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Producing own orthotics?

Discussion in 'United Kingdom' started by LozB, Oct 26, 2012.

  1. LozB

    LozB Member


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    Hello
    I am increasingly advising my patients to seek a GP referral to the NHS Podiatrist for a gait analysis with a view to obtaining orthtics.
    I think it would be a good idea to produce my own for patients to try. I have very limited space and am looking for something small and inexpensive to begin with,
    I have seen Gerrard and Cuxson do an orthtic oven.
    Has anyone used this? Is it any good? Are there any other recomendations please?

    Regards
    LozB
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Algeos will have everything you need and can probably advise you appropriately.

    Why not just take a cast and send it to a lab?
     
  3. davidh

    davidh Podiatry Arena Veteran

    Either use pre-forms or take a cast, as CP suggests.

    Faffing about with ovens and materials may be good fun, but it's time-consuming, expensive initially, and you may find your finished product is not as good as bought-in.
     
  4. LozB

    LozB Member

    Copper Heels?

    One of my patients turned up today wearing copper heels (insoles) I had never heard of them. Has anyone else come across them? how useful are they?
    He goes into hospital on friday they are going to put a steel plate in the sole of his foot.
    Will he still be able to wear the copper heels?
     
  5. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Re: Copper Heels?

    They are junk. Don't be gullible and fall for the junk nonsensical whatevers! See this thread: Copper insoles
     
  6. Micco

    Micco Member

    Find yourself a good lab. Manufacturing is harder than you think and I find am always pressed for time. I use a lab for anything that will take longer than my 30 minute consultation time.
     
  7. LozB

    LozB Member

    Thanks very much for excellent replies
     
  8. Sally Smillie

    Sally Smillie Active Member

    there are some good pre-fab 'prescription only' devices, you might consider having a stock of these and doing casts and using an external lab for those that need more than what the pre-fabs offer. The one I use the most is probably the Vasyli 3/4 length red... it covers a lot of patients. I use a few others too, and everyone will have their favourites or ones that are good for particular things.
     
  9. G Flanagan

    G Flanagan Active Member

    Re: Copper Heels?

    Hi LozB, no idea. Could you narrow your description down, what surgery is he actually having?

    George
     
  10. LozB

    LozB Member

    Sorry I am not entirely sure? He goes in tomorrow to have a steel plate in the sole of his foot? That was all he could tell me.
    The NHS Podiatrist is in control of this one. I won't see him for a while, but will update you when I find out more.
    Sorry to be so vague, but the pt was just as vague/
     
  11. LozB

    LozB Member

    Orthotics one again??

    I have a lady with pes cavus, she has a painful 1st met head.
    Problem is she only has size 2 and a half feet, she is looking for a good shoe supplier as she finds it very difficult to find shoes to fit as well as an appropriate orthotic supplier.
    Any ideas please

    Thanks
     
  12. Sally Smillie

    Sally Smillie Active Member

    pes cavus feet tend to get high pressure areas on heel and forefoot from a less even weight distribution. And on such diddy feet! poor thing. the general idea is to even out the pressure distribution. A simple and cheap option is the carbon paper and stickyback plastic Podotracks imprinting sheets. It helps give an idea of where exactly the pressure is. it might be that a simple forefoot offloading and/or cushioning insole will do the trick, or perhaps full blown orthoses with a forefoot extension to deflect pressure may be requiired. depends on severity really.
    there are some shoe companies that specialise in diddy feet, but quite expensive. the cheapest option is to keep an open mind and shop in kids shoes for less childish styles and embellishments. Can bows and things be removed? Could she go up to a size 3 as that is where the specialist folk tend to start their tinsy shoes.

    Good luck, not an easy one with the small size of feet too and limited shoe choice.
     
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