Tuesday, August 29, 2023


Advancing Comfort and Support: The Popularity of Prefabricated Foot Orthotics
By Dr. Scott Gray PT, DPT, CSCS, ART, MTC, FAFS
Owner/Founder of Back in Motion

In the pursuit of enhanced comfort, improved foot alignment, and efficient injury prevention, foot orthotics have become an indispensable tool. These inserts, designed to support the feet and correct biomechanical issues, have traditionally been custom-made to fit the unique contours of an individual's feet. However, with the advent of prefabricated foot orthotics, a new era has dawned, revolutionizing the accessibility and affordability of this invaluable technology. In this blog post, we will explore the world of prefabricated foot orthotics, discussing their benefits, limitations, and their impact on foot health.

Understanding Foot Orthotics

Foot orthotics, also known as shoe inserts or insoles, are specially designed devices that are placed inside shoes to provide support, correct structural abnormalities, and alleviate pain. They are primarily used to address foot-related issues such as overpronation (excessive inward rolling of the foot), flat feet, high arches, plantar fasciitis, and other conditions affecting foot alignment.

Traditionally, custom-made orthotics have been the gold standard for addressing specific foot issues. These are created by taking impressions of the patient's feet and tailoring the orthotic to their unique requirements. However, this process can be time-consuming and costly, often requiring visits to healthcare professionals, such as podiatrists or orthotists.

Enter Prefabricated Foot Orthotics

Prefabricated foot orthotics are a relatively recent development that offers a standardized solution to common foot problems. These orthotics are manufactured in various sizes and shapes, designed to fit a range of foot sizes and arch types. They are readily available, allowing individuals to purchase and use them without the need for a professional fitting.


Benefits of Prefabricated Foot Orthotics

  1. Affordability: One of the primary advantages of prefabricated foot orthotics is their cost-effectiveness. Custom orthotics can be quite expensive due to the involved process in designing and manufacturing. Prefabricated options provide an affordable alternative, making foot orthotics more accessible to a wider population.

  2. Accessibility: Prefabricated orthotics are readily available from various retailers, eliminating the need for specialized appointments and long waiting times. This accessibility ensures that individuals can find relief for their foot issues promptly.

  3. Convenience: With prefabricated foot orthotics, individuals can purchase and use them immediately without having to wait for the custom-made versions to be produced. They can be easily transferred between different pairs of shoes, enabling users to enjoy their benefits across various activities and footwear choices.

  4. Versatility: Prefabricated orthotics often come in a range of sizes, arch heights, and designs to accommodate different foot shapes and conditions. They can address common issues such as arch support, cushioning, and alignment, providing a versatile solution for a wide range of foot-related problems.

Limitations of Most Prefabricated Foot Orthotics

  1. Lack of Customization: The main drawback of prefabricated foot orthotics is their inability to address individual foot irregularities with the same precision as custom orthotics. While they offer a range of options, they may not provide the exact level of support or correction needed for more complex foot conditions.

  2. Specificity: Prefabricated orthotics are designed to address common foot problems and provide general support. However, certain individuals with more severe or specific conditions may require custom-made orthotics to ensure optimal results and comfort.

  3. Trial and Error: Finding the right prefabricated orthotics may involve some trial and error. Individuals may need to try different brands, sizes, or designs before finding the one that suits their feet best. This experimentation can be time-consuming and frustrating for those seeking immediate relief.

 

The Quadrastep Prefabricated Orthotic System is often considered a top choice in prefabricated foot orthotics for several reasons:

Customization: The Quadrastep system offers a high degree of customization, even within a prefabricated format. It takes into account the individual's specific foot type, arch height, and alignment to provide a more tailored solution compared to generic prefabricated orthotics. This customization helps improve comfort, support, and overall effectiveness.

Evidence-based design: The Quadrastep system is based on years of research and clinical experience. It incorporates the principles of the Root biomechanical theory, which is widely recognized and respected in the field of podiatry. The design aims to address common foot problems and improve biomechanical alignment, thereby promoting optimal foot function and reducing pain.

