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Hey -<br><br> I have used two different

types of orthotics, with some relief. I have a tracking

brace that I use which for a while was my lifeline. I

also use shoe inserts, which are a definite help. I

got the inserts from a tennis shoe store, Dr. Scholls

work good too! As for the tracking brace, you need to

have a doctor's referral, otherwise the insurance

company will not cover them and the are pretty pricey,

the dyna splint that I have costed $700. Did you look

into the Healthsouth website? The are a great rehab

facility. Also, any local hospital probably has a rehab

facility, but again the program requires a referral. Good

Luck and God Bless you!<br> Jenna

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  • 1 year later...
Guest guest

From what I can tell, that's actually supposed to be a fairly common cause or

contributing cuase to chondromalacia. It is possible that something like

Superfeet (premium OTC inserts) may work, but ask your doctor.

FYI, my approach has been:

--straight-leg raises to strengthen VMO, every other day.

--leg stretches (particularly the calves, hamstrings, quads, and outside

abductors) every day, after the legs are warmed up by walking or exercises.

--walking for 30-40 min a day (this seems to *really* help. I might " feel " my

knee for the first 15-20 minutes, but after my legs are warmed up the knee seems

to be better. I notice if I miss a day because my legs/knees are noticeably

stiffer the next day.

--extra care in footwear, using stuff with existing arch support or using

Superfeet inserts. The idea is to correct pronation. I don't think it is a

coincidence that I have a pronation problem with my left foot and am having the

most trouble with my left knee.

--using knee brace (neoprene ACE brace from a drugstore) when exercising

--taking glucosamine sulfate & chondroitin sulfate supplements.

--using heating pads and ice packs.

This approach seems to be working and for a couple of weeks my knee even felt

like normal. Unfortuantely I pushed my luck and went mountaineering last weekend

and set myself back a bit... I guess that was a bad idea.

kneesurgery2001 <no_reply > wrote: Hello all,

Does anyone have any input on orthotics. I had knee surgery in

may on left knee and Nov on right knee both of last year. Now I

have started playing softball again. Pain was felt in the left

shin/ankle area. After weeks of therapy and rest, Orthopedic now

says that I need custom fit orthotics. He said that the arches in

my feet have fallen. Anyone had any of the same problems?

AJ

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hi,

I have Orthotics in my shoes, but the guy who performed my knee

surgery said that they wouldn't help. Well, I have had no knee pain

since then...until recently that is, but I don't think that it had

anything to do with the Orthotics. I would recommend them, but it also

depends on who you talk to as well.

Cat

kneesurgery2001 wrote:

>

> Hello all,

>

> Does anyone have any input on orthotics. I had knee surgery in

> may on left knee and Nov on right knee both of last year. Now I

> have started playing softball again. Pain was felt in the left

> shin/ankle area. After weeks of therapy and rest, Orthopedic now

> says that I need custom fit orthotics. He said that the arches in

> my feet have fallen. Anyone had any of the same problems?

>

> AJ

>

>

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I had custom orthotics made about 2 years ago to help with my knees

and while they didn't solve the problem completely, I believe they

helped and I still wear them. (I have pfs & cp). My doc requested I

get them because of my tendency for flat foot. Be cautious though,

my insurance company would not pay a cent for them because they said

it wasn't 'foot' related....

> Hello all,

>

> Does anyone have any input on orthotics. I had knee surgery in

> may on left knee and Nov on right knee both of last year. Now I

> have started playing softball again. Pain was felt in the left

> shin/ankle area. After weeks of therapy and rest, Orthopedic now

> says that I need custom fit orthotics. He said that the arches in

> my feet have fallen. Anyone had any of the same problems?

>

> AJ

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> Hello all,

>

> Does anyone have any input on orthotics.

I have really high arches and limping made me develop plantar

fasciitis in one foot. I had some expensive orthotics made but

they didn't fit my shoes well. I now buy sports orthotics off the

shelf (look for the arch support ones) and they seem to be just

as good. I feel much better with the orthotics than without and

any little bit helps.

Connie

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What did the Dr write on your rx? I checked with my insurance

company the RX is for overpronation of feet.

