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Orthotics and Prosthetics Patient Care – Our offices are open.

Collier Orthotics and Prosthetics in association with Laurence Orthotics and Prosthetics logo

As an essential health care service provider, our offices remain open with a full staff of trained, licensed, bonded and insured practitioners who are ready to provide on-going care for those in need of mobility devices and for in-patient hospital calls 7 days a week, evening and holidays.

Providing Orthotics and Prosthetics care for seniors, pediatric patients, and those with special needs is the heart of what we do.

Our Practitioners and staff can assist those that are in need of orthotic and prosthetic devices to improve or maintain their mobility for all Activities of Daily Living (ADL’s) such as personal care, cooking, walking, exercise, essential transportation to the grocery store and pharmacy, safety, reassurance and especially with those tasks one may have difficulty in accomplishing during this period of Sheltering in Place.

We are here for you. If you need an appointment, please do not hesitate to call. Nothing is more important than the health and safety of our patients and staff. We have taken precautions based on state and federal mandates to provide a safe and comfortable environment for our patients and staff. We follow all social distancing guidelines and ask you to please remain 6 feet from any other patients and staff.

Orthotic and Prosthetic services remain an option to those at risk of mobility and we will do everything in our power to support our patients, staff members and community in every way possible to keep them safe and cared for by continuing services for improved mobility during these times.

Please rest assured that we are monitoring the COVID-19 situation very closely at all our locations.

We will continue to keep our Management, Practitioners, and Office Staff Employees well-informed on a daily basis about the virus and best practices to ensure the health and safety of all of our clients and employees. The following precautions are being taken to combat this changing situation:

  • Limiting the number of people in our facility at any given time. If you require assistance, we ask that you limit caregivers/companions to one support person only for your visit.
  • Reducing patient appointments to comply with social distancing in waiting rooms
  • All patients, caregivers/companions, and staff are required to wear a mask. The mask must remain over your nose and mouth throughout your entire visit to our office.
  • We ask that patient family members remain in vehicle at the time of patient appointment
  • Pediatric patient can be accompanied by an adult during their appointment
  • All patients entering the clinic will sanitize or wash their hands on the way in and out.
  • We will continue to disinfect all equipment and surfaces after each treatment.
  • We will be modifying treatment to accommodate your specific needs.
  • We ask you to help our efforts by staying home if you feel sick or are at risk.

Those defined as at risk are:

· The elderly
· Those with heart or lung disorders
– Diabetes
– Immunocompromised

We are doing our best to take the proper precautions and modifications to meet the needs of our patients under these unusual circumstances. Make sure you are doing your best to protect yourself, and if you have any questions or concerns, please visit www.cdc.gov/coronavirus.

Our compassionate and professional staff and practitioners have been serving the community since 1988 for Collier and 1946 for Laurence. We are committed to offering the same legendary service which we are known for, especially during this unprecedented COVID-19 crisis.

If you have any questions, or are in need of services, please contact us by email below or call 916-979-9729.

Ian McLaughlin: Rising to the Challenges of Post-Stroke Recovery

Ian’s latest achievement: The Rise Paralysis Recovery 5k Wheel & Walk

Ian, what’s most important to you about your experience with Collier?

As a person recovering from multiple serious strokes and complete hemiplegia, I needed to assemble a team of dedicated professionals I can rely on in my recovery effort for their support and expertise. The Collier team is like a family and is an invaluable part of my recovery team. The single most important thing to me is their dependability. I use an AFO to walk and as I recover motor functions over time my orthotic needs constantly are changing. I have been able to work with the Collier team on a regular basis to make the adjustments to my AFO as my needs have changed.

When you think back to your first evaluation with Collier, how did you feel when that was complete?

My initial evaluation with Collier occurred in November 2016 when I was in an acute inpatient rehab facility – only two months post-strokes. I was still cognitively very impaired and not walking very much and I had no idea what my orthotic needs were or what they would ultimately be. Collier orthotist, Dennis “DJ” Johnston, BOCO, CPA, fit me for my AFO (ankle foot orthosis) at that time. I have used the same AFO for three years now with numerous modifications as I become more ambulatory. In 2018, I wore that same AFO when I walked a 5K Turkey Trot in my local community.

If there were things that concern you about the future of your care, what would they be?

