October 2009

Cover Story


Women’s Work: Overcoming gender barriers in lower extremity specialties

In lower extremity healthcare, as in politics, it hasn’t been easy for women to succeed in traditionally male-dominated roles. The gender demographics have shifted toward parity over time—in some specialties more than others—but challenges still remain.

By Emily Delzell Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

The mechanistic mysteries of foam rolling

As the popularity of foam rollers escalates, researchers are scrambling to document the therapy’s effects and tease out the possible underlying mechanisms, which now appear to be more complicated than the earliest investigators had hypothesized.

By Cary Groner Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

High heels: Elevating the discussion

The biomechanical implications of high-heeled shoes are well known, and now dramatic weight-bearing images and new study findings are taking practitioner and patient awareness to the next level. But many women are still sacrificing their feet for fashion.

By Emily Delzell Continue reading

Battlefield injuries: Saving lives and limbs throughout history

By understanding how military medicine has evolved and adapted over time, modern practitioners can better appreciate the need to question convention, advance research, and rapidly integrate beneficial new technologies into medical care.

By Christine Miller, DPM, FACCWS, Ashley Finn, and Emily Delzell

Continue reading

Bracing vs athletic performance: Why not both?

The sports medicine practitioner has two goals: one, to keep the athlete healthy, and two, to help that athlete perform to the best of his or her ability. But when it comes to lower extremity bracing, those two objectives sometimes butt heads.

By Cary Groner

Continue reading

Editor Message


Out on a limb: Weight loss vs wellness

Obese individuals often spend their entire lives telling themselves how much better their lives would be if only they were thin. But losing massive amounts of weight following bariatric surgery doesn’t automatically make a person a better candidate for total knee arthroplasty (TKA)—any more than it automatically makes a person happy—if underlying issues have been ignored.

By Jordana Bieze Foster, Editor Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

Out on a limb: Smoke signals

My grandmother smoked for decades, and although she did eventually succeed in quitting, she still spent the last few years of her life linked to an oxygen tank. And as a medical journalist, I’m very familiar with the long list of health-related disadvantages of smoking…

Jordana Bieze Foster, Editor Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

Out on a limb: Fashion sense

High fashion typically means bad news for lower extremity health. But that may be starting to change, and in ways that might surprise you.

By Jordana Bieze Foster Continue reading

Out on a limb: Beyond offloading

Lower extremity practitioners are constantly being reminded that what they think they know about injury prevention is only part of a bigger picture. This time it’s the diabetic foot care community’s turn to wonder just how much they have yet to learn about the mechanisms underlying ulceration.

Jordana Bieze Foster, Editor

Continue reading

Out on a limb: Ahead of the curve

It isn’t often discussed in the medical literature or in scientific sessions, nor is it mentioned in this month’s cover story on bracing and athletic performance. But the extent to which an athlete can benefit from orthotic management depends at least in part on his or her skill level.

by Jordana Bieze Foster

Continue reading

Departments


Management of athletes with excessive pronation

Pronation is a triplanar movement and is the combination of rearfoot eversion, midfoot abduction, and talocrural dorsiflexion.1 Pronation in normal gait allows flexible, adaptive changes to varying types of terrain; it dissipates ground reaction forces; and encourages lower extremity internal rotation.

By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM Continue reading

Role of bariatric surgery in patients with knee OA

Weight loss following bariatric surgery can have biomechanical and symptomatic benefits for obese patients with knee osteo­arthritis (OA). But it’s less certain whether that weight loss can also reduce the risk of obesity-related complications following total knee arthroplasty.

By Shalmali Pal Continue reading

Crossover consequences of unilateral treatments

The mechanisms underlying the so-called crossover effect—when a unilateral intervention results in bilateral changes—are still unclear, but clinical applications related to lower extremity strengthening, fatigue, and stretching are already being explored by rehabilitation specialists.

By Cary Groner Continue reading

Insole research explores postural control effects

A growing body of evidence suggests that foot orthoses may be a helpful addition to other therapies for improving balance and potentially reducing the risk of falls. The findings have been mixed, however, and clinical enthusiasm for this type of insole intervention also varies.

By Hank Black Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

From amputee to clinical prosthetist: four journeys

A number of amputees, many inspired by the expert care they received after losing a limb, have been motivated to pursue careers in prosthetics, where they can provide patients with a unique and personal perspective. Four of these practitioners shared their stories with.

By P.K. Daniel Continue reading

Including injury history adds to value of FMS

Multiple studies indicate that poor movement, as assessed using the Functional Movement Screen, and past history of injury are risk factors for future injury, and a recent investigation suggests that risk is…

By MAJ Michael Garrison, PT, DSc, OCS, SCS; and MAJ Richard Westrick, PT, DSc, OCS, SCS Continue reading

Running in an exerted state: mechanical effects

Kinematic and kinetic alterations in the lower extremities that researchers have observed during the course of a prolonged run may provide clinically relevant insights into patellofemoral pain and other conditions associated with a gradual onset of symptoms during exercise.

By Lauren Benson, MS; and Kristian O’Connor, PhD Continue reading

Post-polio syndrome: It takes a team approach

Along with technical issues related to muscle weakness, fatigue, and pain, the challenges of managing this hetero­gen­eous population include patients’ emotional response to the idea of needing an orthotic device for a disability they thought they had overcome.

By Larry Hand Continue reading

Hamstring injuries: The clinical promise of PRP

Preliminary research suggests platelet-rich plasma (PRP) is a safe and effective means of treating hamstring injuries that do not respond to early conservative measures…

By Frank B. Wydra, MD; Ryan R. Fader, MD; Omer Mei-Dan, MD; and Eric C. McCarty, MD Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

Impact of AFO design on calf circumference

Preliminary research suggests the use of a kinetic return ankle foot orthosis is associated with small but significant short-term increases in calf circumference, which in turn suggests this type of device might reduce or protect against the risk of disuse muscle atrophy.