AJ

> > Hello all,

> >

> > Does anyone have any input on orthotics. I had knee surgery

in

> > may on left knee and Nov on right knee both of last year. Now I

> > have started playing softball again. Pain was felt in the left

> > shin/ankle area. After weeks of therapy and rest, Orthopedic

now

> > says that I need custom fit orthotics. He said that the arches

in

> > my feet have fallen. Anyone had any of the same problems?

> >

> > AJ

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What that means I dont know.. Does that have to do with Feet or

knee?? Does anyone know??

AJ

> > > Hello all,

> > >

> > > Does anyone have any input on orthotics. I had knee

surgery

> in

> > > may on left knee and Nov on right knee both of last year. Now

I

> > > have started playing softball again. Pain was felt in the

left

> > > shin/ankle area. After weeks of therapy and rest, Orthopedic

> now

> > > says that I need custom fit orthotics. He said that the

arches

> in

> > > my feet have fallen. Anyone had any of the same problems?

> > >

> > > AJ

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I'm not a doctor, not even close. But I've been doing lots of reading about this

and here's what I've found.

Overpronation of feet means that your feet are turning inward more than they

should when you walk/run. If there is more wear on the inside edge of the soles

of your shoes, this is evidence of pronation. Most people pronate to some

degree, but if your are pronating more than normal this is considered

" overpronation. " Apparently can be caused by flat arches, overly tight calves,

or other " biomechanical " problems. This puts additional stress on your knees

and can cause the patella not to track correctly, damaging cartilage and

leading to patellar pain.

From the stuff I read on the Net, it seems that most people see better results

strengthening their VMO (inside quad muscle), with correcting overpronation

coming in second. When I have time I'll post the links I found most helpful.

My philosophy is to attack from both angles.

Hope this helps.

kneesurgery2001 <no_reply > wrote: What that means I dont

know.. Does that have to do with Feet or

knee?? Does anyone know??

AJ

> > > Hello all,

> > >

> > > Does anyone have any input on orthotics. I had knee

surgery

> in

> > > may on left knee and Nov on right knee both of last year. Now

I

> > > have started playing softball again. Pain was felt in the

left

> > > shin/ankle area. After weeks of therapy and rest, Orthopedic

> now

> > > says that I need custom fit orthotics. He said that the

arches

> in

> > > my feet have fallen. Anyone had any of the same problems?

> > >

> > > AJ

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  • 3 years later...
Guest guest

I absolutely love " The Orthotics Group " . Great Orthotics!!

Another good one is " Sole Supports " .

Matt Terreri, DC

orthotics

someone posted a note about some orthotics they liked as an alternative to

foot Levelers. Looking for high quality products my senior patients can

afford.

thanks;

Don Leary, DC

Salem

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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Dr. two places I've sent my patients for years. Shoe Mill has 4-5 different brands that run from $20-40. Then there's Gates DC 503 230-2326 who makes custom molded ones for about $180. He has a mobile van and comes to the senior's home. Very convenient. He's professional and I've known him for over 25 yrs. He's also career airforce med-evac and does trauma surgical assisting. He has a great demenor and communication skills with all ages.

Minga Guerrero DC

In a message dated 3/18/2006 12:50:56 PM Pacific Standard Time, leary353@... writes:

someone posted a note about some orthotics they liked as an alternative to foot Levelers. Looking for high quality products my senior patients can afford.thanks;Don Leary, DCSalem

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Don,

I would recommend any of the following companies:

KLM

Langer-First Choice

Orthofoot

Biomechanical Services

STJ

Action Orthotics

Ted

Ted Forcum, DC, DACBSP, FICC, CSCS

ACA Sports Council, 2nd Vice President

Back In Motion Sports Injuries Clinic, LLC

11385 SW Scholls Ferry Road

Beaverton, Oregon 97008

On Sat, 18 Mar 2006 20:48:19 GMT " leary353@... "

<leary353@...> writes:

> someone posted a note about some orthotics they liked as an

> alternative to foot Levelers. Looking for high quality products my

> senior patients can afford.