Versatility: The Quadrastep system offers a range of orthotic options to accommodate different foot types and conditions. It categorizes feet into six different types (Q1-Q6) based on their specific alignment characteristics and provides corresponding orthotics for each type. This versatility allows for a more precise fit and targeted treatment for various foot pathologies.

Ease of use: Being prefabricated, the Quadrastep orthotics are ready to use without the need for complex measurements or molds. This convenience saves time and effort, making them more accessible for both patients and practitioners. They can be easily fitted into different types of footwear, promoting patient compliance.

Professional endorsement: The Quadrastep system has gained recognition and endorsement from many podiatrists and healthcare professionals. Their positive experiences with the system's effectiveness in managing foot problems contribute to its reputation as a top choice in the field.

Prefabricated foot orthotics have brought about a significant shift in the world of foot health. While they may not provide the same level of customization as their custom-made counterparts, they offer a cost-effective, accessible, and convenient solution for many common foot conditions. For individuals with mild to moderate foot issues, prefabricated orthotics can provide the necessary support, alignment correction, and pain relief. However, it is essential to consult a healthcare professional, such as a podiatrist or orthotist, to ensure the best possible outcome for more severe or complex foot conditions. With advancements in materials and manufacturing techniques, prefabricated foot orthotics are likely to continue evolving, enhancing foot health for a broader range of individuals in the years to come.

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Tuesday, August 1, 2023

Tuesday, February 21, 2023

Preventing and Treating Plantar Fasciitis

Dr. Louis J. DeCaro, president of the American College of Foot & Ankle Pediatrics appeared on NBC February 15 to educate on the topic of plantar fasciitis. Dr. DeCaro stressed how important it is to see your Podiatrist as soon as plantar fasciitis strikes. He stressed that it is extremely important to educate the patient on the difference between an over the counter arch support, and a custom functional orthotic that controls biomechanics force.

According to podiatrist Louis J. DeCaro, DPM “Studies have show that 83% of patients suffering from Plantar Fasciitis possess equinus and thus stretching becomes paramount in treatment” As well Dr. DeCaro talked about the importance of patients knowing exactly what foot type they are. “Foot typing is probably the most important factor in not only treating, but understanding the genesis of any foot pain, especially plantar fasciitis. Knowing the biomechanics unlocks the secret of all aspect. Causation, prevention and treatment”


See the full article HERE

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Tuesday, January 24, 2023

 ANNOUNCING ALL NEW REDESIGNED GAIT PLATES


Due to a high demand for the only prefab gait plate on the market, Nolaro24 is pleased to announce a new and improved version of our popular littleSTEPS Gait Plates!

  • New kid-friendly purple color to easily differentiate from regular littleSTEPS
  • The new purple color serves as a reminder that when kids with in-toe gait mature into adult shoe sizes, they would likely transition well into a B Quad Adult orthotic which is designed for teens and adults with in-toe gait.
  • Gait Plate Version 2.0 provides improved accuracy of sizing, more closely matching the depth and width of our standard littleSTEPS models.
Contact your practitioner now to ask about our new littleSTEPS Gait Plates. If you need to find a practitioner email us at moreinfo@nolaro24.com.

Find us online https://nolaro24.com/patient/gppatient.html

Wednesday, September 7, 2022

Get off on the right foot this school year!

(Mass Appeal) – A lot changes at back to school time and it is the perfect opportunity to get your child’s feet set up to be healthy for the next nine months, and hopefully beyond. Louis DeCaro, Doctor of Podiatric Medicine at DeCaro Total Foot Care Center, joins us with some tips.


Watch the full interview Here:
https://www.wwlp.com/massappeal/get-off-on-the-right-foot-this-school-year-with-the-proper-shoes/

Wednesday, August 3, 2022

Back to School Orthotics Check

It’s that time of the year! The time all parents wait for – time to start thinking about your their kids ready for school (and out of the house – YAY). That means new gear, new clothes, and new shoes. This is the perfect time for you to check your kids’ littleSTEPS® for outgrowth, it’s likely they need a new pair to fit in those new shoes.
Check out the pictures below, the top of the littleSTEPS®  should come to bottom of the ball of the foot.