By Robert H. Meier, CO, BOCO; David C. Ruthsatz, CO, CPA; and Daniel Cipriani, PT, PhD Continue reading

Clinicians weigh the pros and cons of social media

There is considerable debate in medical circles as to whether healthcare practitioners should embrace social media, but online aficionados say they welcome the opportunity to exchange information, educate, connect, and potentially attract more patients.

By P.K. Daniel Continue reading

Offloading the diabetic foot: Effects of obesity

Increasing body mass index is associated with significantly increased peak plantar pressures regardless of the type of off­loading device used. However, it is possible to decrease plantar pressures in some regions of the foot with the use of offloading devices.

By Andrew J. Meyr, DPM, FACFAS; Kelly Pirozzi, DPM, AACFAS; and Matthew R. Wagoner, DPM Continue reading

Functional contributors to outcomes after TKA

The increasing utilization of total knee arthroplasty has led to increased efforts to identify variables that can be modified to help improve postoperative functional outcomes. These risk factors include patient weight, smoking, diabetes, infection, and joint range of motion.

By John Ryan Quinn, MD, and Ran Schwarzkopf, MD, MSc Continue reading

Debating the complexities of partial foot amputation

Partial foot amputations may not offer a biomechanical advantage over transtibial amputations if the metatarsal heads cannot be retained, and some experts suggest amputation level should be selected based on probability of wound healing instead. But others disagree.

By Cary Groner

Continue reading

Ankle arthroplasty makes strides, but issues remain

Study findings and anecdotal reports suggest that newer-generation total ankle replacement can match or exceed ankle arthrodesis when it comes to gait and range of motion, but neither procedure returns gait to normal. Implant survival has also improved, but continues to be a challenge.

By Barbara Boughton

Continue reading

Total hip arthroplasty: Obesity and outcomes

Total hip arthroplasty can significantly improve quality of life in obese patients, but high body mass index is also associated with higher rates of complications and re­admissions than in normal-weight patients. The emerging subgroup of super-obese patients poses additional challenges.

By Raghav Rajgopal, MD, and James L. Howard, MD, MSc, FRCSC

Continue reading

Biofilms: Diabetic foot ulcer care gets personal

Opportunistic microorganisms called bio­films constitute an age-old diabetic wound care problem that defies traditional anti­microbial therapies. Experts believe interventions customized to individual patients based on molecular diagnostics may be the best line of defense.

By Larry Hand

Continue reading

Platelet-rich plasma: An option for tendinopathy

Patients with chronic refractory lower extremity tendinopathies often continue to have symptoms after exhausting most of their therapeutic options. Preliminary evidence supports the use of platelet-rich plasma in these patients, though higher-level research is needed.

By Ricardo E. Colberg, MD, and Kenneth Mautner, MD

Continue reading

Practice Tactics: Assess, then exceed patient expectations

As patients pay more for healthcare, they will expect more from the patient experience. The most successful practices will be those that are best able to meet — and exceed — those expectations.

By Jason Kraus

Continue reading

Controlling drop foot: Beyond standard AFOs

The basic goal is to improve toe clearance during swing and provide stability during stance, but new orthotic technologies do much more.

By Jeremy Farley, CPO/L

Continue reading

Orthoses: Alternatives for midfoot arthritis pain

Full-length carbon graphite orthoses may improve outcomes through load redistribution and forefoot motion control.

By Smita Rao, PT, PhD

Continue reading

Balancing risks, rewards of athletic shoe traction

Research suggests that traction on modern artificial turf can vary depending on cutting angle.

By Michelle Sabick, PhD; Benjamin Cooper, MS; Seth Kuhlman, MS; and Ronald Pfeiffer, EdD, LAT, ATC

Continue reading

Functional hallux limitus: Diagnosis and treatment

Once identified, functional hallux limitus can be effectively managed with orthotic devices.

By James G. Clough, DPM Continue reading

Diabetes: Improving foot care compliance

More favorable diabetic foot ulcer outcomes will require a better understanding of why patients don’t comply.

By Ryan Crews, MS, CCRP

Continue reading

News


Hip check: Proximal focus could help CAI rehab

Chronic ankle instability (CAI) is associated with centralized feed-forward neuro­muscular alterations that affect the hip as well as the ankle, according to research from Boston University that may have implications for rehabilitation programs in that patient population.

By Katie Bell Continue reading

Biceps femoris activation decreases following foam rolling of quadriceps

Foam rolling of the quadriceps muscle is associated with decreased biceps femoris activation, an effect that may be related to pain perception, according to research from the Memorial University of Newfoundland in St. John’s, Canada.

By Jordana Bieze Foster Continue reading

Externally focused instruction boosts jump height regardless of visual input

Externally focused instruction results in greater jump height than internal focus or no instruction, regardless of whether the jumper’s eyes are open or closed, according to research from the Czech Republic.

By Jordana Bieze Foster Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

Joint-friendly floors: Novel surface softens ballet landings

It’s no surprise that ballet dancers, who spend hours rehearsing high impact jumps, experience a high incidence of lower extremity injuries. A new study, however, shows that dancers can reduce loading on lower extremity joints and…

By Robyn Parets Continue reading

Hip hop study finds excessive joint angles that could affect injury risk

Excessive peak angles in weightbearing joints during hip hop dance may contribute to lower extremity injuries in this population, according to a September 2015 study published in Medical Problems of Performing Artists.

