Friday, August 17, 2018

BACK TO SCHOOL CHECKLIST

Have everything you need to send the kids back to school?

You probably bought new shoes for them, be sure you have had your kids' orthotics checked for proper sizing, if they needed a new size shoe, they will need a new size orthotic.


Getting the next size larger littleSTEPS® will ensure that your kids are comfortable at school, in sports, and at home just having fun. If you need to find a practitioner, please check our website's database of dispensing practitioners in your area HERE.

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS


Thursday, August 9, 2018

Find the right shoes for Back to School!

Now that it's time to go back to school, most parents are getting new shoes for their kids. It's very important for you to choose the right fitting shoe for your child, as well as the right shoe for your child's orthotics.

Orthotics do not work without something to give it contact with the dynamic foot.  That is where the shoe comes into play.  With footwear, the orthotic becomes an extension of the foot (or at minimum a bridge between the foot and shoe). With that all being said, are shoes an important consideration when wearing orthotics?  Absolutely.


The Importance of Fit

The first thing to remember is that a shoe is only as good as the fit.  A $200 shoe that fits poorly has less value than a $40 shoe that fits properly.  You will benefit from having an expert select and fit your shoes.

Find a retailer that has a good selection of shoes, and has associates who are skilled at fitting and have a history of customer satisfaction.  It is best to find a retailer who has a certified pedorthist on staff or someone who has a good understanding of pedorthic concepts.  Once you have an idea of which retailers might meet your requirements, ask these questions.  Does the sales staff know their stuff?  Do they measure feet?  Are they listening to you? 


The Basics of the Fitting Process

One concept to remember is that shoe size is not foot size.  A person who has a size 9 foot may wear a size 9 shoe – or a size 10 – depending on the brand. Even within a brand you can find that different models can have fit characteristics.  The starting point in shoe selection and fitting is to be professionally measured with the Brannock Device.  This foot measuring apparatus measures the heel-to-toe length of the foot, the heel-to-ball and the linear width.  Using the Brannock Device not only indicates the foot size but helps to visually show foot expansion between non-weight bearing and weight bearing state.  It is also a great tool for help quantify a size difference between the two feet.

Shoe selection is very important and the general goal is to match the foot shape to a corresponding shoe shape.  If the foot is shaped like a loaf of bread, then look for a straight-lasted shoe.  If the foot is shaped like a banana, then look for a curved-lasted shoe.  An important consideration is the orthotic itself, as they will affect the effective shape of the foot.  As most orthotics tend to be more straight and full, often the best shoe options are those that are also straight and full.

When fitting the shoe, the professional should try and fit the widest part of the foot into the widest part of the shoe.  If that is achieved then the shoe will flex naturally along with the foot, enabling a more fluid gait and causing less irritation.  Beyond last shape and ball-of-foot placement, having adequate space at the end of the shoe is important.  In general, having at least 3/8th of an inch of space at the end of the longest toe (which may not be the great toe).

Shoe Selection is Critical


Before buying shoes, it is best to assess your expectations.  Orthotics will not fit into all shoes.  In fact, they will fit into a minority of shoes found in a typical shoe store.  The shoe will need to tie, Velcro or otherwise be secured around the foot.  In addition, the shoe needs to have enough internal volume to accommodate the orthotic. Remember that any given shoe model might not be the best fit option for every person.  In addition, depending on your activity level, the shoe you need may not a running shoe.  A full-waisted walking shoe may be the perfect shoe or perhaps a casual oxford.  Instead of looking for specific styles of shoes, look for specific features.

Follow Up

Don’t be afraid to ask for a return visit so you can have your retailer check how the shoe fits and how it accommodates the orthotic.  It may take a little time for the orthotic to seat firmly into the shoe and start to feel comfortable. If you have any pain, you should go back to your retailer immediately to have them check that they have chosen the correct shoe for your foot type and your orthotics.
Information courtesy of Lamey Wellehan Shoes    Maine’s Shoe Store since 1914

Friday, August 3, 2018

Do You Have Questions? WE HAVE ANSWERS!!

We get great questions every day from our patients, and if they are about something we think other patients may be wondering about we add them to our FAQ on our nolaro24.com patient portal.

Here are a few examples:


HOW DO I ORDER OR RE-ORDER?

QUADRASTEP® and littleSTEPS® foot orthotics are sold through Practitioners and clinicians. You may use our FIND A PRACTITIONER Tool to locate someone in your area. If there is not a local practitioner or clinician in your area, you can Email Us and we will try to assist you in finding someone that you can order from online or by phone.

