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Foot Orthotics

Order Form Guide

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

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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
  • Supination Corrections
  • Valgus Cuboid Pad

Valgus Cuboid Pad

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Rx form option box:

 

Everting cuboid pad

FUNCTION:
• Everts cuboid

CLINICAL INDICATIONS:
• Inverting cuboid
• Peroneal pathology

A valgus cuboid pad is wedge-shaped Myolite padding that is placed on the superior lateral surface of an orthotic’s frame and sits beneath the lateral cuboid and 5th metatarsal base. Its edges are skived and blended along all of its borders.