Orthotics and Braces

What Is Orthotics?

Custom-made orthotics are medical shoe inserts that support and gently reposition the heel, arch, muscles, ligaments, tendons, and bones in the feet. Orthotics enable the structures in the foot to work together as nature intended, making each step pain-free.

Unlike over-the-counter shoe inserts, custom-made orthotics are created from non-weight bearing molds of your feet. These devices are designed to meet your specific needs. These devices are typically made with comfortable materials that are very durable, and they can be designed to fit in any type of shoe.

  • Purpose of Custom Orthotics
  • Custom-made orthotics have been shown to help alleviate and relieve pain caused by the following common foot conditions:
  • Plantar fasciitis
  • Arch pain
  • Diabetes-related pain
  • Bunions
  • Hammer toe
  • Corns & calluses

In addition to relieving pain and reducing inflammation, custom orthotics help control alignment and function of the foot. This helps treat and prevent injuries caused by sharp or excessive movement during physical activity. Custom Orthotics also help to make activities like running and walking more efficient by improving the structure of the foot.

How Do Custom Orthotics Work?

The root cause of most foot problems can be attributed to poor foot structure. Even the smallest misalignment in the foot can cause significant pain or discomfort. Misalignment in the foot usually causes foot conditions like bunions, corns, hammer toe, etc. If you suffer from these conditions, custom-made orthotics are recommended to pad and protect the foot.

Orthotics function to not only support the arch but also realign the structures of the foot. By doing so, custom orthotics improve the structure of the foot and help prevent bone misalignment, as well as tendon and ligament fatigue. As your foot strikes the ground, orthotics within the shoe gently direct the structure into the correct position so as to reduce pain and stop inflammation.

How Are Orthotics Made?

Following a physical exam and diagnosis of the condition, your podiatrist may recommend orthotics as part of the treatment plan. There are several methods that can be used to cast a mold or create an image of your foot—from computer guided and laser imaging to just a normal cast. Once the image or cast has been taken, they are usually sent to a medical lab to be created.


Custom Ankle Braces (AFOs)

We work with a pedorthist to customize the best custom ankle brace (AFO) or balance brace based on your need. Many patients do not know that balance braces exist. They are light weight and very easy to apply. Best of all, they can help with your balance which in turn, can help prevent falls.

ARIZONA BRACE®

The Arizona Brace® is our original design and remains our most popular for comfort and stability. The Arizona Brace® is prescribed to stabilize the ankle, talocalcaneal, midtarsal and subtalar joints. Often copied but never equaled, the Arizona Brace® is the only custom AFO proven in clinical trials to effectively treat Posterior Tibial Tendon Dysfunction (PTTD) as an alternative to surgery.

FEATURES & OPTIONS

  • Soft, comfortable molded leather inner shell lining
  • Padded with 1/8” medical-grade foam
  • Polypropylene-reinforced foot and ankle
  • Metatarsal-length foot plate
  • Custom anatomical reliefs

CLINICAL INDICATIONS

  • PTTD (Posterior Tibial Tendon Dysfunction)
  • Talocalcaneal varus or valgus
  • Tibialis Tendonitis (posterior or anterior)
  • Severe pronation or pes planus
  • Ankle Arthritis or Degenerative Joint Disease (DJD)
  • Charcot foot
  • Ankle, subtalar or midtarsal trauma
  • Chronic Achilles tendonitis

Suggested L Codes: L1940, L2330, L2820


ARIZONA MEZZO™

The patented Arizona Mezzo™ is the ‘happy medium’ between a UCBL and the standard Arizona Brace®. The custom-fabricated Arizona Mezzo™ provides support for a variety of midfoot and hindfoot conditions requiring superior longitudinal arch support. Its low-profile design and soft leather lining mean easy shoe fit, exceptional comfort, and greater patient compliance. Partial Foot Arizona Mezzo™ also available.

FEATURES & OPTIONS

  • Low-profile design
  • Can be worn with practically any shoe – even sandals!
  • Custom-molded, intimate fit
  • Made from Orthopedic-grade, Chromium tanned leather and thermoplastic

CLINICAL INDICATIONS

  • Posterior Tibial Tendon Dysfunction (PTTD) Stages 1 & 2
  • Extreme flatfoot
  • Sinus Tarsi Syndrome
  • Hypotonia/low tone
  • Peroneal tendonitis
  • Plantar fasciitis
  • Osteoarthritis of the subtalar and midtarsal joints

Suggested L Codes: L1907, L2330


AZ BREEZE™

The AZ Breeze™ offers the same great features as the Arizona Brace® but is lightweight, hypo-allergenic and moisture wicking – it’s even machine washable! Covered with a synthetic material, it is indicated for patients with leather allergies or lifestyles and/or occupations prone to moisture.
The AZ Breeze™ material is available in all Arizona Brace® styles.