WHAT IS THE BREAK IN PERIOD FOR MY NEW ORTHOTICS?
Most patients should be able to gradually increase their wear time over a 7-10 day period. This begins with normal activity and gradually works towards more strenuous activities, such as sports. It is recommended that all foot orthoses be worn with socks to avoid blisters.

HOW LONG WILL QUADRASTEP® OR littleSTEPS®ORTHOTICS LAST? WHEN SHOULD THEY BE REPLACED?
Depending on usage and body size, a pair of our orthoses should last approximately 1-2 years. You should check you orthotics every few months for signs of wear and tear that might change the way your orthotics are supporting your feet.

For more Q&A, please refer to our FAQ page, and as always, we love to hear from you!

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Thursday, July 26, 2018

ARE YOUR KIDS READY FOR SCHOOL?

With thoughts of school right around the corner (THE MOST WONDERFUL time of the year! 🤣🤣🤣), most of you parents are shopping for new shoes for your kids in August. Do you know that you need to check their littleSTEPS® orthotics to make sure they are still the right size as well? Chances are that they will need a new size for their new shoes! Be sure to check your child's sizing and make an appointment with your local practitioner to be fitted for their new larger size littleSTEPS®, and have them bring their new shoes with them.

Here's how to check if your child needs a new size:


Getting the next size larger littleSTEPS® will ensure that your kids are comfortable at school, in sports, and at home just having fun. If you need to find a practitioner, please check our website's database of dispensing practitioners in your area HERE.

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Friday, July 13, 2018

Diabetic Foot Care

Patients with Type 2 Diabetes are susceptible to diabetic retinopathy, diabetic nephropathy and coronary disease and high blood pressure which affect the eyes, kidneys and heart. As these problems arise, they may be treated systemically by a physician.

Patients with Type 2 Diabetes are also prone to diabetic neuropathy which commonly affects the feet—this, fortunately, can be accommodated by you and a qualified shoe fitter.
Diabetic neuropathy often manifests as numbness, tingling, temperature extremes and/or pain. Proper shoe style, shape, materials and size & width are vital in reducing diabetic foot discomfort. Also, due to a lack of foot sensation, a patient may not notice friction or deformity caused by an ill-fitted shoe—this may lead to abrasion, ulceration, infection and in many cases, partial or complete amputation of the foot. Proper shoe fit has proven to be a very effective means by which to prevent major injury to the neuropathic foot.

In addition to a well-fitted shoe, an accommodative insole, custom-molded or heat-molded to match the contours of the bottom of a patient’s foot, will provide further protection of the foot against potentially harmful pressures. If a patient’s foot has undergone partial amputation, accommodative insoles can be augmented with prosthetic fillers to improve shoe fit.

If you are diabetic, it is extremely important that you go to a qualified diabetic shoe fitter and orthotic lab to get the most out of your footwear and to help relieve any pain you may be feeling! Ask your practitioner about our QUADRASTEP adult prefabricated foot orthotics and see if they might be right for you!

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Friday, June 29, 2018

Did you know that Medicare and other insurance providers cover the cost of shoes and insoles for their diabetic policy holders?

Stride Pedorthic Center in Middlebury CT carries Premium Diabetic Footwear by New Balance, Anodyne and Other Brands.

Patients with Type 2 Diabetes are susceptible to diabetic retinopathy, diabetic nephropathy and coronary disease and high blood pressure which affect the eyes, kidneys and heart. As these problems arise, they may be treated systemically by a physician.


Patients with Type 2 Diabetes are also prone to diabetic neuropathy which commonly affects the feet—this, fortunately, can be accommodated by you and a qualified shoe fitter.


Diabetic neuropathy often manifests as numbness, tingling, temperature extremes and/or pain. Proper shoe style, shape, materials and size & width are vital in reducing diabetic foot discomfort. Also, due to a lack of foot sensation, a patient may not notice friction or deformity caused by an ill-fitted shoe—this may lead to abrasion, ulceration, infection and in many cases, partial or complete amputation of the foot. Proper shoe fit has proven to be a very effective means by which to prevent major injury to the neuropathic foot.


In addition to a well-fitted shoe, an accommodative insole, custom-molded or heat-molded to match the contours of the bottom of a patient’s foot, will provide further protection of the foot against potentially harmful pressures. If a patient’s foot has undergone partial amputation, accommodative insoles can be augmented with prosthetic fillers to improve shoe fit.


Our clinicians have years of diabetic shoe fitting experience and are eager to fit you with a shoe that you will like to wear.


Call Stride TODAY for a FREE Diabetic Shoe Fitting at 203.758.8307


Find Stride at strideorthotics.com, info@strideorthotics.com,
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For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS