Optional Specs & Additions
Please note there are six tabs under Optional Spec & Additions
From this point on, you can specify certain optional changes, in a sense, go à la carte rather than set menu.
You can choose a different shell material than that specified in the lab description. For example, standard functional, dress and sport devices can vary from white polypropylene and can be black polypropylene, carbon fibre TL 2100, performance PRX, carbon plastic XT sprint or direct milled(Polypropylene & Delrin).
You may choose a shell based on its deformation characteristics in various planes of motion or simply for fit and function characteristics. i.e. Delrin & TL2100 are thin strong shells suitable for dress footwear but please .
The shell rigidity is normally semi rigid as lab standard and you can vary this on request. Some podiatrists prefer greater flexibility and some greater rigidity. It depends on your treatment objective. Do you want to enhance movement or limit it.
Infills can be ordered here in EVA, Poron and cork. These fill the underside of the orthosis making the shell stiffer and imparting greater shock attenuation. We recommend combining with a side cut and under cut to make the device neater to fit in footwear.
Forefoot extensions begin at the distal end of the dorsal aspect of the shell and extend to the sulcus or toes. Options and combinations exist as per form.
Bottom cover options are available.
NB We are open to creating your own bespoke selections and combinations that may not be highlighted on the form. Create your own bespoke version! Please indicate this in the special instructions in the Order Summary & Submission page, if required.
We have included some of our more common additions and extensions and more are available in our catalogue and online. These are hand made for custom fit and allow you to offload and provide palliative shock attenuation where needed. Combinations can work particularly well for certain pathologies and our technical support department can advise on the options.
For example: If your diagnosis is 2nd MTPJ synovitis complicated by a pes plano vagus foot type and hallux valgus and you have elected for conservative custom made orthotic treatment as a first phase you will want to improve the mechanics of the foot in terms of an accurate fitting shell creating supination moments of force and off loading of the 2nd MTPJ.
We can achieve this with accurate shell fit to foot combined with a metatarsal pad and lesions accommodation for 2nd MTPJ. We can also fill the lesion accommodation with memory poron to enhance cushioning under the 2nd MTPJ.
NB a lesion accommodation is made in cork and resembles a PMP with a cut out to off load a MTPJ.
