img

Foot Orthotics

Order Form Guide

img
img
img
Professional Foot Orthotics Order Form
Professional Foot Orthotics Order Form Professional Braces Order Form

Click On Order Form Or Use Menu Below To Choose Topic

Download Order Form[ PDF ] Download Guide[ PDF ]

Page 1 of 2

Clinician Information

Patient Information

Methods & Optimizations

Materials

Page 2 of 2

Pronation Corrections

Supination Corrections

Extensions

Offloading Pads & Cushions

Frame Modifications

Key words:

foot impression frame fabrication methods Top Cover Prolite Orthotics
  • Page 2
  • Extensions
  • Dynamic Wedge

Dynamic Wedge

Watch Video

Rx form option box:

 

Myolite material frame-extension to sulcus coupled with EVA material dorsiflexion hallux wedge

FUNCTIONS:
• Planterflexes 1st ray
• Elevates 2nd – 5th metatarsal heads
• Accommodates 1st metatarsal head
• Dorsiflexes 1st MTP joint

CLINICAL INDICATIONS:
• Hallux limitus
• Jamming of the 1st metatarsophalangeal joint
• Inefficient windlass mechanism

A dynamic wedge is a modified Myolite forefoot extension to sulcus with a dorsi-flex, semi-rigid to very rigid (45-75 Shore A) EVA wedge that sits beneath the 1st phalange. The forefoot extension begins at the superior distal edge of the orthotic frame, terminates just past the 2nd – 5th metatarsal heads and excludes the 1st.

Its medial edge does not extend past the 1st interspace, and its edges are unskived. The dorsi-flex wedge begins its incline just distal to the 1st metatarsal head and ends past the distal phalange. The lateral edge does not extend past the first interspace and is unskived.