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Hi Guys,
Hope you can help. Have pt with LLD. No other major problems that I'm planning to treat just now.. I'm in the UK and I want to provide good orthoses, but all the prefab (I have no way of getting to a lab or making any good ones at this point!) orthoses I see have the ability for varus/ valgus wedges for RF attachments. Can anyone recommend a good prefab orthotic with the ability to put on a 0.5cm + heel raise.

Thanks in advance, I know of the ones we used in uni but want to know what the general consensus is.

Thanks,

Lucy

 

Lucy,

Would a 5mm EVA heel raise not do the trick?

 

Not quite sure what the question is because most prefabs that I know can easily have a heel raise added. I usually just grind my own raises but I'm pretty sure vasyli do self adhesive ones, or algeos do a range of eva, cork or adjustable ones that can be spray glued or double sided sticky taped effectively http://www.algeos.com/acatalog/Heel_Raises.html

Hope this helps
Ian

 

The boy does have a point. Why not just buy some eva wedging strip and stick it onto whatever insole you like? Or even just stick it into their shoe?

 

That's what I was shooting at. Quick and cheap. Are orthoses necessary given that it is only the LLD you are addressing Lucy?

 

Good point. Well put! Thank you!! My head is full of the cold so isn't working properly.. The pt wants something more substantial that can be used in all of her shoes.. But yes, I'll probably just do that..

Thanks,

Lucy

 

Adjust-A-Heel might be a more durable solution for you pt. I'm not sure if it is sold in the UK, but here's the link. Good for 1/8" - 3/8" LLD. Here's a link:

http://www.shoestuff.com/Heel_Products-Adjust_a_Heel_Lift.html

 

Algeos sell these in the UK (linky), but even if they last significantly longer than EVA (which in my opinion they don't) at over £7 for one raise it may be a false economy in the long run.

 

Agreed. I may have said this before, but buy some eva wedging strip at about £3 a yard and you can make at least a dozen or so heel lifts. So most women have approximately 6 dozen pairs of shoes so for £18 you could probably put a heel lift in all of her shoes.:cool:

 

Amen. http://www.algeos.com/acatalog/EVA_Wedge_Strips___WITH_Adhesive_Backing.html#aOG4016

 

Yeah, that'll be the one.:morning:

 

Hi Lucy
I'm not sure if this is quite what you're looking for with regards to prefab orthoses, but for raises, there is a product called Clearly Adjustable. I know Algeos supplies, not sure if anyone else does. They come full length, or just for the 'heel raise' length and come as singles (not pairs).
Hope this helps. Good Luck on the Melbourne mission!
Lyns

 

These are £9 for one heel raise! Outrageous cost to pass on to the patient for a heel raise in my opinion. See above.

 

Hi Ian
I do agree on the cost front, I prefer to make them myself for that reason, but depending on each Podiatrists' set up, sometimes the even the strongest scissors can't do a good job on the thickness of eva being cut, and bevelling can be limited also. It really does depend on the facilities available. Lucy, wedge strips and eva sheets are certainly useful to have stored, if you have the capacity where you work. And a really good set of 'cutting up tools'.
Lyns

 

If you want to be a real cheapskate, go to B&Q and look for a packet of open vinyl tiles then ask someone if you can borrow one to check against your wallpaper.

5mm thick with self adhesive backing already in place - bargain

Obviously, you don't return it so it's not strictly borrowing. It's a little bit more "thefty" than that.

Robin (tight as a gnats chuff) Perrie

 

Man, that's tight with a capital T. :D They are open Sunday's, right?;)

P.S. If you take a Stanley knife with you and you can open any packet that takes your fancy. Just an observation, not telling you how to live your life...:morning:

 

Top tip there Robin!! There has to be a joke about Vibram fivefingers and stealing !! Simon any ideas??

 

I suspect the new Vibram "light-fingers" range will go down well with Stevie Nicks...

http://www.youtube.com/watch?v=kWfmDIiax_8 (contains the f word)

Here's a tune and a half: http://www.youtube.com/watch?v=jrwjiO1MCVs