>

> thanks;

> Don Leary, DC

> Salem

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is

> to foster communication and collegiality. No personal attacks on

> listserve members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print,

> forward, or otherwise distribute correspondence written by another

> member without his or her consent, unless all personal identifiers

> have been removed.

>

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Archfitters in several locations in Portland or you can scan and email info

for making the orthotic. 4-5 day return time. Several choices re: firmness

full or 3/4 length etc. (877) 229-9652

Larry L. Oliver, DC

408 NW 7th

Corvallis, OR 97330

dro@...

541-757-9933

The information contained in this electronic message may contain protected

health information which is confidential under applicable law and is

intended only for the use of the individual or entity named above. If the

recipient of the message is not the intended recipient, you are hereby

notified that any dissemination, copying or disclosure of this communication

is strictly prohibited. If you have received the communication in error,

please notify Heresco Chiropractic & Associates, 408 NW 7th St, Corvallis,

OR 97330, 541-757-9933 and purge the communication immediately without

making any copy or distribution

orthotics

someone posted a note about some orthotics they liked as an alternative to

foot Levelers. Looking for high quality products my senior patients can

afford.

thanks;

Don Leary, DC

Salem

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated.

2. Always sign your e-mails with your first and last name.

3. The listserve is not secure; your e-mail could end up anywhere. However,

it is against the rules of the listserve to copy, print, forward, or

otherwise distribute correspondence written by another member without his or

her consent, unless all personal identifiers have been removed.

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With Archfitters you are getting an arch support, not an orthotic. There

is a big difference. Remember the arch (LA) is not designed to be weight

bearing. It would be like making you carpal tunnel a weight bearing

structure. The diffence comes in the exam to determine posting and how

the device is posted.

Ted

Ted Forcum, DC, DACBSP, FICC, CSCS

ACA Sports Council, 2nd Vice President

Back In Motion Sports Injuries Clinic, LLC

11385 SW Scholls Ferry Road

Beaverton, Oregon 97008

On Mon, 20 Mar 2006 08:09:11 -0800 " Larry Oliver, DC " <dro@...>

writes:

> Archfitters in several locations in Portland or you can scan and

> email info

> for making the orthotic. 4-5 day return time. Several choices re:

> firmness

> full or 3/4 length etc. (877) 229-9652

>

> Larry L. Oliver, DC

> 408 NW 7th

> Corvallis, OR 97330

> dro@...

> 541-757-9933

>

> The information contained in this electronic message may contain

> protected

> health information which is confidential under applicable law and

> is

> intended only for the use of the individual or entity named above.

> If the

> recipient of the message is not the intended recipient, you are

> hereby

> notified that any dissemination, copying or disclosure of this

> communication

> is strictly prohibited. If you have received the communication in

> error,

> please notify Heresco Chiropractic & Associates, 408 NW 7th St,

> Corvallis,

> OR 97330, 541-757-9933 and purge the communication immediately

> without

> making any copy or distribution

>

> orthotics

>

> someone posted a note about some orthotics they liked as an

> alternative to

> foot Levelers. Looking for high quality products my senior patients

> can

> afford.

>

> thanks;

> Don Leary, DC

> Salem

>

>

>

> OregonDCs rules:

> 1. Keep correspondence professional; the purpose of the listserve is

> to

> foster communication and collegiality. No personal attacks on

> listserve

> members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However,

> it is against the rules of the listserve to copy, print, forward,

> or

> otherwise distribute correspondence written by another member without

> his or

> her consent, unless all personal identifiers have been removed.

>

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Hi, I know of a great foot orthotic company here in Portland, called CVN Orthotics. They are custom made. The owner uses a chiropractic/rehabilitative approach in correcting faulty biomechanics. Check out the website: www.cvnorthotics.com Sara Croteau "leary353@..." <leary353@...> wrote: someone posted a note about some orthotics they liked as an alternative to foot Levelers. Looking for high quality products my senior patients can afford.thanks;Don Leary, DCSalem

Bring photos to life! New PhotoMail makes sharing a breeze.

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If you prescribe using their scanner, or even without their scanner, you

may specify varus or valgus wedge, heel lift, met pad, etc. I find Arch

Fitters quite acceptable and economical for most rearfoot problems. And

with a one day trunaround - exceptional!