By Jordana Bieze Foster Continue reading

Textured insoles worn outside of dance class may improve ankle proprioception

Wearing textured insoles during nonclass time is associated with improved ankle proprioception in ballet dancers, according to research from the University of Canberra in Australia.

By Jordana Bieze Foster Continue reading

Eccentric and effective: Protocol lowers hamstring reinjury risk

Research epublished in September by the Journal of Sport Rehabilitation supports the use of eccentric strengthening at long muscle lengths for preventing recurrent hamstring injuries.

By Chris Klingenberg

Continue reading

Supervised exercise for claudication may benefit men more than women

Supervised exercise therapy for intermittent claudication is more effective in men than in women, according to research from the Netherlands that suggests gender-specific interventions may be appropriate in this population.

By Jordana Bieze Foster Continue reading

Addition of pain coping skills training improves knee OA therapy outcomes

A combined intervention of exercise therapy plus training in pain coping skills is associated with better function than either intervention alone in patients with knee osteoarthritis (OA), according to an Australian randomized controlled trial.

By Jordana Bieze Foster Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

Poses for postural stability: Yoga enhances balance in older fallers

Findings of a randomized controlled trial published in the September issue of Archives of Physical Medicine and Rehabilitation suggest a 12-week yoga program modified for older fallers may be as effective as tai chi and…

By Greg Gargiulo Continue reading

Orthoses add no benefit to eccentric calf training for Achilles tendinopathy

Customized foot orthoses are no more effective than sham orthoses for improving pain and function in patients with Achilles tendinopathy when used in combination with eccentric calf exercises, according to research from…

By Jordana Bieze Foster Continue reading

RCT finds exercise therapy improves pain, function in patients with hip OA

Twelve weeks of exercise therapy can significantly reduce pain and improve function in patients with hip osteoarthritis (OA), according to a randomized controlled trial from German researchers.

By Jordana Bieze Foster Continue reading

Uneven numbers: TAA bests ankle fusion on stairs, inclines

End-stage ankle arthritis patients who receive a newer-generation total joint implant function slightly but significantly better when walking on uneven surfaces than patients who undergo ankle arthro­desis, according to a recent pro­spective study.

By Hank Black

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Knee OA patients demonstrate limited range of motion at midfoot and hallux

Moderate to severe medial knee osteoarthritis (OA) is associated with limited range of motion at the midfoot and hallux during barefoot walking—gait alterations that may influence the effects of footwear and orthoses in this…

By Jordana Bieze Foster

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Faster running speed increases load at the ankle more than at the knee

Increasing running speed in recreational runners has greater kinetic effects at the ankle than the knee, according to research from Denmark that may have implications for injury prevention.

By Jordana Bieze Foster

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Location, location: High pressures don’t predict all ulcers

Practitioners often deem all areas of elevated peak plantar pressure in patients with diabetes at some risk for ulceration. A study published in September, how­ever, suggests this risk varies with the specific location of pressure, and investigators say findings highlight the importance of monitoring plantar pressure as part of preventive care.

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Neuropathy results in less sensory loss at fifth metatarsal than hallux

Clinicians should carry out quantitative vibration testing for sensory loss in patients at risk for diabetic neuropathy at the hallux, according to research that confirms the hallux undergoes greater sensory loss than the fifth metatarsal, an alternate location for vibration testing.

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Imaging reveals intrinsic muscle deterioration in neuropathic feet

Diabetic neuropathy is associated with increased levels of intrinsic foot muscle deterioration, which may contribute to foot deformity and ulceration, according to research presented in September at the annual meeting of the American Society of Biomechanics in Omaha, NE.

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Investigating OA: Studies revisit underlying variables

Knee osteoarthritis researchers are taking a closer look at the factors that influence knee adduction moment (KAM) and also considering the contributions of sagittal plane variables, as illustrated by studies presented in September at the American Society of Biomechanics (ASB) annual meeting in Omaha, NE.

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Altered landings suggest link between neurocognitive scores, ACL injury risk

Female athletes with low neurocognitive scores are more likely than those with higher scores to demonstrate altered landing mechanics consistent with elevated anterior cruciate ligament (ACL) injury risk, according to findings that could have implications for concussion management.

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Limited arch excursion characterizes individuals with patellofemoral pain

Patients with patellofemoral pain (PFP) have less medial longitudinal arch excursion during stair descent than healthy individuals, according to a Brazilian study that may help explain the effects of foot orthoses in patients with PFP.

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In the Moment: Sports Medicine

Alter footfall? Not so fast

Natural running pattern may be best – Websites all over the internet claim that runners who use a rearfoot strike pattern can run more efficiently and prevent injury by converting to a midfoot or forefoot strike pattern. But, as if we needed another reason to distrust information found online, studies of these variables suggest otherwise.

Plus: Skateboarding shoes • ACL do-overs • PTTD protocols

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Market Mechanics


Ossur acquires Medi Prosthetics, awards second #MyWinningMoment prize

Reykjavik, Iceland-based Össur announced that, effective September 1, it has acquired Medi Prosthetics, a global provider of mechanical lower limb prosthetic components located in Bayreuth, Germany, with total sales in 2015 of $17 million. Össur expects full integration of the business by 2017. Continue reading

SmartCEO recognizes BOC head Zacharias

SmartCEO in September named Owings Mills, MD-based Board of Certification/Accreditation (BOC) President and CEO Claudia Zach­arias, MBA, CAE, a 2016 Circle of Excellence Award finalist. Continue reading

Medi USA invests in Topical Gear wearables

Whitsett, NC-based medi USA announced in September that the compression therapy, orthopedics, spinal bracing, prosthetics, and foot care business has made a strategic investment in a sports medicine company, Topical Gear, headquartered in Lakeway, TX. Continue reading

