Understanding and Managing Chronic Pain in the Traumatic Amputee
By Judith Philipps Otto
Once, on the old "Dick Van Dyke Show," Van Dyke said sympathetically, "Aw, Stace-I know how you feel!" His brother wailed in angry frustration, "Nobody knows how I feel!" Pain is an intensely personal issue, as anyone who has ever felt great...
Pain Management Methods
By Judith Philipps Otto
A broad and creative variety of techniques, devices, and strategies for managing pain experienced by the amputee have been utilized over the years, and new ideas emerge as older methods continue to evolve. The array ranges from sympathectomy, dors...
Transpelvic, Hip Disarticulation Amputation: Taking Prosthetics to the Highest Level
By Miki Fairley
Christina Skoski, MD The most important thing to keep in your mind is: Life goes on" Christina Skoski, MD, advises high-level amputees. She knows what she is talking about. When Skoski was just 11 years old, she was diagnosed with a fibrosarcoma...
Wayne Renardson: Expressions of Freedom
By Sherry Metzger
"To be free is to have achieved your life," wrote Pulitzer Prize-winning Southern playwright Tennessee Williams. A self-proclaimed "old boy" with ties to the South himself, Wayne Renardson often quotes Williams in his slightly posh-American accent...
Improve Your Negotiating Power and Profitability
By Susi Ebersbach, MBA, EDPEP0608
You didn't enter this profession to analyze data , and you probably have an intense disdain for "bean-counters." At the same time, your science/technology side acknowledges the need for validation of your work via data analysis, and your business-...
Susan L. Kapp, MEd, CPO, LPO
By Brady Delander
Susan L. Kapp, MEd, CPO, LPO, stepped on to the campus of Texas A&M University, College Station, in the mid 1970s, ready to experience not only the university lifestyle but American living as well. "It was a new world for me," she says.
AFO Trim Lines for Ankle Varus/Valgus Issues: High vs. Low
By Brady Delander
Kevin C. Matthews, CO/LO Every practitioner wants a happy patient. But to what end?
Special Expanded Sports Section
Getting in the Game.. .Staying in the Game
Heath Calhoun: A Man for All Seasons Heath Calhoun enjoys a good rush of endorphins. "Going on a two-mile jog will always make you feel better," he says. "You may feel like you are going to die when you are doing it, but there is no bett...
Learning to Speak P&O
By Ronald A. Roiz
According to linguist Stephen Krashen , there are two ways to develop the ability to speak a new language: acquisition and learning. Acquisition is an unconscious development of grammatical understanding, while learning is the conscious study o...
Face to Face
Five Questions for Matthew B. Dobbs, MD
Matthew B. Dobbs, MD, associate professor of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, has dedicated his career to surgery and the care for all pediatric orthopedic conditions, and his primary interest inv...
Billing and Collections Q&A
By Lisa Lake-Salmon
Q: I read in a previous issue of The O&P EDGE that L-1855 was no longer a valid code, and the new code is L-1846. Do you know what codes we can bill for additions when using L-1846? It is not easy keeping up with Medicare changes.
(Almost) Everybody Hurts
By Karen Henry
In preparing for this issue, I did a Google™ search on the term "chronic pain." The search yielded more than seven million results. The top results ranged from a Wikipedia entry and a plethora of medical and health-related websites to an article t...
EDGE Direct Sponsored Story
Velocity Introduces New Expulsion Valve
The new Velocity expulsion valve can be used for check sockets. Using the VMP-007 mounting plate with valve dummy, the check socket is attached to the mounting plate with Bondo™ and fiberglass tape. When it has set, simply drill a hole through the...
Technology in Practice
By Paul E. Prusakowski, CPO, FAAOP
Accreditation deadlines are coming up, and it'stime to get our policies and procedures tidied up and ready to beplaced under the microscope of one of the accreditation agenciesthat have been approved to evaluate our acceptability to provideO&P ser...
The Accent™ Foot provides a service-free option for individuals who desire a cosmetically appealing foot with an easy-to-adjust heel height to fit their daily needs.