Art

===========================================================

tlf-3@... wrote:

> With Archfitters you are getting an arch support, not an orthotic. There

> is a big difference. Remember the arch (LA) is not designed to be weight

> bearing. It would be like making you carpal tunnel a weight bearing

> structure. The diffence comes in the exam to determine posting and how

> the device is posted.

> Ted

>

> Ted Forcum, DC, DACBSP, FICC, CSCS

> ACA Sports Council, 2nd Vice President

> Back In Motion Sports Injuries Clinic, LLC

> 11385 SW Scholls Ferry Road

> Beaverton, Oregon 97008

>

>

> On Mon, 20 Mar 2006 08:09:11 -0800 " Larry Oliver, DC " <dro@...>

> writes:

>

>> Archfitters in several locations in Portland or you can scan and

>> email info

>> for making the orthotic. 4-5 day return time. Several choices re:

>> firmness

>> full or 3/4 length etc. (877) 229-9652

>>

>> Larry L. Oliver, DC

>> 408 NW 7th

>> Corvallis, OR 97330

>> dro@...

>> 541-757-9933

>>

>> The information contained in this electronic message may contain

>> protected

>> health information which is confidential under applicable law and

>> is

>> intended only for the use of the individual or entity named above.

>> If the

>> recipient of the message is not the intended recipient, you are

>> hereby

>> notified that any dissemination, copying or disclosure of this

>> communication

>> is strictly prohibited. If you have received the communication in

>> error,

>> please notify Heresco Chiropractic & Associates, 408 NW 7th St,

>> Corvallis,

>> OR 97330, 541-757-9933 and purge the communication immediately

>> without

>> making any copy or distribution

>>

>> orthotics

>>

>> someone posted a note about some orthotics they liked as an

>> alternative to

>> foot Levelers. Looking for high quality products my senior patients

>> can

>> afford.

>>

>> thanks;

>> Don Leary, DC

>> Salem

>>

>>

>>

>> OregonDCs rules:

>> 1. Keep correspondence professional; the purpose of the listserve is

>> to

>> foster communication and collegiality. No personal attacks on

>> listserve

>> members will be tolerated.

>> 2. Always sign your e-mails with your first and last name.

>> 3. The listserve is not secure; your e-mail could end up anywhere.

>> However,

>> it is against the rules of the listserve to copy, print, forward,

>> or

>> otherwise distribute correspondence written by another member without

>> his or

>> her consent, unless all personal identifiers have been removed.

>>

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  • 1 year later...
Guest guest

Nic just got the hard shoe inserts. Paid for by his Insurance (medical

assistance in our county). He also pronates-so bad he was beginning to

develop bunions. He seems to be very happy with them and even keeps his

shoes on longer when at home.

Di

orthotics

>I got mixed messages on this one too. When Amelia (now 7) was 2 her

>physical therapist recommended orthotics. I did it and she was fitted for

>these very hard core braces which came up just above the ankle. They were

>a serious pain. When she turned three she was put into special ed

>preschool and the school's physical therapist said absolutely not. She

>recommended shoe inserts. The insurance company wouldn't cover it and I

>didn't have the money to pay for the inserts. Plus, her regular preschool

>teacher-who has an extensive background in child development including

>special needs kids-said forget all of it and have her go barefoot as often

>as possible. I compromised by getting inserts from Birkenstock-they were

>about $70.00 and frankly have no idea whatsoever if I did the right thing.

>What I can say is that Amelia's gait is akward, but boy can that kid

>hustle. She is the most active girl on her soccer team (adapted) and runs

>up and down the field.

>

> Ann (mother to Amelia with DS and Jake 5)

>

>

> ---------------------------------

> Expecting? Get great news right away with email Auto-Check.

> Try the Beta.

>

>

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has the shoe inserts and has for a year now. We just got fitted for

his new ones today since his foot has grown. He keeps his shoes on more now

too. (I hadn't thought of that before you said that, Di) In fact,

substantially more than he used to, so he must like how they feel. He also

is walking farther when we go places without complaining like he used

to...don't know if that's maturity, or the orthotics.