AAOS announces CEO retirement, guidance for infection control and fragility fractures

The American Academy of Orthopaedic Surgeons (AAOS) in October announced that its CEO, Karen Hackett, will retire in April 2017. During her 14-year tenure as CEO, Hackett has overseen a staff of 250 employees, an annual budget of $60 million, and the opening of… Continue reading

Pedorthist Alpert joins Foot Solutions

Atlanta-based Foot Solutions in September announced that Teresa Alpert, CO, CPed, has joined its Aurora, CO, location as director of education for pedorthics. In this role, Alpert works directly with healthcare professionals and their staffs. Before moving to Colorado she was in… Continue reading

Ipsen reports extended Dysport-for-CP data

The principal investigator (PI) for a randomized controlled trial of Basking Ridge, NJ-based Ipsen Biopharmaceutical’s Dysport on September 22 reported extension study data on the botulinum toxin type A (ABO) for pediatric patients with cerebral palsy (CP) at the American Academy of… Continue reading

AAOP reports rising numbers for O&P jobs

Data from the Washington, DC-based American Academy of Orthotists and Prosthetists (AAOP)  in September indicate a number of health trends are continuing to increase demand for O&P practitioners and that robust employment opportunities continue in this sector, despite an overall… Continue reading

Data support Smith & Nephew system

London, UK-based Smith & Nephew’s single-use negative pressure wound therapy system can significantly improve outcome predictions and reduce complications after orthopedic surgery using Pico, according to randomized control trial data presented in September at the European Bone and Joint Infection conference in Oxford. Continue reading

Muller is CSU Dominguez Hills O&P chair

Gary Sayed, PhD, dean of the College of Health, Human Services, and Nursing at California State University, Dominguez Hills (CSUDH) in October named Mark Muller, CPO, FAAOP, MS, the new chair of the university’s Department of Orthotics and Prosthetics. Continue reading

Curbell backs OPAF First Swim and Dance

Orchard Park, NY-based Curbell Plastics reported in September that it helped sponsor the Orthotics and Prosthetics Activities Foundation’s (OPAF) First Swim and First Dance events held in Dallas. Continue reading

Oxford University Press to publish PTJ

The Alexandria, VA-based American Physical Therapy Association’s (APTA) scientific journal, Physical Therapy (PTJ) is moving to “the next level” with its partnership with Oxford University Press (OUP), according to PTJ’s Editor-in-Chief, Alan Jette, PT, PhD, who published an editorial in the October issue describing the partnership. Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

AOPA honors advocates, student O&P poster winners at National Assembly

The Washington, DC-based Ameri­can Orthotic & Prosthetic Association (AOPA) on October 9 recognized the three recipients of its Ralph R. “Ronney” Snell Legislative Advocacy Award at its National Assembly in San Antonio, TX. Continue reading

Delcam division is now Autodesk Footwear

Birmingham, UK-based Delcam announced in September the renaming of its Delcam Orthotic Insole Solutions division to Auto­desk Footwear. Continue reading

FootcareXpress sponsors USA Rugby

Miami, FL-based Footcare­Xpress reported in September its new partnership with USA Rugby. The company is supporting the USA Rugby teams as they play in this month’s 2015 World Cup and prepare for the 2016 Summer… Continue reading

Rehab Systems, OPAF host golf clinics

Rehab Systems Orthotics and Prosthetics and the Orthotic & Prosthetic Activities Foundation (OPAF) in September hosted First Swing Learn to Golf clinics in Boise and Twin Falls, ID, where the company has facilities. Continue reading

Fillauer opens new manufacturing facility

The Chattanooga Area Chamber of Commerce proclaimed October 1 Fillauer Day and hosted a ribbon cutting ceremony at the company’s new manufacturing facility in the Tennessee city. Continue reading

Society works to raise gout awareness

The Gout & Uric Acid Education Society (GUAES) in September released a series of four educational brochures to raise awareness of the serious complications of gout, including heart and kidney disease, diabetes, and stroke. Continue reading

Biom relaunches its brand as BionX

Bedford, MA-based iWalk, also known as Biom, on September 29 unveiled its new name, BionX, and logo during a presentation at the Ladenburg Thalmann Healthcare Conference in New York City. Continue reading

AlterG contest celebrates PT month

Fremont, CA-based AlterG is celebrating October’s National Physical Therapy month with its PT of the Month contest. Go to learn.alterg.com/pt-month by October 23 to nominate a physical therapist. Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

AAOS releases new guidelines for hip fracture, ACL injury, infant hip dysplasia

The American Academy of Orthopaedic Surgeons (AAOS) on September 9 released three new clinical practice guidelines (CPG) featuring evidence-based recommendations for diagnosing and treating hip fractures in patients… Continue reading

Software suppliers Opie, Futura merge

Company officers for Gaines­ville, FL-based Opie Software and Clearwater, FL-based Futura International announced the merger of their two companies and introduced a new prac­tice network, the Opie Choice Network, in… Continue reading

Ottobock to support 2016 Paralympics

Duderstadt, Germany-based Ottobock HealthCare announced in September that it will provide technical services for the 2016 Paralympic Games in Rio de Janeiro. Continue reading

JBIT MedPro system sees strong sales

Missouri City, TX-based JB3 Innovations’ JBIT MedPro lower limb strengthening device has experienced 5000% growth over the past 18 months, the company announced in September. Continue reading

Kinematix offers wearable O&P tracker

Kinematix, which has a US office in Cambridge, MA, released on October 3 a wearable sensing device that can be embedded in orthotic and prosthetic devices to measure wear-time compliance and provide evidence of clinical efficacy. Continue reading