FEATURES & OPTIONS

  • Lightweight, durable polyester covering
  • Padded with 1/8” medical-grade foam
  • Polypropylene shell
  • Custom anatomical reliefs

CLINICAL INDICATIONS

  • Posterior Tibial Tendon Dysfunction (PTTD)
  • Talocalcaneal varus or valgus
  • Tibialis Tendonitis (posterior or anterior)
  • Severe pronation or pes planus
  • Ankle Arthritis or Degenerative Joint Disease (DJD)
  • Charcot foot
  • Ankle, subtalar or midtarsal trauma
  • Chronic Achilles tendonitis

Suggested L Codes: L1940, L2330, L2820


AZ CROW WALKER™

An excellent alternative to total casting for your diabetic foot care patients. The AZ CROW Walker™ minimizes the force going through the foot while the rocker bottom and custom-molded insert encourage healing. The Charcot Resistant Orthotic Walker (CROW) is a weight-relieving AFO.

FEATURES & OPTIONS

  • Thermoplastic shell
  • Optional 1/8” medical-grade foam padding

CLINICAL INDICATIONS

  • Charcot foot

Suggested L Codes: L4631


AZ SPORTY™

The AZ Sporty™ provides optimal support for patients requiring greater daily mobility. Its lower-profile design makes the AZ Sporty™ an excellent option for patients with chronic ankle sprains, traumatic ankle injury, ankle arthritis or medial/lateral ankle laxity.

FEATURES & OPTIONS

  • Soft, comfortable molded leather inner shell lining
  • Thinner plastic & shorter distal length footplate
  • Padded with 1/8” medical-grade foam
  • Polypropylene shell

CLINICAL INDICATIONS

  • Sports injuries, such as chronic ankle sprains
  • Less severe conditions that do not require support for the medial longitudinal arch

Suggested L Codes: L1940, L2330, L2820


EC NEUROWALKER™

The EC Neurowalker™ incorporates the Arizona Unweighting AFO™ with a custom-molded shoe. This successful combination has been utilized by podiatric and orthotic clinicians for well over a decade with exceptional patient outcomes! Ordering an optional shoe for the opposing side will aid in patient compliance.

FEATURES & OPTIONS

  • Custom-molded shoe
  • Notched at base of calf to unweight ankle and foot
  • Custom, multi-density removable insole
  • Soft, comfortable molded leather inner shell lining
  • Padded with 1/8” medical-grade foam
  • Polypropylene shell
  • A removable, custom-molded multi-density foot orthotic is included

CLINICAL INDICATIONS

  • Charcot foot and ankle
  • Post fractures of the distal tibia
  • Neuropathic conditions of the ankle and foot
  • Severe ankle instability

Suggested L Codes: L1940, L2330, L2820


MOORE BALANCE BRACE™ (MBB)

The Moore Balance Brace™ (MBB) is the original balance brace and the only one clinically proven to reduce postural sway and increase postural stability*. The MBB is a custom-made AFO designed to reduce the risk and incidence of falls in the elderly and high-risk populations.

The MBB is best utilized in conjunction with a comprehensive fall prevention protocol which may include strength training, certain environmental changes in the home, physical therapy and other related specialties. The MBB is typically prescribed bilaterally.

FEATURES & OPTIONS

  • Easy to reach and pull Velcro® straps
  • Polypropylene shell providing lightweight, stable support around the foot and ankle
  • Low-profile & open dorsal design allows for easy shoe fitting & increased compliance
  • Heel stabilizing post maximizing balance & stability
  • Lightweight, durable polyester cloth covering
  • Custom ankle stabilization providing maximum somatosensory feedback
  • Plastazote™ interface providing comfortable shock absorption to the heel, plantar surface & tongue
  • Custom orthosis provides arch support and midfoot stability while allowing the forefoot & toes to be anchored for increased balance

CLINICAL INDICATIONS

  • Difficulty walking and/or maintaining balance
  • History of falls
  • Vestibular disorder
  • Chronic ankle Instability
  • Arthritic ankle
  • Stroke Imbalance/foot drop
  • Diabetic peripheral neuropathy

Suggested L Codes: L1940, L2330, L2820


SUPRA MALLEOLAR ORTHOSIS – SMO

Our SMO supports patients with foot and ankle pathology difficulties that are not controlled with conventional foot orthoses. Made of a polypropylene shell for enhanced durability, a lower leg strap is also available.

FEATURES & OPTIONS

  • Thermoplastic shell
  • Optional 1/8” medical grade foam padding

CLINICAL INDICATIONS

  • Arthritic conditions
  • Charcot foot
  • Chronic ankle sprains
  • Instability
  • Posterior Tibial weakness or rupture
  • Low tone, hypotonic patient

Suggested L Codes: L1907, L3400