Kym

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  • 1 month later...
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We'll be picking up Ben's tomorrow. His PT has seen some nice results

from the Sure Step Orthotics. I'll keep you posted...

Sheila...mom to Zane/11, Jake/9, Sam/4 and Ben/15 mos.

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Good luck with Ben's.

This brought to mind a couple of things, sort of related, sort of not.

(age 10, Cri du chat, low muscle tone, did not walk until age 8), has

done much better with the ankle-high orthotic braces than with the full length

ones that came up to his knees. It may just be , but I would recommend if

the full-length braces are not working, to get your OT, PT, doctor, or

technician to try the ankle-high ones.

And the other thing, Stride Rite Shoe Stores (makers and sellers of good

orthopedic and orthotic shoes over the years) has been purchased by Payless Shoe

Source. An interesting business development. I wonder if the quality of their

shoes will stay the same, not knocking Payless (it is a good store) but Stride

Rite had a real knack for selling shoes that help the feet.

Dad to , Kristi, and (all three Down syndrome) and (Cri du

chat)

Husband to C. in Mo.

Uncle Daddy to and in Calif. (both Down syndrome)

Brother in Law to in Calif.

" s.griffin4 " <s.griffin4@...> wrote:

We'll be picking up Ben's tomorrow. His PT has seen some nice results

from the Sure Step Orthotics. I'll keep you posted...

Sheila...mom to Zane/11, Jake/9, Sam/4 and Ben/15 mos.

---------------------------------

Boardwalk for $500? In 2007? Ha!

Play Monopoly Here and Now (it's updated for today's economy) at Games.

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  • 2 weeks later...
Guest guest

We love ours.

was about 17 months. Trying to pull up.. but it really seemed

like her ankles hurt her. She would get to standing and then just whine

uncomfortably. Our PT had been telling us that Sam might need them, as

her ankles seemed to cave in when she stood. It was like she was

standing on the inside of her ankle.

Sam got hers just this April, at about 19 months. With in minutes of her

wearing them she was up, and trying to cruise the furniture. I know it

sounds unbelievable. But it really did happen that fast. She will stand

now, without them, but will not attempt to walk. With them she can walk

with support.

One bad thing, is finding shoes that will fit them. Hatchbacks are nice,

but pricey, and they don't come in size tiny. LOL. We were able to find

some shoes that fit over them. My PT suggest cheapola shoes.. not what

you would think. But the orthotic provides the support.

Another thing is without shoes on, they can be slippery. Carpet.. does

OK.. but tile, wood or any slick surface would be miserably slick. I am

wondering if the bottoms can be painted with a no slip rubber goo. like

what can be bought at a hardware store. But I have not tried this. I am

going to wait till closer to the end of the orthtics life before I do

this cause of the price. I would be afraid the substance could harm the

plastic.

Our Sure steps were under $1000 and it does matter who the provider is.

Ours were in the $800 range.. but a lady I know in another county had a

different provider and was charged near $400 more! ( our PT arranged

it.. the other lady went through a medical service via our local

childrens hospital due to living in a different, larger, and more

overworked county.. in that county they are lucky if they get PT once a

month)

Steph

" We all want progress, but if you're on the wrong road, progress means

doing an about-turn and walking back to the right road; in that case,

the man who turns back soonest is the most progressive. "

C.S.

orthotics

I see on the message board that you have used the sure step orthotics

We are contemplating the use of these orthotics and are curious as to

your opinion of these

Thank you

Elliott

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HI-

Does anyone know if Sure Steps are the same thing as SMOs?

Thank you,

Dawn

RnScarlson <scarlson1@...> wrote:

We love ours.

was about 17 months. Trying to pull up.. but it really seemed

like her ankles hurt her. She would get to standing and then just whine

uncomfortably. Our PT had been telling us that Sam might need them, as

her ankles seemed to cave in when she stood. It was like she was

standing on the inside of her ankle.

Sam got hers just this April, at about 19 months. With in minutes of her

wearing them she was up, and trying to cruise the furniture. I know it

sounds unbelievable. But it really did happen that fast. She will stand

now, without them, but will not attempt to walk. With them she can walk

with support.