CMS adds two OTS knee orthosis codes

The Centers for Medicare and  Medicaid Services (CMS) made effective on October 1 two new off-the-shelf (OTS) knee orthosis codes. Continue reading

Sigvaris calls for photo contest entries

Peachtree City, GA-based Sigvaris North America launched a photo contest in October to raise awareness of venous issues and promote leg health. Continue reading

Freedom Innovations knee enters market

Irvine, CA-based Freedom Innovations in September released its new microprocessor knee prosthesis. The Plié 3 Microprocessor Controlled (MPC) Knee is designed to adjust to walking, running, uneven terrain, and occasional water exposure. Continue reading

AOPA announces new board members

The American Orthotic and Prosthetic Association (AOPA) announced in September at its National Assembly in Las Vegas the organization’s newly elected executive committee officers and board members for the 2014-2015 term. Continue reading

Townsend brace improves knee function

A poster presented at the American Orthotic and Prosthetic Association (AOPA) National Assembly, held in September in Las Vegas, found that use of a decompressive knee brace from Bakersfield, CA-based Townsend Design significantly… Continue reading

Echometrix patents ultrasound method

The US Patent and Trademark Office on September 19 awarded Madison, WI-based Echometrix a patent for its ultrasound technology for the dynamic functional analysis of injured and healing tissues. Continue reading

Dr. Comfort supports cancer research

Milwaukee, WI-based Dr. Comfort is offering the Tonya, a tall, stylish pink slipper for women, and pink versions of its Victory and Victory Plus athletic shoes in honor of October’s Breast Cancer… Continue reading

Hornfisher joins OHI as channel manager

Ronkonkoma, NY-based Orthotic Holdings, Inc (OHI) announced October 1 that Russell Hornfisher has joined its development team as O&P channel manager. Continue reading

Study finds certified providers receive only a third of Medicare O&P payments

Unlicensed providers continue to receive unauthorized payments for O&P services from the Centers for Medicare & Medicaid Services (CMS), according to a study released in September.

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Freedom Innovations refines robotic leg

Irvine, CA-based Freedom Innovations announced in October that it will partner with Vanderbilt University in Nashville, TN, and the Rehabilitation Institute of Chicago to commercialize a first-generation prosthesis that uses control systems that mimic the human leg’s power and gait.

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OSU hosts ACL prevention, rehab course

The Sports Health and Performance Institute at the Ohio State University (OSU) in Columbus is scheduled to host the 11th annual workshop on anterior cruciate ligament (ACL) injury prevention and rehabilitation on November 9.

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Implantable device prices decline

The Washington DC-based Advanced Medical Technology Association (AdvaMed) released a study on its website on September 23 showing significant declines in average prices for major implantable medical devices.

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ABC accredits Arizona AFO central fab

The American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) has granted a Five-Year Central Fabrication Accreditation to Arizona AFO, the Mesa, AZ-based company announced on October 1.

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Ultramarathoner re-ups with Pro-Tec

Redmond, WA-based Pro-Tec Athletics announced in September that it has re-signed Scott Jurek for an additional two years to its team of professional athletes. Jurek, a champion ultramarathoner who has been on the Pro-Tec team for more than seven years and is author of the New York Times bestseller Eat & Run, will work closely with Pro-Tec to help educate runners about recovery and performance.

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iQube facilitates insoles for children

A Russian orthopedist at the Saint Petersburg State Paediatric Medical University combined data from Delcam’s iQube scanner with 3D spine and posture analyses and then used the company’s software to create custom orthotic insoles for children with locomotor disorders, Birmingham, UK-based Delcam announced in October.

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Market Mechanics

• BMD responds best to Reclast infusion in hip fracture patients at highest risk
• Cascade Dafo expands digital process
• Hanger OKs rollout of V-Hold socket
• AAOP announces new meeting dates
• Cincy experts organize ACL workshop

Continue reading

Products


Coral Cal Mag Supplement

Coral Cal Mag, a calcium and magnesium supplement boosted with more than 70 other essential trace minerals, is designed to promote strong, healthy bones along with a well-functioning nervous system and a healthy heart. The supplement provides calcium and… Continue reading

Pro-Tec Pain Relief

Pro-Tec Athletics offers a new topical product for pain relief. Pro-Tec’s Pain Relief, available in spray or roll-on formulas, is all natural. Both versions are designed to provide fast-acting, deep-penetrating relief of pain associated with muscle tightness and… Continue reading

Apex Sydney Women’s Shoe

The Sydney is the newest addition to the Petals Collection of footwear from Apex, for women who enjoy style but need superior foot support and footwear adjustability. The soft, light Sydney is a casual boat-style shoe, crafted from supple leathers, that… Continue reading

ProLine Orthotic Cutting Strip

Cascade Orthopedic Supply offers the new ProLine Orthotic Cutting Strip, an affordable, reusable tool for various orthotic fabrication applications. The ProLine Orthotic Cutting Strip is durable, flexible, and latex-free. Sold singly, this yellow cutting… Continue reading

Cypress Adaptive Vista Ankle

Cypress Adaptive has launched the Vista Ankle, a universal, single-axis prosthetic ankle designed for mechanical elevated vacuum suspension. The achiev­able level of vacuum is determined by the compression of the plantar flexion bumper that occurs… Continue reading

Guna Pain Relief Products

Guna, an Italian company, has released two new products for temporary pain relief. Guna-Flam is an anti-inflammatory, low-dose homeopathic medicine intended for minor aches and pains due to acute and chronic inflammation, trauma, or… Continue reading