If you are too short like the second picture, it's time to take your child to their practitioner and get fitted for a new pair.

If you think your child might need foot orthotics, but you don't have a practitioner, check our FIND A PRACTITIONER tool on our website.

For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Tuesday, July 5, 2022

The Good and Bad of Flip-Flops

Louis J. DeCaro, president of the American College of Foot & Ankle Pediatrics appeared on NBC’s Mass Appeal June 29, 2022 to talk about summertime foot tips. Dr. DeCaro talked about how important it is to protect your feet during the hot summer months. “If you have to wear flip flops make sure you apply waterproof high SPF sunscreen (and apply regularly) to your feet. A lot of people make the mistake of frolicking their toes in the water at the beach or pool (unlike other parts of their body) and not realizing the sunscreen is wearing off!”


According to podiatrist Louis J. DeCaro, DPM “You should never wear flip-flops while walking long distances. Even the sturdiest flip-flops offer little in terms of shock absorption and arch support. If you must wear something open toed in the summer, wear a sturdy closed back sandal with arch support. It offers more support and control and will be safer in the long run.”

Watch the full interview here:
https://www.wwlp.com/massappeal/the-good-and-bad-of-flip-flops/

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Tuesday, April 12, 2022

 

Springtime Foot Issues

Louis J. DeCaro, president of the American College of Foot & Ankle Pediatrics appeared on NBC April 7 to give tips on kids transitioning from winter to spring sports. Dr. DeCaro also talked about how important it is to see your Podiatrist when parents notice any sort of lower extremity pain including but not limited to hip, knee, ankle and foot pain. Many orthopedic problems in kids, especially athletes, stem from poo foot biomechanics. Looking at the child’s foot type and assessing its impact on biomechanics is essential to injury prevention and overall performance. “ He spoke about how this leads to important diagnoses of things such as flatfeet and rotational abnormalities. 


According to podiatrist Louis J. DeCaro, DPM “Stretching is so important, even for kids, to get ready for spring sports. Along with bodily growth where the muscles are trying to keep up with the bones the cold weather can tighten muscles. Spring sports aren’t always played in warm weather and so stretching becomes absolutely key.” And finally Dr DeCaro says “ Like they say to change the batteries in your smoke detector during springtime daylight savings, use that same time frame to inspect all the shoes kids will be wearing as the weather gets nicer. Wear patterns of shoes can not only have a deleterious affect on gait but also can often negative many important biomechanics corrections if a child wears an orthotic.”

See the full interview on Mass Appeal Here:
https://www.wwlp.com/massappeal/spring-is-prime-time-for-foot-problems/

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Friday, October 22, 2021

Brrr! It's been chilly here in Connecticut, time to put away the sandals and get out the sneakers and socks. It's a good time to check your athletic shoes for wear and tear - look at the heels from the back and make sure they aren't worn off at an angle. Make sure you have a thumb's width between your big toe and the end of your shoe. Make sure you aren't hanging over to one side or the other. If you see any of these signs of wear, it's time for new shoes!


It's also time to check your foot orthotics for wear, check the heel to see if it is getting worn off on the bottom, see if the topcover is getting worn off in some areas. It might be time for a new pair, or a new topcover. Call your practitioner to have them checked or to order a new pair for those new shoes




If you don't have QUADRASTEPS yet but would like some, try our FIND A PRACTITIONER tool to find an area practitioner that sells them.
For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS

Friday, August 27, 2021

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


Friday, July 30, 2021

Are your kids ready for FALL SPORTS?