One bad thing, is finding shoes that will fit them. Hatchbacks are nice,

but pricey, and they don't come in size tiny. LOL. We were able to find

some shoes that fit over them. My PT suggest cheapola shoes.. not what

you would think. But the orthotic provides the support.

Another thing is without shoes on, they can be slippery. Carpet.. does

OK.. but tile, wood or any slick surface would be miserably slick. I am

wondering if the bottoms can be painted with a no slip rubber goo. like

what can be bought at a hardware store. But I have not tried this. I am

going to wait till closer to the end of the orthtics life before I do

this cause of the price. I would be afraid the substance could harm the

plastic.

Our Sure steps were under $1000 and it does matter who the provider is.

Ours were in the $800 range.. but a lady I know in another county had a

different provider and was charged near $400 more! ( our PT arranged

it.. the other lady went through a medical service via our local

childrens hospital due to living in a different, larger, and more

overworked county.. in that county they are lucky if they get PT once a

month)

Steph

" We all want progress, but if you're on the wrong road, progress means

doing an about-turn and walking back to the right road; in that case,

the man who turns back soonest is the most progressive. "

C.S.

orthotics

I see on the message board that you have used the sure step orthotics

We are contemplating the use of these orthotics and are curious as to

your opinion of these

Thank you

Elliott

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,

Our Orthopedist said that the

Sure Step is very similar to

the SMO - but there are slight

differences. There are

actually several different

types - each with a wide range

of modifications possible. The

book she showed me to explain

the different uses was large.

We went to Hanger with a

request from our PT for SMOs

and after they saw Sammy

standing and walking and

measured her feet they decided

that a modified UCB was better

for her. You almost have to

wait until you go in for the

apt and talk with the

Orthopedist since they are

going to be familiar with

options outside your PTs

experience. Our PT has always

used SMOs with children who

have DS and that is what she

ordered for Sammy...the

Orthopedist felt that the SMO

was too much support for Sammy

and would be restricting to

her free nature.

Our PT also mentioned that we

could buy any shoes once we

had the inserts...the

Orthopedist told us no, we

still needed to buy a good

shoe that was high quality

(good treads, good heel

support, flexable construction

and breathability). I happened

across Nike's on clearance for

$8 and then found some Stride

Rites at Ross for $12. Sammy

has her modified UCBs in the

Nikes and a pair of costum

arch supports in the Stride

Rites.

I was afraid we'd have to get

new inserts with each new pair

of shoes. At Hanger they told

us that a good insert should

last the child through 2 shoe

sizes - but that for

functionality of the insert,

they needed to be replaced

every 18 - 24 months.

Another point the PT has been

different on was that Sammy

always needed to be in her

shoes. Both the Orthopedic

surgeon at ish Rite and

the Orthopedist at Hangar said

that children need to spend

time out of the shoes and

inserts to learn how to

balance on their feet and

control their gate. We try to

balance our day between shoes

on and shoes off and then I

alternate days in the UCBs vs

the arch supports.

~

RE:

orthotics

HI-

Does anyone know if Sure Steps

are the same thing as SMOs?

Thank you,

Dawn

..

<http://geo./serv?s=9

7359714/grpId=2080639/grpspId=

1705395835/msgId=51556/stime=1

181538522/nc1=4617369/nc2=4617

368/nc3=3848645>

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  • 6 months later...

My daughter saw Pat Winders (the one who wrote Gross motor skills for children with DS) and she recommended sure steps for her. She has a pronation and she tended to lock her knees for support and not bend her knees to come down from standing. We have been using the Sure steps for 2 months and she has stopped locking her knees. She is not walking yet but I think that is the next thing she will try to do with the orthotics. Sure Steps are custom fitted...they take measurements for the foot and then make them exactly to fit your child's foot. They have a very low rate of refittings.

I would recommend that you get an orthotic person to give you a second opinion about what orthotics are needed for your child. I had many people giving me opinions but I trusted Pat Winders more than any of them because of her expertise with DS. She said the sure steps work the best for pronation.

There are others out there though because sure steps are also very expensive.

Good luck.

Ann on

(Bonnie 19monthsDS)

Ann on

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