Haruka Dynamic Walking Shoes

Waldlaufer introduces the Darryl lace-up oxford and Harlo slip-on shoes for women, both built on the company’s new Haruka Dynamic construction. This lighter weight line, part of the Dynamic Walking Collection, is designed for patients suffering… Continue reading

4Jointz Pain Relief Cream

Now entering the US market is 4Jointz, a natural over-the-counter pain relief cream developed in Australia. 4Jointz is formulated for those suffering from osteoarthritis (OA), sports injuries, and everyday wear and tear. Continue reading

Z-Coil Footwear

Z-Coil Footwear Company offers footwear that is engineered to relieve foot pain. Like shock-absorbers for the body, the Z-Coil’s patented conical-coil steel heels are designed to absorb up to 50% of the heel-strike impact associated with walking or running… Continue reading

Orthozone Thermal Slippers

Orthozone introduces Thermo­skin Circulation Thermal Slippers. These thermal slippers feature three therapeutic layers to help increase circulation and decrease foot pain. The outer layer provides light compression and a comfortable fit for those who… Continue reading

Lunatec materials from nora

nora Systems now offers two new materials designed to absorb shearing forces associated with walking. Lunatec motion, an EVA (ethylene vinyl acetate) material, is available on its own or as part of a composite sheet called Lunatec combi motion. Continue reading

DonJoy POD Ankle Brace

The Protection On Demand (POD) Ankle Brace helps to provide protection from ankle injury for all athletes, from youth to elite levels. The adjustable POD brace is designed to offer freedom of movement and stability without breaking down… Continue reading

Dr. Comfort Athletic Shoes

Dr. Comfort’s newest athletic shoes for men and women with diabetes feature bold colors, a virtually seamless design, breathable mesh uppers, and lightweight construction. Men’s styles Jason and Chris come in an array of colors, including red, green, blue, black, and grey. Continue reading

Ped-Lite Megan

Ped-Lite’s newest shoe, Megan, is an all-leather dress sandal that brings the latest unique look to an industry thirsty for style. Offered in black, the Megan’s high quality leather and contrasting stitching will have a fashionable appeal for any woman. Continue reading

Apex Men’s Classic Moc – Open to Toe

The Men’s Classic Moc, the newest Biomechanical Ambulator from Apex, has ½” removable depth in three layers for easy adjustment when patients need more room to accommodate edema or ankle foot orthoses. The fully functional vamp opens to the toe and… Continue reading

Mephisto Hawai

The Hawai casual oxford for women offers the features that customers have come to expect from the Mobils by Mephisto collection, but adds contemporary design features and styling, including a trendy zipper accent. A key feature of Mobils footwear is the all-over soft padding… Continue reading

Arcopédico’s L19 Bootie

Suitable for work, travel, and everywhere in between, Arcopédico’s top-selling L19 bootie offers comfort, support, and style in one great daily wear boot.  Made with the company’s Lytech fabric, these boots offer a flexible fit, conform to the foot’s natural shape… Continue reading

Vionic Cozy Juniper

Vionic is excited to announce the arrival of its new autumn/winter line of shoes with refreshing arch support in the warm colors of fall. Vionic’s top seller is the company’s newest addition, the Cozy Juniper for women, a luxurious option for the patient/consumer who desires… Continue reading

Branier BR-4 Athletic Shoe

Branier’s BR-4 is a custom low-top athletic-style shoe that is tailor-made to address the needs of individual patients. Designed with a cosmetic semisurgical opening and padded tongues and collars, the BR-4 has been engineered to mitigate issues with bulky fit that are… Continue reading

Anodyne Men’s Casual Dress Shoe

The No. 52 men’s casual dress shoe from Anodyne is designed to embody the definition of an anodyne, bringing customers a sense of soothing and comfort. This lightweight (8.8 oz) shoe features an oiled leather upper, a microfiber lining treated with an… Continue reading

Birkenstock Arran

Birkenstock is no longer just sandals and clogs. The Arran leather sneaker, available in white (pictured) or black, updates the original iconic Birkenstock footbed with a genuine leather upper, an ethylene vinyl acetate outsole, and traditional lacing for a secure fit. Continue reading

Seeking shoe closure: Laces vs alternatives

The footwear industry is teeming with alternatives to traditional shoelaces—including Velcro, no-tie elastic systems, and clutch reel technology—that may offer advantages for certain individuals. But for many people, experts say, laces will work just as well.

By Shalmali Pal Continue reading

Bunion surgery: Evolution of postoperative protocols

Research is starting to reveal that early weightbearing, physical therapy, or both after hallux valgus surgery is not as risky as some practitioners once thought, and such new postoperative protocols appear to be associated with improved outcomes.

By Barbara Boughton Continue reading

Althea’s Footwear Solutions

Collaborative staff provides stable foothold for growing company – At Althea’s Footwear Solutions in Everett, WA, teamwork is key to building loyal customers and an expanding company.

By Catherine M. Koetters Continue reading

Central Florida Foot and Ankle Center

Podiatry practice adds retail component for one-stop service – Like most podiatrists and podiatric surgeons, Tatiana Wellens-Bruschayt, DPM, and Maria Jaramillo-Dolan, DPM, of the Central Florida Foot and Ankle Center in Winter Haven spend a lot of time counseling patients with diabetes on proper foot care.

By Nancy Shohet West | Photos by Denise Budde Continue reading

Shoes, orthoses improve muscle activation onset in unstable ankles

Custom insoles have greatest effect – A study of patients with chronic ankle instability (CAI) suggests the onset of knee and ankle muscle activity occurs significantly earlier when shoes and orthoses are worn than when the patients are barefoot.