Features of the Accent Foot include:
- Two-in. (51mm) useradjustable heel height.
- Dynamic pylon and integrated pyramid options.
- Ankle fairing for superior finishing.
- Sandal-toe foot shell.
- Three firmness choices.
-Adjustability to accent your life.
College Park Industries
OPTEC USA's Expander Traction LSO
takes a revolutionary approach in the treatment of the lower back. The patented
Expander Traction LSO
features a unique air pocket expansion system that provides traction and compression to the lower back thus unloading pressure within the vertebrae. The plastic panels restrict and control unwanted motion while providing immediate relief and support. These panels can then be removed to adapt to all facets of the patient's rehabilitation. The Expander is lightweight and can be discreetly worn under normal clothing.
Call for a free 45-day trial sample!
From the simplest AFO to the most complex custom KAFO design, Becker Oregon has evolved and expanded into a full-service central fabrication facility. In addition to its custom orthoses, Becker Oregon offers a selection of prefabricated orthoses for your convenience.
Products available through Becker Oregon include:
- Noninvasive Pediatric HALO System.
- Pacific™ Adjustable Collar.
- Talon™ adjustable wrist-driven hand orthosis.
- Hip Abduction Rotation Orthosis 2000™ (HARO).
- Maple Leaf™ Orthosis.
Advancing liner technology one step further, the new Iceross® Seal-In® is as close as we have come to complete prosthetic attachment, with the convenience of a simple step-in-and-go system. The new system for transtibial users applies pure suction but does not require an external sleeve, saving time and money.
A proprietary design with five separate seals bridges between the residual limb and the internal socket wall. Unique seal design conforms and clings tightly, guaranteeing suspension, rotation control, and proprioception, while allowing for unprecedented knee freedom. This retrofitable liner provides unmatched performance and favorable patient outcomes, making the user more confident and better able to perform activities.
The new, improved BK Shrinker from Comfort Products, made with X-Static® silver fiber, is available from PEL Supply. A 1½-in. gel band at the top was recently added to the interior of the shrinker, which substantially improves the ability of the product to hold firmly in place and improves the product's overall performance.
Additional features of the new BK Shrinker include:
- Proven, all-natural, antimicrobial protection.
- Tapered compression from closed end to open proximal end.
- Easy-on grip top for easier, more comfortable donning.
- Value priced versus competitive products.
- Available in five widths and three lengths.
PEL Supply Company
Integrating a dynamic pylon, the multiaxial Onyx™ Foot allows active users to demand more. Highly customizable with four degrees of plantar-dorsiflexion Angle Control™ and adjustable Stride Control® for fine-tuning gait, the sleek Onyx Foot delivers balanced energy with ideal comfort and enhanced terrain compliance.
Key benefits of the Onyx Foot include:
- Dynamic pylon foot.
- Superior terrain compliance.
- Precision gait matched for out-of-the-box performance.
- Adjustable Stride Control to fine-tune foot stiffness from heel strike to heel off.
- Three-year warranty.
-balanced energy, ideal comfort.
College Park Industries
Designed with ease of fabrication in mind, the
Camber Axis Technic™
is a cost-effective and durable free-motion ankle joint that is based on the proven technology of the
Camber Axis Hinge®
The pre-contoured, stainless-steel Technic reduces labor time and material costs by providing a prefabricated ankle joint that is easy to install. Low-profile, stainless-steel cambered hinges are made to match the contours and co-axial alignment of the anatomical ankle joint while providing strength and stability.
is available in one size with an optional black, non-corrosive finish.
Cascade Dafo Inc. is the leader in design, innovation and manufacture of dynamic orthoses for children and adults. Cascade's products are primarily geared toward the pediatric patient, most of whom have neuromuscular challenges, but adults also benefit from the innovative design concepts. Cascade's entire focus is helping those with mobility challenges live better lives.
The company's new off-the-shelf orthoses line, the JumpStart bracing system, is revolutionizing the way bracing is done. JumpStart braces require no casting-they can be ordered by measurement alone-and they are an affordable bracing option.
