Orthotics

Custom Orthotics

The Total Foot and Ankle Clinic uses the latest technology of 3D scanning and design in the manufacturing of your custom orthotics. Each Orthotics is designed by the Podiatrist and approved prior to manufacturing. The entire process is overlooked by the treating Podiatrist for the best possible outcomes. The custom orthotics are either made by Nylon or EVA with a life of 3-4 years. This will insure you get the best use out of your orthotics before they need replacing or adjustment. There are many different styles and design of orthotics that meet patient’s needs.
Custom foot orthotics are used to treat a wide variety of conditions. They are designed to re-align the position of the foot and to elevate the pressure and stress of the joints, muscles and ligaments of the foot and lower-limb. Each orthotics is custom designed to the patient’s specifications according to their biomechanical assessment results and findings.

Orthotics have been used successful for the treatment of any lower-limb complications and abnormalities. This includes:

Each Orthotics is designed by the Podiatrist and approved prior to manufacturing. The entire process is overlooked by the treating Podiatrist for the best possible outcomes. The custom orthotics are either made by Nylon or EVA with a life of 3-4 years. This will insure you get the best use out of your orthotics before they need replacing or adjustment. There are many different styles and design of orthotics, we work closely with our patients to find the best prescription for them. 

Case Study 1 - Jay

Jay attended the clinic for complications that arose from a work place injury. The patient has a left foot ankle injury after falling from a platform, damage to the ankle joint. The patient underwent ankle fusion which caused his foot to remain in a plantarflexed position (downward fixed position). The patient developed pain in his left ankle, knee, hip and lower back. His following findings for the assessment (simplified) were:

Treatment consisted of custom orthotics with forefoot valgus posting and modified footwear for compensate for the lateral stride and heel raise. Allowed to compensate and the patient to walk with a normal gait. 

AFO (Ankle Foot Orthotics)

The Total Foot and Ankle Clinic uses the latest technology of 3D scanning and design in the manufacturing of your custom AFO (Ankle Foot Orthotics) from hinged/Articulated AFO to Fixed AFO. Each AFO is designed by the Podiatrist and approved prior to manufacturing. AFOs are used to treat a wide variety of conditions and lower limb complications. Each AFO is custom designed to the patient’s specifications according to their biomechanical assessment results and findings. The lower leg is 3D scanned and measured with all the details sent to an orthotist for final design and construction.  The are used to treat:

Each AFO is designed by the Podiatrist and approved prior to manufacturing. The entire process is overlooked by the treating Podiatrist for the best possible outcomes. The AFO are made from Nylon 11 material  3-4 years. This will insure you get the best use out of your AFO before they need replacing or adjustment. 

EOS Scan - Covered under MEDICARE

What is EOS imaging?

EOS imaging is a low-dose, weight-bearing X-ray technology. It can simultaneously take full-body, frontal and lateral (side view) images of the skeletal system of a patient in a standing or sitting position, using significantly less radiation than traditional X-rays or CT scans. A typical EOS scan at HSS has a radiation dose equivalent to about one-third that of the dose of a conventional X-ray of the same body parts.

The results gives you a detailed picture and measurements of the patient’s lower limb, pelvic angles, spine position and leg length. The scan is bulk-billed on Medicare.

Using EOS, two dimensional (2D) and three-dimensional (3D) orthopedic images can be produced to assist doctors with the diagnosis and treatment of medical conditions of the spine, hips and knees.

What is EOS imaging used for?

EOS imaging is used for anatomical assessment of the entire musculoskeletal system and is invaluable for evaluating the following conditions:

EOS is a pediatric-friendly scan. For some children and teens who require frequent imaging to monitor progress of a chronic skeletal or musculoskeletal condition (such as scoliosis), multiple doses of radiation from standard X-rays may unnecessarily increase their life-long radiation exposure. EOS can effectively replace standard X-rays in these instances and thereby reduce any risks associated with radiation exposure over their lifetime.