By John C. Hayes Continue reading

Survey finds 31% of runners have tried minimalist footwear

Some report more pain, some less – A significant percentage of avid runners have tried running in minimalist shoes, according to a recent survey-based study in which runners reported both positive and negative responses to making the switch in terms of pain and injury.

By Chris Klingenberg Continue reading

Repel H20 Limb Protector

Total Vein Systems, a Houston-based medical supply company, recently introduced Repel H2O, a waterproof limb protector. The waterproof product is designed to fit over bandages, dressings, casts, and therapeutic boots to… Continue reading

Bionic Fitness Abstar Air

Bionic Fitness introduces the AbStar Air, a versatile, simple-to-use alternative to the unwieldy exercise ball. The rounded-star design offers the benefits of an unstable surface for exercises involving the muscles of the lower extremities… Continue reading

Micro-Z II Stimulator

The Micro-Z II from Prizm Medical is a DC stimulator, from which the pulse-directed current penetrates deeply into the patient’s tissue bed to promote microcirculation and the reduction of edema, which encourages healing. Continue reading

Desk Pilates, Second Edition

OPTP offers the second edition of Desk Pilates: Living Pilates Every Day by Angela Kneale. Desk Pilates is intended to increase movement, improve posture and alignment, deepen breathing patterns, and decrease muscle tension. Continue reading

Reflexa Therapy Socks

Doc’s Socks offers the new Reflexa Socks for patients with poor circulation, cold feet, and foot pain. Several styles are available for athletes, individuals seeking the antimicrobial properties of silver, and… Continue reading

Doctor’s Choice DME Crutches

Allied OSI Labs continues to expand its line of over-the-counter, durable medical equipment (DME) products with Medicare-reimbursable crutches for in-office dispensing. Continue reading

MegaComfort Anti-Fatigue Insoles

MegaComfort offers a complete range of ergonomic anti-fatigue insoles and orthotic devices for people employed in manufacturing, laboratory, warehouse, maintenance services, healthcare, construction, military, and retail industry settings. Continue reading

Peg Assist Walker Insole

Darco International announces an addition to its Peg Assist Offloading Insole family, the Peg Assist Walker Insole. The insole is composed of the same materials (Poron, Plastazote, and ethylene vinyl acetate) and is the… Continue reading

Cast Relief Spray from Dry Corp

Cast Relief by Dry Corp is a new aerosol spray designed to help relieve the itch and odor associated with wearing a lower extremity fiberglass cast. Continue reading

NuWave Nail Enamel

MVI Footcare is the exclusive distributor of NuWave Antibacterial and Antifungal Nail Enamel. NuWave enamels include basecoat, topcoat, and matte styles, in 22 colors. Developed by two women podiatrists, NuWave enamels are… Continue reading

Black Volara 4E Closed Cell Foam

Now available from JMS Plastics Supply is its new Black Volara 4E material. Volara is a closed cell foam that is designed not to absorb moisture, bacteria, or odors. Black Volara is stocked in 30″ x 36″ sheets and in… Continue reading

Slide.fit Prosthetic Donning Aid

Designed around the motto “Donning Made Easy,” Streif­eneder USA has released the new Slide.fit donning aid for transfemoral prostheses. The gliding material offers diminished resistance, allowing the amputee to… Continue reading

Spenco Medics Replacement Insoles

New from Spenco are Spenco Medics, adjustable replacement insoles featuring the company’s Total Support technology along with interchangeable heel and midfoot pods. Continue reading

Men’s Hosiery in Dark Navy Stripe

When Sigvaris North America launched its Midtown Microfiber hosiery line in 2014, it was the company’s first compression therapy collection designed exclusively for men in three compression levels. Continue reading

Elite Orthopaedic Fracture Walkers

Elite Orthopaedics offers two new walkers designed for applications including soft tissue injuries, grade two and three sprains, stable fractures, and postoperative rehabilitation. Continue reading

3D printing of orthotic devices: Evidence from the literature

In the past two decades, additive manufacturing—commonly known as 3D printing—has evolved from a bleeding-edge, high-priced prototype with limited compositional materials to moderately priced systems with a wealth of manufacturing possibilities.

By Shalmali Pal Continue reading

NZ Manufacturing Catalog

NZ Manufacturing has released its newest catalog of 
resistance exercise products designed for rehabilitation, physical therapy, sports training, and fitness applications. The catalog includes a variety of in-water and dry-land swim training… Continue reading

Freedom Prosthetic Cover

The Freedom Cover is JAFO’s lightweight prosthetic limb cover that is designed to fit 90% of above-knee amputees. The product is designed to meet the needs of patients who are tired of heavy metallic covers and dislike waiting week… Continue reading

Redesigned Bunion Bootie

After months of focus group testing, surveying, measuring, and analyzing user feedback, Bunion Booties now have a new design. Bunion Booties are designed for patients who prefer not to undergo surgery or are poor candidates for surgery… Continue reading

Big Easy Footwear

Orthofeet has introduced the new Big Easy line of stretchable shoes as a solution for patients with medical footwear needs. The washable shoes are available in both men’s and women’s sizes with widths of M, W, XW, and XXW. Continue reading

Extreme Cold Thorlo Socks

Thorlo introduces its new Extreme Cold foot protection socks, engineered for maximum protection and comfort in the most extreme cold conditions. A cushioned instep and arch help provide a better fit, more support, and less pressure on… Continue reading

Kydex-Pro Contracture Boot

New from the Leeder Group is the Kydex-Pro ankle contracture boot. Kydex is a strong and relatively hard thermoplastic material, with a hardness of 90 on the Rockwell R scale, but can be easily molded and reformed in the field. Continue reading