OTS Corporation has redesigned the StepLock handle to allow the use of a special bail kit. In the past, a stiff connection between the two joints risked one side locking while the other was not completely locked, causing the last ratchet tooth to be worn away. The new bail kit has rubber grommets inside the connection, allowing some play between the two sides. The kit attaches through two spaces in the redesigned handle, which allows for a better lever release kit connection. The new handle is less obtrusive and less likely to catch on clothing. It is now standard on all StepLocks ordered.
Answer2 girl's Mary Jane and the boy's Oxford are youth-sized dress shoes with extra depth specially designed to accommodate an AFO or KAFO.
Features and benefits of the shoes include the following:
- Three removable insoles for flexible fitting.
- A wide opening for easy entry.
- A straight back heel.
- A high and wide toe box.
- A full-grain leather upper.
Sizes: 11, 11.5; 5.5, 6. Width: Medium (B), Wide (EE), Extra wide (EEEE). Color: Black.
Apis Footwear Co.
Friddle's now carries
EVA sheet materials
in a multitude of colors and swirls to meet the most demanding pedorthic professional's taste. Be sure to go to our webpage at
and click on the
EVA Sheet Materials
link for a complete range of all your foot orthotic sheet material needs. From impression foam and CAD-carver blanks, to thermocorks, multilaminates, top covers, and everything in between, you'll find the most complete selection of pedorthic supplies and equipment available at one source.
Friddle's Orthopedic Appliances
Ossur's PROPRIO FOOT® is an artificially intelligent, motor-powered prosthesis that helps replace the function that the body's central nervous system would normally play.
- Sense: Using advanced motion-sensing accelerometers, the PROPRIO FOOT can "sense" the surroundings of each step and accommodate for action.
- Think: As fast as it measures, the data is fed into the "brain" of the device through TerrainLogic™, identifying specific motions to enable a response to variations.
- Act: Foot motion is continuously analyzed. For each stride, gait pattern recognition algorithms in the foot are used to detect and identify when and where a user is walking.
RSLSteeper has just released a new upper-limb prosthetic components product catalog featuring many new products and upgrade revisions to its line. Of special interest are the new myoelectric, mechanical, and passive hands with Elegance and Select Silicone or PVC gloves available in 19 color shades.
The catalog is full color with all products fully illustrated, showing size and dimensions.
Catalog and products are available through Liberating Technologies Inc.
Liberating Technologies Inc.
Provel offers cost-effective, fast, easy-to-use, and reliable O&P automation. The D2 digitizer, C5 carver, and T6 thermoformer are appropriate for small clinics as well as large central fabs. All are AOP-file compatible and backed by a two-year warranty. The D2 digitizer allows automated shape capture of prosthetic casts with unmatched accuracy. The C5 carver is not only fast and precise, its self-contained dust collection system is extremely quiet. The T6 thermoformer consistently produces high-quality thermoplastic sockets from industry-standard preforms.
A Revolution in Clubfoot Treatment
Matthew Dobbs, MD, designed this new dynamic clubfoot bar to allow active movement, preserve muscle strength in the foot and ankle, and be less restrictive to the child than traditional fixed-bars. Children using the Dobbs Bar can crawl and kick their legs independently. Children will sleep better because they can get comfortable in the Dobbs Bar, and heel blisters commonly associated with fixed-bars are no longer a problem. The Dobbs Bar is adjustable from 8 to 14 inches to accommodate growth; no need to buy replacement bars. The foot plates are universal and can be attached to shoes and AFOs. The results are better compliance, a more active child, and happier parents.
D-Bar Enterprises LLC
Available at ESP, the new Lyn Valve RV SLIDE™ is compact, reliable, and easy to use. The RV SLIDE provides reliable auto-expulsion with the added feature of maintained, hands-free operation. Simply slide the operator button in any direction and the valve stays open, eliminating back-pressure for easy prosthetic donning and doffing.
RV SLIDE features include:
- Auto-expulsion with ½-psi release pressure.