My concerns have nothing to do with Collier and their services. I am working very hard to control my post-stroke spasticity that causes me to need to wear an AFO and I hope to not need one someday. My concern is that I will never regain the ability to walk without an assistive device. I know that as I go through the process I will be able to work with the Collier team to fit me with progressively less cumbersome braces as my skills and abilities develop further.

Dennis Johnston, Collier Practitioner

A Board Certified Orthotist, Dennis fits custom orthoses for orthotic patients of all ages.
— Patient Care Specialist
— Specializing in Proprietary R-Wrap™ AFO’s since 2003
— Expert in Spasticity Management

 

Looking for a solution or second opinion? Contact one of our orthotic specialists at 916-979-9729 or contact us with the form below.

How can you help your patient find a prosthetist?

Refer a practitioner who puts patient care first.

A Guide for Medical Professionals and Patients who want to know more about the documentation process to get a prosthesis.

Our patients will receive ongoing care recommendations as they work towards their rehabilitation goals. After a patient is referred, our job is to evaluate the fit and function of the prosthesis. We can then discuss options that will allow them to find the prosthetic configuration option that will allow them to reach their goals as well as the information their insurance company will require.

Are your amputee patients overwhelmed and frustrated with the process of getting their prosthesis?

Are they currently in a prosthetic socket that is uncomfortable and difficult to wear?

Does your patient feel secure and safe with how their prosthesis functions?

Are they able to use their prosthesis to achieve their goals in life?

If you have a patient that currently has an ill-fitting prosthesis or one with components which do not provide optimal fit or function, they will need a new prescription. New documentation needs to reflect the patient’s current and potential physical condition, their K-level and problem with their current device. Past documentation should be in place for existing patients which speeds up the process.

Document

Evaluation Checklist for Physician

  • Physical Exam
  • History of Amputation
  • Functional Deficits
  • Functional Level
  • Motivation to use prosthesis
  • Describe the condition of the residual limb
  • Patient’s past experience with prosthesis

If a replacement prosthesis is needed, describe the condition of current prosthesis or component and your recommendation based on your functional level evaluation.

Diagnose

Confirm the K-level. Centers for Medicaid services physician letter.

K1 – Functional Level 1

The patient has the ability or potential to use a prosthesis for transfer or ambulation on level surfaces at fixed cadence.

K2 – Functional Level 2

The patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.

K3 – Functional Level 3

The patient has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to navigate most environmental barriers and may have vocational, therapeutic or exercise activity that demands prosthetic utilization beyond simple locomotion.

K4 – Functional Level 4

The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.

Collaborate

The Collier prosthetist collaborates with the rehabilitation team, physician(s), therapist, patient and family members to provide improved prosthetic care for each patient. This collaboration will help develop short and long-term goals through their journey to better help them improve their prosthetic progress and outcomes.  During this transparent process with the team, the patient becomes well educated through the thorough communication with all members. Collective input from all team members creates a clear plan for better patient outcomes, which leads to higher patient satisfaction with improved functional results.

Patients are our First Priority.

We understand that every patient is unique, physically and psychologically and we have the experience and compassion to guide them through this journey.

Prosthetic Patient Care

 

We have gathered some resources here that might help your patients when they have questions that might be beyond your scope of service.

Certification Boards

The American Board for Certification in Orthotics, Prosthetics & Pedorthotics (ABC)

abcop.org
info@abcop.org
703-836-7114

The Board of Certification/Accreditation, International (BOC)

bocusa.org

Local Orthopedist Volunteers with Operation Rainbow, Healing Patients Around the World

Operation Rainbow provides life-changing medical care to more than 80,000 children and young adults, including more than 18,000 surgeries in 19 developing countries.

Millions around the world live everyday with the pain caused by congenital birth defects and accidents. In the poverty-stricken countries where many of these children live, public healthcare is lacking and families are too poor to address illness or injury as it arises, and they have given thousands of patients the opportunity for a better life.

Generous donors and volunteers are key in helping us change their lives for the better. Last year, Operation Rainbow performed more than 460 free surgeries and treated more than 6,500 other patients for orthopedic and other medical conditions not requiring surgery. The Operation Rainbow team completed 11 medical missions to communities in Honduras, Mexico, Guatemala, Ecuador, Haiti and the West Bank. Part of their mission is to educate local health professionals to encourage medical self-sufficiency.