Fall is almost here and kids everywhere are gearing up for fall sports programs including soccer and football, track and volleyball. over 30 Million kids are involved in at least one interscholastic sports program; 21.5 Million kids are playing on one or more organized sports teams! More than 2.6 million children are treated in the emergency department each year for sports and recreational-related injuries

According to statistics, nearly 35.8% of injuries in kids 5-17 relate to sports and recreation. Why are Kids more susceptible to sports related injuries? 
  • Active bone growth precedes muscle and tendon lengthening creating limited flexibility and risk of overuse injuries.
  • Kids have an actively growing musculoskeletal system. Motor strength imbalances can lead to muscle strains.
  • Open physeal growth plates in kids can lead to a higher incidence of tearing injuries.
  • Kids have limited skill levels and level of conditioning (coordination issues).
  • Consider gender: Male-female ratio of injury 1.8:1, but some girls are more susceptible to particular injuries.
  • Kids have greater ligamentous laxity.

Kids are not just small adults! Adults whose bones have finished growing might simply pull a muscle or a tendon after a fall. But in a child, that same fall could injure the growth plate. One of the most commonly injured parts of the body in adolescents is the foot and ankle, particularly those involved in sports. Here are some of the more common injuries by age group:


AGES 6-12


  • Flat Feet
  • Growing Pains
  • Knee or Shin Pain
  • Osgood Schlatters disease or syndrome
  • Calcaneal apophysitis (Sever's disease)
  • Poor Posture and Postural Weakness
  • including Genu Valgus (Knock Knees)



AGES 13-17

  • Patellofemoral Pain Syndrome (Runner's Knee)
  • Plantarfasciitis
  • Shin Splints
  • Stress Fractures
  • Ankle Pain
  • Ankle Instability
littleSTEPS® foot orthotics for kids can help protect kids during sports activities. They can be worn in cleats or athletic shoes. littleSTEPS® products are specifically designed for kids to deliver a prescription based correction, closest you will find to matching custom UCBL devices! littleSTEPS® come in 11 sizes to fit toddlers to teens. For larger teens, a QUADRASTEP® orthotic may be more appropriate. Ask your practitioner about littleSTEPS® and QUADRASTEP® orthotics today! If you need to find a practitioner, visit our website nolaro24.com. Like us on Facebook @quadrasteps
#LSteps #QuadraSTEPS

Friday, July 16, 2021

3 Exercises That May Reduce Pes Planus

By Dr. Scott Gray

Are you suffering from flat feet?




Hi, I’m Dr. Scott Gray. I’m the owner of Back in Motion in Ft. Myers, Florida, a doctor of physical therapy, published author, and inventor of the Gray Method™.

In this article I’m going to show you three ways that may help reduce pes planus, or flat feet.

What is Pes Planus?

Pes planus also known as flat foot is the loss of the medial longitudinal arch of the foot, heel valgus deformity, and medial talar prominence.

Flat feet may be causing  plantar fasciitis, knee pain, back pain, or even hip pain.

Strengthen the Tibialis Posterior Muscle & Tendon With a Calf Raise

One of the best ways to reduce pes planus and mitigate it is to strengthen the posterior tibialis muscle and tendon complex. So as we walk and gait in a terminal stance, that foot should supinate where it’s not flat

What we can do to help develop this is to do a simple calf raise.

By going up on your toes you can see whether or not the heel goes into supination and that’s really what we’re looking for.

That’s going to help pull on the midfoot and even some of the rear foot there as the tendons come through to provide stability into the opposite of flat feet.

So we would typically like to do this in three sets of 10 to 15 reps a couple times a week to help just get some strength and stability of that complex.

Improve Your Hip Extension


The second way to help mitigate flat feet or pes planus is to actually work the hip in getting the hip to extend.So what happens commonly is we walk, if you don’t have hip extension mobility, then the foot can’t resupinate.

The foot will go into pes planus or flat feet. We really want to make sure that we give the ankle joint enough time to dorsiflex. Which then allows that windlass mechanism to kick in, where the foot can start to supinate at the rear foot.

How we do this is having the patient go into a lunge like position, having a stretch cage is helpful, and the patient will  drive back and forth and really work on getting motion in the hip.

