Many people suffer from problems that exist primarily between the ankle and the toes. To meet their needs, De La Torre Orthotics and Prosthetics has several clinicians trained to treat this region of the body. Certified Pedorthists, a clinician professionally trained in treating the foot and ankle, and our Certified Orthotists, are ready to provide patients with the unique care they need. Our Certified Pedorthists (C. Peds.) work closely with many area Podiatrists in satisfying their patient’s needs.
The C. Ped. certification was developed by the Board for Certification in Pedorthics (BCP) and is supported by the Pedorthic Footwear Association (PFA).
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Details
Indications:
- Football: post-injury support
- Basketball: high ankle support
- Soccer: all positions
Features:
- Low Profile
- Full footplate reduces pressure points
- Offset hinges reduce slip and migration
- Removable pad liner for laudering
- Speed and quick release buckles
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Details
Purpose of the Device
- Provides adjustable control of the ankle and foot
- Designed with an articulated ankle and plantarflexion stop
Indications
- Drop foot
- Paralysis
- Medial/lateral instability
- Stress fracture
- CVA
Common Additions
- Ankle joints
- Full foot plate
- Varus/Valgus corrective straps
- Pre-tibial shell
- Posterior stops
- Walking base
Special Considerations
- Patient needs to wear a laced or velcro-closure type shoe
- Contraindications include diabetes and fluctuating edema
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Details
Purpose of the Device
- Provides biomechanical control to establish better foot and leg function
Indications
- Plantar fasciitis
- Abnormal supination
- Metatarsalgia
- Heel spurs
- Neuroma
- Degenerative joint disease
- Posterior tibial tendonitis
- Knee pain
- Abnormal pronation
- Shin splints
- Achilles Tendonitis
Common Additions
- Heel spur pads
- Heel lifts up to 1/4 inch
- Morton’s extensions
Special Considerations
- Flexible plastic shell is combined with stable heel posting and soft arch fill to protect against pressure and impact shock
- Varying thicknesses of plastic and densities of heel posting and arch fill are available to suit individual patient needs
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Details
Purpose of the Device
- Provides support and protection for the diabetic foot
- Plastazote and poron top cover provides accommodation and cushioning
- EXP base with or without metatarsal pads supports longitudinal and transverse arches
Indications
- Plantar lesion
- Rocker/Charcot foot
- Bunion
- Plantar fasciitis
- Fat pad atrophy
- Insensate foot
Common Additions
- Cushion heel
- Accommodative cutouts
- Soft Morton’s extensions
Special Considerations
- Extra-depth shoes may be needed to accommodate the thickness of the orthotic
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Details
Purpose of the Device
- Provides biomechanical control to establish better foot and leg function
Indications
- Plantar fasciitis
- Abnormal supination
- Metatarsalgia
- Heel spurs
- Neuroma
- Degenerative joint disease
- Abnormal pronation
- Shin splints
- Achilles Tendonitis
Common Additions
- Heel spur pads
- Heel lifts up to 1/4 inch
- Metatarsal pads
- Morton’s extensions
Special Considerations
- Rigid to semi-rigid plastic shell is combined with stable heel posting for good bio-mechanical control
- A full-length soft cover helps protect against pressure and impact shock
- Varying thicknesses and types of plastics are available to suit individual patient needs
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Details
Purpose of the Device
- Provides cushioning shock absorption and pressure redistribution
- Is ideal for the diabetic foot
- Any number of layers of soft accommodative materials may be incorporated into inlay to suit individual patient needs
Indications
- Plantar lesions
- Metatarsalgia
- Insensate foot
- Charcot foot
Common Additions
- Metatarsal pads
- Accommodative cutouts
Special Considerations
- Extra depth shoes may be needed to accommodate the thickness of the inlay
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Details
Purpose of the Device
- Used for treatment of flexible flat foot (pronated foot) in low profile manner
Indications
- Flexible pes planus
- Plantar fasciitis
- Heel spurs
- Flexible metatarsus abduction/adduction
- Midfoot fracture
Common Additions
- Sustentaculum tali pad (out to calcaneus and proximal to forefoot and hindfoot post, longitudinal arch) to give added correction to the calcaneus and talus
Special Considerations
- Deformity must not be fixed
- Not recommended for arthritic or insensate foot
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Details
Purpose of the Device
- Combines longitudinal arch support with firm heel posting and/or forefoot posting to provide moderate to maximum levels of biomechanical control
Indications
- Plantar fasciitis
- Abnormal pronation
- Shin splints
- Degenerative joint disease
- Heel spurs
- Neuroma
- Metatarsalgia
- Posterior tibial tendonitis
- Knee pain
- Achilles tendonitis
Common Additions
- Heel spur pad
- Whitman extension
- Heel lifts up to 1/4 inch
- Metatarsal pads
- Roberts extension
- Deep heel cup
- Morton’s extension
Special Considerations
- Varying types and thicknesses of plastics, along with a variety of topcovers, are available to suit individual patient needs
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Details
Purpose of the Device
- Provides biomechanical control to establish better foot and leg function
Indications
- Plantar fasciitis
- Neuroma
- Heel spurs
- Knee pain
- Posterior tibial tendonitis
- Degenerative joint disease
- Abnormal pronation
- Metatarsalgia
Common Additions
- Heel spur pads
- Metatarsal pads
Special Considerations
- Varying thicknesses and types of plastics are available to suit individual patient needs
- Accomodates dress shoes but with reduced biomechanical control
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Details
Purpose of the Device
- Provides minimal biomechanical control but is well suited for patient who needs shock absorbency and pressure redistribution
- Base of rigid foam or cork provides support to the medial and transverse arches
- For diabetic patients, top cover of pink plastazote is used to interface with the sensitive plantar surface of the foot
Indications
- Plantar fasciitis
- Leg Fatigue
- Degenerative joint disease
- Metatarsalgia
- Insensate foot
- Neuroma
- Bunions
- Plantar lesion
- Charcot foot
Common Additions
- Cushion heel
- Soft Morton extensions
- Metatarsal pads
- Accommodative cut outs
Special Considerations
- A variety of soft materials may be used to suit individual patient needs
- Extra depth shoes may be needed to accommodate the thickness of the orthotic
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Details
Purpose of the Device
- Provides filler for patients with forefoot or toe amputations
- Use of this item aides in balance, prevents slippage and eliminates the need for custom-made shoes
Indications
- Toe or partial foot amputations
Common Additions
- Available for partial foot/toe amputee to a Chopart-level amputee
Special Considerations
- Some shoe styles not indicated
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Details
Purpose of the Device
- Temporary shoe with velcro closures to the toes, for use when a patient is unable to wear a normal shoe
Indications
- Post-operative applications
- Edema
Common Additions
- Inserts, to relieve pressure areas on the plantar surface of the foot
Special Considerations
- Shoe easily adjusts for changes in volume due to edema, post-operative dressings, etc.
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Details
Purpose of the Device
- Temporary shoe with velcro closures, used to unweight the forefoot
- Negative heel and rocker modification transfers weight from the forefoot to the hindfoot
Indications
- Forefoot ulceration
- Forefoot fracture
- Amputation
Special Considerations
- Shoe easily adjusts for changes in volume due to edema, post-operative dressings, etc.
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Details
Purpose of the Device
- Provides extra toe box depth to accommodate various needs
Indications
- Hammertoes
- Diabetes
- To accommodate foot orthotics
- Hard-to-fit feet
- Attachment to metal orthosis
- Accommodate plastic orthoses that fit in the shoes
Common Additions
- Wedges, lifts and rocker bottoms depending on patient needs
