neuropathy (damage to the nerves)
  • History of Recurring Decubitis Ulcers (reduced blood flow when something is constantly rubbing or pressing against the skin)
  • Arthritis
  • Amputation
  • Peripheral Vascular Disease (obstruction of large arteries)
  • Hammer Toes
  • Hard to Fit Feet

Conventional And Thermoplastic Orthoses

Most lower extremity orthoses can be made from conventional materials like leather and metal materials. They can also be made from thermoplastics which are heat moldable plastics and other thermoformable materials. Each material has advantages and disadvantages as well as specific indications.

Indications for Conventional Materials include:

  • Long Time Wearer
  • Skin Integrity Issues
  • Swelling or Edema
  • Durability

Indications for Thermoplastic Materials include:

  • More Control is Needed
  • Cosmetic Concerns
  • Lightweight
  • Total Contact