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How Is A Custom Orthotic Made?

June 25, 2018 1:01:27 PM MDT

How Is A Custom Orthotic Made? By: Manuel and Matt

Every custom orthotic begins with a referral from a physician, nurse practitioner, or other prescribing health care professional. Your Canadian Certified Pedorthist will provide you with a thorough assessment during the first visit. The assessment includes a detailed relevant history, a biomechanical evaluation, a gait analysis and a treatment plan. The history is taken to determine possible causes, to identify any underlying medical conditions and to determine the area of concern. During the biomechanical evaluation, any structural deviations from an ideal position are recorded and a range of motion test is performed on relevant joints. The gait analysis observes the dynamics of the foot. Based on the information gathered, the treatment plan outlines the specifics of orthotic manufacturing and any other recommendations to address the concern, including footwear advice and suggestions for alternate and/or supplementary care.

To begin the manufacturing process, an accurate 3-D cast of the foot is taken. This comes in the form of a non-weight bearing slipper cast in a subtalar neutral position to capture the shape of the foot. Slipper casts are the preferred method of casting when the aim is to control motion with a functional orthotic. Alternatively, the pedorthist may choose to get a foam impression of the foot, when the aim of the orthotic is accommodative, or when slipper casting is not possible. The negative impressions are filled with plaster and possible alterations are done to the positive model of the foot.

A variety of factors determine the material choice for the orthotic shell. Whether the shell is a type of thermoplastic or an EVA compound does not change the manufacturing process. The chosen material is heated until pliable and then molded over the positive model of the foot. The shell is trimmed and ground to the desired height and width and stabilizers are placed at the heel and forefoot, at times angles to offset a varus or valgus deformity. Finally, the devices are completed with a full length cushioned top covers and any additional offloading pads, as indicated in the assessment.

Please remember, custom orthotics function best with proper footwear for the condition. Your pedorthist will complete the process with footwear recommendations at dispense time.

Posted By Mike Romanski C. Ped (C)

How A Shoe Should Fit

June 18, 2018 12:49:30 PM MDT

How A Shoe Should Fit by Vic and Clint

Proper shoe fit is essential to foot comfort and well-being. Improper fit can have a negative effect on ankles, knees, hips and backs. When purchasing new shoes always have both feet measured (every time) by someone who knows how to use a Brannock type device and who can interpret the information.

We all check the length of a new shoe by pushing on the toe box. What most fail to do is check the width of the shoe, the support in the arch and placement of the ball of the foot. The ball of the foot should sit at the widest part of the shoe. Same size feet can have different requirements for heel to ball of foot, and ball of foot to end of toes. This will be covered more in-depth in a later blog. The correct level of support, proper height in the toe box, and placement of the ball of the foot are very important. Also choose a shoe of good quality materials that are suited to the purpose you intend to use it for. Many people will purchase a leather or leather mesh combo for walking while others may choose a light-weight mesh for running. A shoe should fit the foot snugly without being restrictive or pinching. The heel may have a small amount of slippage and this is normal. Never assume that an uncomfortable shoe will stretch. There may be a small amount of stretch in the width but the length will never stretch. If the shoe feels too tight or hurts in any way, it is probably not the shoe for you. Lastly, deal with a reputable shoe store that has trained their employees how to fit shoes properly, even problem feet.

Posted By Mike Romanski C. Ped (C)

What Is A CFO?

June 6, 2018 9:32:50 AM MDT

What Is A CFO? By Manuel and Matt

If you are experiencing foot or lower limb discomfort, your doctor may prescribe a custom foot orthosis (CFO) to help ease the pain or condition. But what exactly is a CFO? A CFO is a medical device that is specifically made for a client suffering from lower extremity pain or biomechanical abnormalities. Following a careful foot and leg assessment by a foot care professional, such as a Canadian Certified Pedorthist, a CFO can be made to address the specific and unique needs of the client. There are two broad categories of CFOs, namely accommodative orthotics and functional orthotics. Accommodative CFOs are designed to either deflect pressure away from sensitive areas, such as neuropathic ulcers, painful pressure points and excessive callusing, or to address a gross deformity of the foot structure. The primary purpose of an accommodative orthotic is to provide protection and comfort to the foot. Accommodative orthotics are made from softer materials, such as cork, which allows for ease of adjustability, when foot shape or soft tissue conditions change over the lifespan of the orthotic. Functional CFOs on the other hand act as a foot brace and align the foot and the ankle as close to the anatomical position as possible. The orthotic is designed to maximize the biomechanical function of the foot, by controlling excess motion, such as excessive pronation in the foot and the lower leg. Functional orthotics are recommended for conditions ranging from over-use injuries, plantar fasciitis being the most prevalent of those, to deteriorative conditions, such as Achilles tendonitis or Tibialis Posterior Tendon Dysfunction. Since the orthotic needs to reduce biomechanical motion, shells are usually made from firm thermoplastics. For either kind of custom foot orthotic, external additions can be added to provide more aggressive offloading or to isolate the function of an injured joint.

Many people that their custom orthotics greatly improve their quality of foot comfort. Please be aware though that CFOs do not permanently change the structure or function of the foot and undesirable motions, pathologies or pressure will still be present after the cessation of orthotic use. These structural, medical and/or biomechanical deficiencies increase the probability of recurrent foot pain, but they do not guarantee such.

Posted By Mike Romanski C. Ped (C)

Buying Local vs Buying National

June 4, 2018 10:30:52 AM MDT

Welcome to our new blog for Foster’s Shoes, Regina! This blog is intended to inform our customers and our potential new customers of exciting new events and what's going on at Foster shoes in Regina. Before we begin our blog, I, Mike Romanski, president and owner of Foster's shoes Regina will give you a little history of our store. We opened in March of 1992 as a small shoe store on North Albert beside Loni's golf shop. We quickly grew out of the small location and within three years we moved to a new two-story location on Albert Street. Since then we have outgrown that location and moved to our current location, 2445 7th Avenue. In the nine years we were on Albert Street, myself and a former employee, Ernie Klinger, became certified pedorthists. Foster’s Shoes is proud of our purpose-built facility where we offer a great retail shoe business up front and in the back we offer a full pedorthic clinic where we make custom fit orthotics and do shoe motifications. As you look at our blog you will see stories from both our retail staff and our pedorthic staff. If you are able to meet our staff and they will tell you some very interesting stories.

Buying Local vs Buying National By Hannah and Kristin

Foster’s Shoes Regina is a locally owned business that has been operating for more than twenty-five years in the Queen’s capital. Being a local business, we support and understand the importance of supporting local businesses. Purchasing goods from local businesses helps to support the community in which you live in. When shopping at a place like Foster’s Shoes you will get personal one-on-one service, a smiling face, and quality product. These are some of the few things we are proud to offer our community. When purchasing through larger corporations you might not see the pride in the work that they do, hands on customer service, or the product knowledge. Buying locally tends to keep cost of product lower and if an issue arises there is always an open door with smiling faces to help you with your needs. Whereas, often in a large corporation you have to deal multiple managers, emails, and plenty of phone calls. When shopping with Foster’s Shoes we are proud of product and we work hard to find the right fit for you. As Seth Godin once said, “People do not buy good and services. They buy relations, stories, and magic”.

Posted By Mike Romanski C. Ped (C)

Canada 150

June 27, 2017 2:25:57 PM MDT

Foster's Shoes celebrates Canada's 150Read More
Posted By Mike

New Year, New You, New Shoes

January 7, 2017 10:46:02 AM MST

Posted By Mike

Client Story

October 12, 2016 12:19:49 PM MDT

Client StoryRead More
Posted By Mike
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