Orthotic devices are devices that control, support or correct inappropriate angulation or movement of the human body. Each of our patients is evaluated on an individual basis with regards to their function and abilities. After careful evaluation a customized treatment plan is implemented. Each custom orthosis is designed with regards to material and component selection to optimize fit and function. Our Orthotists are specialists in custom Total Contact Orthoses. TSOP’s orthotic designs are anatomically superior in terms of fit and function to other commercially available devices.

Common Orthotic Devices

Foot orthotics are devices that are custom made to a mold of your feet and inserted into your shoes. They are made for a variety of reasons, (i.e. diabetic foot, biomechanical insufficiency, metatarsalgia, pressure relief, sports), but the most common function is to distribute the weight of your body over a larger portion of your foot, and controlling the Medial lateral motion of your foot, while allowing for and encouraging ‘normal’ motion.

Diabetic Footwear

If you are diabetic, it is very important to take particular care of your feet and the integrity of your skin. Diabetes affects approximately 14 million people in the United States, and a very large percentage of these patients experience problems with their feet. In fact, diabetes and its associated vascular issues is the #1 cause of amputation in the United States. Our diabetic foot care program is a comprehensive approach to maintaining the health of your feet. In addition to proper footwear, we believe that knowledge and consistent foot and skin care can avoid potential problems.

A contracture of a joint occurs when a muscle has effectively shortened in length. The most common joints affected, that can be aided with the use of orthotics are, the ankle, the knee, the elbow and the wrist. The most common course of action with orthotics is to fit the patient with a custom made device that incorporated a variable range of motion joint. This will allow for a long static stretch of the joint to aid in reducing the contracture. It is no uncommon to use this device as a nocturnal or night time brace.

Depending on your pathology or biomechanical insufficiency, we can custom fabricate or custom fit a variety of orthoses to fit your Upper extremity. The joints of the upper extremity that are most commonly fit are the shoulder, elbow wrist and thumb. Depending on the reason for fitting your joint we can choose to immobilize, control, assist, or align the affected joint.

You have to wear a Halo to protect the healing of the bones of your cervical spine. This is usually after surgery to your neck or after you have experienced a fracture to your neck. Your injury or condition has made your neck and spinal bones extremely fragile and they need to be protected as they heal. Because your vertebrae are weakened or compromised, the risk of serious damage to your spinal cord is great. To prevent such damage, your neck and spine must be kept in a stable position with little or no movement.

WHAT IS A BODY JACKET? It is a brace that is made specifically for you using a mold of your body. The orthosis is similar to a custom cast for your spine and back. The brace is quite stiff and is designed to hold your injured spine from moving so it can heal. Your brace may extend just up over your rib cage or it may be right up over your chest ending just below your throat. It is a 2-piece device that will wrap around your body and act to immobilize and/or control the motions of your spine and thorax so that you can heal.

Charleston

Unlike most other braces used to treat Scoliosis, the Charleston Bending Brace (CBB) is only worn at nighttime. It utilizes overcorrection principals to encourage straightening of the spinal curviture. The brace is designed to introduce bending forces at specific locations on your spine, to allow your bones to grow in a straighter line. Over time we hope to stop the progression of your Scoliosis.

Boston

The Boston Brace for scoliosis has long been the preferred method of combating scoliosis and spinal curvature. The system utilizes a symmetric module to systematically place differential 3-point pressure systems onto your spine to correct the curvature and to halt its progression.

There are a variety of Spinal orthoses that can be custom fabricated or are commercially available. These include cervical collars, corsets and back braces, CASH and Jewett hyperextension braces, Scoliosis braces, Minerva or CTO braces, etc.. These are prescribed by your physician to aid in stabilizing or correcting your spinal problems.

A Hip orthosis will often be fit post surgical for a hip reconstruction or to avoid surgery. The function of the brace is to control the motion of the patients hip joint and not allow it to get into a position where it could become unstable and become injured again.

These devices are most often fit after a reconstruction knee surgery or for rehab in place of surgery after a trauma to the knee joint. There are a number of designs and colors available to be fit. They can be custom fabricated or custom fit.

The letters stand for Knee-Ankle-Foot Orthosis, it is a brace designed to control or support your knee, ankle and foot. Your orthosis (brace) is custom made from a mold of your leg and foot to fit intimately, and was designed specifically for you to address the problems you are experiencing. We custom design each device to control or supplement the movement and muscles of your knee ankle and foot. Depending on your pathology, there are a number of different types of knee joint motions and functions available.

Stance Phase Knee Joints

The use of Stance Phase Knee Joints has dramatically altered the practice of fitting Custom KAFO’s. They function similar to a locked knee joint during the stance phase of gait, thus maintaining the need for increased stability during stance. But where they differ form other knee joint options is that they allow for free swing of the lower leg via flexion of the knee during the non weight bearing part of gait. As a result, these joints allow for the patient to have a more natural gait pattern and decreasing energy expenditure and accommodative gait deviations.

Custom

A custom KAFO is custom fabricated form a cast of the patients leg. It is fabricated with plastic or a carbon fiber shells that contain the metal knee joints. Depending on the patients specific needs for stability or mobility, there are a variety of knee joints that are available. They include the ability to lock the knee in extension, allow for variable range of motion or the use of Stance Phase Knee Joints.

Conventional

A KAFO that is fabricated with 1 or 2 metal uprights that attaches to 2-3 bands and straps around the patients leg. It is often attached directly to a shoe, but other options are available. It is indicated when a custom plastic device would be detrimental to the patient.

The letters stand for Ankle Foot Orthosis. It is a brace designed to control or support your ankle and foot. Your orthosis (brace) is custom made from a mold of your leg and foot to fit intimately and was designed specifically for you, to address the problems you are experiencing. We custom design each device to control or supplement the movement and muscles of your ankle and foot.

Custom
  • Solid Ankle: A Solid ankle AFO is a device that does not bend or move at the ankle. It allows for maximum stability during stance, while controlling the foot and ankle in all planes throughout ambulation.
  • Articulated: An Articulated AFO is a custom fabricated device that has joints molded into the plastic. This allows the ankle to bend. Depending on the patients’ range of motion and muscle strengths, we can customize the ankle joint motion to maximize your function while allowing the ‘good’ motions you already have.
  • Hybrid (pictured): This device is an amalgamation of 2 or more of the other AFO designs. An example of this is a Custom Carbon Fiber Pressure relief AFO that is attached to a custom foot plate with 2 metal uprights.
Dynamic Gait Orthosis

A Dynamic Gait Orthosis (DGO) is a device that is made of Carbon Fiber and is very light weight. It is an AFO that helps with control of the foot and ankle during gait. It has very little control of the ankle side-to-side, but allows for limited motion during contact of the affected foot with the ground. It also controls the foot and ankle during swing.

Conventional

A conventional AFO is a device that is fabricated with 1 or 2 metal uprights that attach to a band and strap around the patients leg. It is often attached directly to a shoe, but other options are available. It is indicated when a custom plastic device would be detrimental to the patient.

There are a variety of devices that we can custom fabricate or fit in order to reduce or eliminate pressure from one or more parts of your body. The most common area we need to relieve pressure from is the bottom of your foot. We may need to accomplish this with a custom foot orthosis, a special shoe or with a pressure reducing boot.