If you don’t have mobility at the ankle joint, then what happens is the subtalar joint will revert and it causes motion at the midtarsal joint to give false dorsal flexion.

So we really want to make sure we’re getting true, authentic dorsiflexion so that the midtarsal joint doesn’t have to unlock which then will allow the foot to get rigid and become a stiff lever in the gate. So that’s just an easy way to get dorsiflexion.

Hip Strengthening


So the last way we can mitigate pes planus is actually working the strength of the hip.

If I’m standing and I have weak hips, it’s going to potentially make my knees cave in which down the chain is going to make my feet go into pronation as a compensation.

If I work on strengthening some of my butt muscles and deep hip rotators, I can potentially help mitigate those forces of my flat feet.

One exercise that we really like to do here at Back in Motion is a hip airplane, and so we have the patient hold onto something because it’s not a balance exercise.

Then from here, they are going to rotate their hip into what we call external rotation and extension. And that’s going to get these deep hip rotator muscles working, which is going to help prevent ultimately from being in this knock-knee position, which can make her feet flat.

Conclusion


So there you have it. Those are three simple ways to mitigate pes planus or flat feet. We talked about the calf raise to work the posterior tibial tendon, and working the hip indirectly by mobilizing into extension, so that the midtarsal joint doesn’t have to unlock.

And lastly we talked about strengthening the glutes to help prevent some of that femoral internal rotation so that doesn’t happen at the feet.

Incorporating these tips above could help with everything from knee pain, back pain, hip pain, plantar fasciitis, and so much more.

About The Author: Dr. Scott Gray

Dr. Scott Gray is an internationally recognized and expert physical therapist & sports performance coach specializing in sport, athletic, and back and neck injuries. He is the inventor of a revolutionary form of treatment called the GRAY METHOD™. This type of treatment unlike others, addresses the CAUSE rather than just your SYMPTOMS with a full body approach. Learn more about what Back In Motion in Ft. Myers, FL has to offer other than physical therapy including sports performance training, personal training.

Find Us:
For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS
FB: @quadrasteps
nolaro24.com

Friday, April 23, 2021

 INTRODUCING OUR ALL NEW
Parent Video Series

As parents, we want to do as much as we can for our little ones. To help make it a little easier, Nolaro24 now offers a series of educational and informative videos designed for the parent. The Parent Video series includes topics ranging from newborn through adolescence. Each speaker is an established and respected medical professional with extensive experience in their field of expertise. 

The shape of the human foot is constantly evolving, and every foot is unique. Many factors influence foot development. Common pediatric foot concerns are in-toeing, flat feet, toe walking, and growing pains. Early intervention, including structural support and exercise, can successfully treat these common pediatric symptoms. Treatment in the early years can have a meaningful impact on health, comfort, and wellbeing throughout child development and adult years. However, if left untreated, these mild foot concerns or abnormalities can lead to long-term issues in adulthood. When treating the pediatric foot, the optimal goal is to ease discomfort and improve mobility, strength, and balance. 

Nolaro24 has been a long-time provider of foot treatment products for children and adults. We are also the provider of educational lectures, webinars, and Master Classes for medical professionals. We are now extending our educational expertise to parents in the Parent Series videos.

As a parent seeking to learn more about the growing foot and ways to help with your child's comfort and proper development, these videos may be a useful resource. 

Our NEWEST Parent Video is now available

The Parent’s Guide to Your Child’s Foot Development: The Sole of the Matter (Conception to Pre-Walker)

by Tara Liddle, PT, MA, DPT, PCS


"Expecting and new parents often have many questions regarding the care and development of their baby. In this presentation, I review everything you need to know about the infant's foot and why and how the foot plays a big part in motor development, including ways to achieve best foot practices and care for optimum benefits for your baby." Happy listening! -Tara

 

 

Who Should Purchase this Video

Any parent who wants to learn more about child foot development in the newborn-2 age range.

