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hinged AFOs

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I have never been to a gait clinic but I do have hinged AFOs. Mine are assisted

in dorsiflection, in other words they have a spring to help pull my foot up.

More important (to me) is the plantar stop that only allows my toes to flex

downward so far. This seemed to be my, excuse my pun, " Achille's Heel " as I

would step on something with my heel and turn my ankle. I venture to say that I

haven't once turned an ankle since getting them! The hinge is quite strong as I

am a BIG active guy and haven't managed to break one so far.

I can't vouch for the weak thighs but I am willing to bet that something can be

done for you without resorting to KAFO's.

Hugs

Jim Nash in ice stricken West Liberty, Ohio

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Jim:

I'm interested in your braces that are hinged, The ones I have are not hinged &

as a result, when I wear them, my ankles are virtually immobilized.

I am nearly 80 yrs old and wear them when I go out of the house to do errands or

yardwork. I think hinged ones would allow a bit of a spring in my step.

Where did you get your AFOs?

Thanks for sharing, & keep on shoveling,

in the Land of the Illini

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Hiya :

I wear the type of AFO you ask about with the hinge at the ankle. I've

graduated from the left leg to having both now. They seem to have slowed down

the falling caused by weakened ankles, however, I still do have those days of

stumbling and balance issues when walking. I normally use my electric

wheelchair so when I mention walking, it is extremely limited in time and

distance.

What I like about the type of AFO I now have is that they support my lower legs

all the way to the toes with a special metatarsal (sp) pad installed in each

brace to help stabilize my toes. The only down side of late has been the

burning sensation returning. I've discovered through time it's cyclical and it

will pass for a while and then return.

It's important that if you do get this or any other type of AFO, you have it

adjusted periodically to insure proper fit and benefit from their use. A good

orthotist knows this and will advise you in that regard. The point is not to

give up on the use of the AFO because it " hurts " initially - rather, go back to

the orthotist and have them adjusted until you are comfortable wearing them.

rQn I

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I've been wearing the standard AFO for 29 years or so now, so AFOs in general

aren't new

to me, but the idea of switching to a hinged AFO is something entirely

different. I haven't

had the ability to raise or lower my foot in ages, and both ankles have been

fused as a

child to prevent rolling of the ankle.

I guess I'll see what MDA says Feb 1st at the gait clinic. It's going to be

interesting...

And, I agree 100%, that if your braces hurt your feet, they're not properly

adjusted. I can

vouch for that one after 29 years! :-)

~

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,

My AFOs were made by -Philipis of Detroit, Toledo and Indianapolis, they

were prescribed by Dr. Shy's clinic at Wayne State University. They

are wonderful!

Jim Nash in Ohio

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  • 2 weeks later...

I had the " burning " sensation, too. Played around with the padding in my afo and

found that after cutting a small area out above the ankle that it stopped. I

think it was either pressing on a nerve or cutting off blood supply.

Dave

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  • 1 year later...
  • 3 years later...

I know what you are talking about, . I had one pair of non hinged AFOs and

they were terrible. Walking down steps was miserable. Going up was ok going down

was another thing. Having hinged ankles made all of the difference in the world.

Bob

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We just got a recommendation to get my daughter fitted for new braces, & they

are wanting to do the hinged AFOs. She has had a custom footbed with the Toe

Off AFO for the past 2 years. The Toe Offs come up the front of the shin & the

new ones will come up the back of her calf. I'm anxious for her to get the

added mobility of the hinge, I'm curious if anyone else has transitioned from

the Toe Off type, or simply other molded AFOs that come up the calf.

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  • 2 weeks later...

,

Yes, I went from Toe Off to hinged braces. The transition was easy, but I broke

the hinged braces also. I am not back in the market for braces and just not sure

what I need anymore. This is my New Year's resolution to resolve this once and

for all!

Jackie

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