- Great for both AK and BK applications. Perfect with Seal-In liner.
- Audible "click" indicates manual operation; "click" back to center position restores auto-expulsion function.
- Install in any socket material.
The Sure-Lok™ is the world's first infinitely adjustable cable lock and retainer system for body-powered prostheses. This revolutionary technology mounts on the patient's voluntary opening (VO) or voluntary closing (VC) prosthesis. VO users can lock the cable to avoid damaging objects, and VC users no longer have to maintain cable tension to retain their grasp.
With the Sure-Lok engaged, it's possible for your patient to obtain greater pinch forces than with VO setups, even while relaxed. The Sure-Lok disengages easily.
Proteor's Keasy Soft Liners are thermoformable cones used for the manufacture of prosthetic liners. Ease of use and the ability to modify ensures that the Keasy liner always fits well. It has a closed cell structure, which provides for easy cleaning and effective hygiene.
The Keasy has a mono-bloc design that does not require gluing and therefore avoids both hard and allergenic spots. The 6.5mm soft comfort liner's main use is between the residual limb and the socket; the 3mm is mainly used as an intermediate prosthetic liner between the gel liner and the socket.
These new, innovative shoes by Orthofeet offer the "slip-on" look with the comfort of adjustable strap shoes. The shoes feature hook and loop straps that provide a wide opening and facilitate getting in and out of the shoe. An extra, longer strap allows a perfect fit for swollen feet or feet with a higher instep.
Additional comfort features include:
- Supple leather eliminates pressure points.
- Soft, seamless fabric lining, padded with foam, provides excellent protection.
- Ergonomic-stride sole facilitates ambulation and eases stress on the MP joints.
Covered by Medicare.
Ongoing Care Solutions Inc. introduces the new
SoftPro™ Bariatric In-Bed AFO
, developed to support, protect, and position the foot and heel and effectively treat plantarflexion for the larger patient.
- Fleece liner with Bacti-Ban™.
- Calf is adjustable from 21 in. to 32 in.
- Width of foot plate is 5 in.
- Length of foot plate is 13 in.
- Anti-rotation bar.
- Non-skid bottom.
Visit our website or call us for more information about the SoftPro Bariatric In-Bed AFO.
Ongoing Care Solutions Inc.
Orthofeet introduces a revolutionary lacing system that eliminates the need for lacing up. The new patent-pending system combines laces with a hook and loop strap that offers an easy way of fastening and unfastening the shoe while providing uniform tension along the entire instep.
Additional comfort features include:
- Breathable, stretchable upper offers a relaxed comfortable fit and accommodates forefoot deformities and swollen feet.
- Soft, seamless fabric lining, padded with foam, provides excellent protection and ultimate comfort.
Covered by Medicare.
- Immediate cash: plan your future.
- We solve business issues, allowing you to focus on your patients.
- We are not a broker, buyout fund, or corporate CPA.
- We are well-funded, have experienced O&P management, and are focused on creating a great company.
If you are interested in finding a partner to run the business side of your practice, contact us. All discussions are
Dycor's ADL-LCD Lisfranc/Chopart Energy Returning
Foot provides maximum flexibility and resiliency, strength of
attachment, and anatomical support of hindfoot, with minimum weight
(12.5 oz. with foot shell, 26cm med) and socket clearance (% in.
including foot shell).
The forefoot is horizontally split into five segments to
maintain the same degree of forefoot flexibility regardless of
medial and lateral shift of the floor reaction. Integrated carbon
fiber "tie-ins" around the heel portion of the keel are epoxied
directly to the end of the socket, forming a stronger lap joint
between the heel segment of the keel and the prosthetic socket.
TRS introduces a new, high-performance prosthetic
device for playing hockey. The "Power Play" terminal device
(TD) is designed to securely slide/fit over the last five
inches of the hockey stick. The safe, all-polymer construction is
available in two stiffness models (80 and 95) to suit a variety of
teenage and adult players. The energy-storing design performs much
like the human forearm and wrist. The Power Play
flexes and rebounds for shots and bends away under load to prevent