Contact LT Digitizer

Amfit announces the release of the Contact LT for digital casting and design of custom foot orthotics. The Contact LT (or “light”) is smaller and lighter than the full-featured Contact Digitizer, but still sturdy enough for full weight-bearing scans. Continue reading

Vibration Therapy Wraps

Brownmed introduces the Vibrating Knee and Elbow Wrap and the Vibrating Shin and Calf Wrap—two new products under the Intellinetix brand that harness the power of vibration therapy to help relieve arthritis pain and joint swelling Continue reading

Quickthotics Insole System

The new Quickthotics Component Insole System from Spenco allows practitioners to dispense high-quality, prescription orthotic devices in the office in less than 10 minutes with no need for glue or a grinding machine. Continue reading

Genium Protector

Ottobock announces the launch in the US and Canada of the Genium Protector cover for its Genium Bionic Prosthetic System. The Genium Protector cover’s shin component is combined with a protective footshell. Continue reading

Arcopedico Fall Styles

Arcopedico USA introduces its fall 2014 line of women’s shoe styles. W12 is a school-inspired Oxford trouser shoe that features across-the-arch support to bolster tired feet, a lace-up upper that conforms to the shape of the foot, and an… Continue reading

ComfortFit Stabilizer Brace

On September 1, ComfortFit Labs released the new ComfortFit Stabilizer Brace. With falls being the leading cause of injury-related morbidity and mortality in older adults, ComfortFit is pleased to offer a product that will increase lower extremity… Continue reading

Sprained Ankle Software

PhysioTools’ Sprained Ankle training module is an easy-to-use tool, with 120 illustrations and informative text on the management of a sprained ankle, including acute care, taping, and rehabilitation…

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Spark Pro Motion Analysis

Spark Motion, maker of portable motion analysis software for use in authentic sports performance and rehabilitation environments, announces a rebranding (formerly Kinesio Capture). The company’s Spark Pro…

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Sandalwalk Foot Orthoses

Earthwalk Orthotics introduces Sandalwalk prescription foot orthoses designed to replace the removable footbed in Dr. Comfort’s Open Comfort Collection. The prescription orthoses are discreet…

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G&W Sprained Ankle Orthosis

The Sprained Ankle Orthosis (SAO) from G&W Heel Lift is designed to reduce the healing time of common ankle sprains and protect weak ankles from inversion sprains. The SAO is a firm heel cup…

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Easy Out Ribbon

Brand new from ComfortFit Orthotic Labs is the Easy Out pull-out ribbon. The ribbon—a loop attached to the underside of an insole but accessible when the device is positioned inside a shoe—allows patients to quickly and easily remove foot orthoses from their shoes.

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OA Restore Knee Brace

The OA Restore knee brace from Ottobock utilizes a rigid frame and unique hinging to help stabilize the knee, relieve symptoms, and delay more aggressive treatment for patients with mild to moderate medial or lateral knee osteoarthritis, ligament or cartilage damage…

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Aline Systems RTS Insole

Aline Systems announces new RTS foot technology. RTS combines the patented technology from the company’s RT insole with a new memory foam and technical fabric top sheet. The Aline RTS includes a softer feel…

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Rapid Zap Ankle Brace

Hely & Weber offers the Rapid Zap figure-8 style ankle brace. Wide open spaces provide easy access for the foot to facilitate application. Tri-Lace-Pod straps are designed for a quick and accurate fit and security. The top strap aligner…

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Redi-Thotics Ultra

Redi-Thotics Ultra is a unique orthotic designed to reduce rear foot motion and increase midfoot stability. Ultra-thin and rigid, the Ultra cradles the arch, preventing medial and longitudinal arch bruising. The Ultra is designed with a Rylon support system, not … Continue reading

Exoform Dorsal Night Splint

The Exoform Dorsal Night Splint is designed for treatment of plantar fasciitis, Achilles tendinitis, drop foot and post-static pain. The semi-rigid plantar pad reduces discomfort along the sides of the foot while providing an improved angle of dorsiflexion. The non-slip … Continue reading

E-Mag Active KAFO

Easy to fit with simple onboard programming, the E-Mag Active controller electronic stance KAFO actually calibrates itself to capture the user’s unique gait pattern. The E-Mag Active can also be easily reprogrammed for changes in the user’s gait, which adds … Continue reading

Dr. Comfort Diabetic Sandals

Diabetic footwear has never been this cool!  Dr. Comfort, the company that brought comfort and style to the industry, has launched a new line of men’s diabetic sandals that offers great looks and breathability. The new Beachcomber and Fisherman sandals … Continue reading

ComfiHips Hip Protectors

ComfiHips hip protectors, designed in conjunction with a study at the University of Florida, are composed of an undergarment with inside pockets positioned over the greater trochanter bones. Specialized state-of-the-art pads, which absorb up to 87% of impact upon lateral … Continue reading

Alegria Shoes and Clogs

Integrity Orthotics introduces the stylish Alegria fall shoe and clog line.  A huge array of styles and colors is available, all sharing the same deep, orthotic-friendly foot bed. The introduction of this line at the 2009 Annual Scientific Meeting of … Continue reading

Pain Relief Max Cream

Dr. Swaim’s Natural Skin Care’s line of skin care essentials designed by and for podiatrists includes a new treatment for neuropathic pain in the Pain Relief Max cream. The cream is made with all natural analgesics formulated in a hemp/emu … Continue reading

Eldorado Z-Axis Climbing Foot

The Eldorado Z-Axis prosthetic climbing foot features a revolutionary, compact design. It is only seven inches long but provides superior control, loading, leverage and proprioception. The unique foot is constructed with a high strength keel for stability and a compliant … Continue reading