LEARN MORE


Parents of Ages 3-12 might like

The Parent’s Guide to Your Child’s Foot Development: Toddlers on Up!

by Liesa M Ritchie, PT, DPT, PCS, CKTP


Parents and caregivers have lots of questions for pediatric physical therapists! In this webinar, Liesa explains flat feet, growing pains & toe walking.


“Poor balance, clumsiness, inactivity, weakness, stiffness & pain are very often caused by poor foot & ankle alignment. But, to improve alignment, we have to act sooner than you think! In this webinar, I’ll explain why flat feet are a problem, when it isn’t ‘just growing pains’ and how to know if toe walking is a problem. Plus, I’ll describe recommended characteristics for shoes at various ages, as well as the purpose and benefits of orthotics.” - Liesa




Thursday, January 14, 2021

Do you know the right shoe for your foot type?

It's 2021 and January is always a time where we reassess, reevaluate, and determine to get healthier and get moving. We clean out the old, pare down, and organize.

As we get out the old athletic shoes and vow to start a fitness program this winter, why not treat yourself to a new pair with a better fit for your goals - and most importantly, your orthotics!

Here is a chart of our recommendations for athletic shoes by your foot type. If you don't know your foot type yet, go to one of our trained practitioners and find out! You might not know that genetics predetermines the shape of your foot and the way you walk, leading to many of the aches and pains you experience throughout your lifetime.There is help out there - you don't have to suffer!

Check out our list of trained practitioners, and you can download the shoe list below HERE.

Here's to a happy, healthy, and pain free 2021!


For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS


Friday, November 13, 2020

10 Myths about feet




  1. Myth: Shoes cause bunions.
    Truth: Shoes that crowd the toes can make bunions more painful over time but shoes themselves do not cause bunions. Bunions are usually caused by a faulty mechanical structure of the foot that is inherited. The bunion itself is not inherited, but certain foot types that make people prone to developing a bunion. 
  2. Myth: Corns have roots.
    Truth: Corns, unlike calluses, have a central core of hard material, they do not, however, have roots. A corn is a build-up of skin caused by friction. In fact, many corns result from a hammertoe deformity where the toe knuckle rubs against your shoe.
  3. Myth: Cutting a notch in a toenail will ease the pain of ingrown toenails.
    Truth: If a toenail is ingrown, the nail curves down and grows into the skin. Cutting a notch into the nail does nothing, and the new nail growth will continue to curve downwards. In fact, cutting a notch can potentially cause more problems.
  4. Myth: It is normal to experience foot pain as you get older.
    Truth: It is not normal to experience foot pain at any age!
  5. Myth: There is no treatment for foot pain.
    Truth: It There are many ways to treat foot pain, including foot orthotics, anti-inflammatory medications and surgery.
  6. Myth: Doctors cannot fix a broken toe.
    Truth: There are steps you can take to make a broken toe heal better and prevent further problems like arthritis and toe deformities. When broken toes aren’t treated correctly, it can make walking and wearing shoes difficult.
  7. Myth: All foot pain is caused by poorly fitting shoes.
    Truth: Foot pain can be caused by shoes that don’t fit correctly but there are a number of medical reasons your feet might hurt that go beyond blisters and calluses, including osteoarthritis, diabetes, foot injuries and gout.
  8. Myth: Being overweight doesn’t affect my feet.
    Truth: Carrying even as few as 25 extra pounds does affect the health of your feet. Extra pounds put added pressure on your feet, contributing to the risk of developing osteoarthritis, tendon inflammation and inflammation of the plantar fascia. Also, being overweight increases your risk of developing diseases that can affect your feet, including diabetes, gout and peripheral arterial disease.
  9. Myth: Plantar warts are harmless.
    Truth: While plantar warts are caused by a virus they can cause a lot of of pain depending on where they are on your foot.
  10. Myth: You shouldn’t wear shoes if you have a foot sprain.
    Truth: Going barefoot or wearing flip-flops can make a sprain worse because you need the added support of a stable and protective shoe in order for your foot to heal.
For more information EMAIL US
Twitter: @LSteps @QuadraSTEPS