All team members are volunteers who participate without compensation on their own time. Without the generous donation of supplies from vendors and assistance from friends and family they couldn’t do this work. And there is so much work to do.

You can help educate others about Operation Rainbow by sharing this message, donating or volunteering.

http://Operationrainbow.org

Jon Boone works at Roseville Kaiser orthopedic department as The Senior Orthopedic Technician. He has referred patients to Collier for many years and we have donated orthopedic bracing supplies to the Operation Rainbow since 2009.

“Other than my first mission that was ‘eye opening ‘, the most memorable was our mission to Haiti following the earthquake in 2010. Many children had lost everything… their homes and families and still they would sing songs and help each other as they recovered from injuries. Being able to take my skills and apply it helping those less fortunate makes all the time and expense worthwhile,” says Boone.

Jon’s first mission was to Ecuador in 2009. Since then, he has made 16 missions to Ecuador, Haiti, Dominican Republic, Nicaragua and Mexico. His next mission is to Honduras.

A determined Sandra gets a reciprocating gait orthosis, and gets out of her wheelchair!

From her first meeting with Practitioner Brian Lee, Sandra Thomas was eager to be able to reach a new activity level.

After being in a wheelchair for almost 5 years, Sandra wants to walk without any assistive devices or orthoses. Sandra’s biggest challenge has been to overcome her unstable gait due to a spinal cord injury. She has been working with Brian Lee for the last 6 months to learn and adapt to her new device.

Patient Care Solution: By applying the reciprocating gait orthosis, Brian was able to give Sandra the stability to stand and transfer the strength and momentum of her upper body to her legs. She can now ambulate and feels the sensation of lower extremity muscle contraction. She is very hopeful to continue to progress toward independent ambulation.

As you can see by the video, Sandra Thomas is determined and knows it will not be easy – our reward is to see how excited and grateful she is to receive this device that will help her toward her goal.

Are you interested in learning more about RGO development? Ask a Practitioner below, or call us for a consultation.

Pediatric Case Study – Cerebral Palsy, Spinal Instability

Patient Challenge:

Sophia’s mother was concerned that Sophia always slouched severely and seemed to be in pain. She also always looked down, and could not make eye contact with those around her.

spinal instability, cerebral palsyCollier Resolution:

Practitioner Brian Lee cast Sophia sitting upright to maintain lumbar and kyphotic curves in the ideal position, and with appropriate scapular adduction and shoulder retraction. Secondarily, the goal was to maintain her cervical spine in extension.

Over the last 6 months, Mom has reported that Sophia seems happier, and is able to look up and see the world around her and, most importantly, make eye contact.

Collier Practitioner Brian Lee, CPO is CCS Paneled and bilingual in Spanish. You can read his bio here.

A community for spinal cord injury survivors

SCI Active Network is a positive network that connects Spinal Cord Injury (SCI) survivors and their families through peer mentoring, and empowers an active lifestyle towards mobility, independence, and a higher quality of life.

Troy is a spinal cord injury survivor and Founder/ CEO of SCI Active Network – a community for spinal cord injury survivors. They welcome survivors AND their families to join and participate so they can network, learn and be supportive of their loved one – and their loved one can connect to those with similar life challenges.

A Collier patient since 2004, Troy received an RGO through Kaiser Rehabilitation in Vallejo. Troy has been using his RGO therapeutically with a walker, as well as at home and during public demonstrations. Troy started mentoring patients and therapists on how RGO’s work, and he saw a real need for peers to connect to share valuable information and encouragement.
Since 2015, Troy has worked to connect, support and encourage SCI survivors to be active in living life. Spinal Cord Injury Active Network has trained peer mentors to visit, speak and teach classes at Northern California Rehabilitation Centers and community events in the Bay Area.
SCI Active Network also hosts over a dozen family-inclusive activities a year at different locations throughout Northern California, plus provide a monthly support network meeting in Solano County, CA.
One of the most important missions for founder Troy Plunkett is the Share-A-Chair program. Donated lightweight wheelchairs are provided to survivors in need to increase their mobility, independence, and quality of life.
Spinal Cord Injury Active Network is a 501(c)(3) organization, and donations are tax-deductible. You can donate, volunteer or participate by visiting their website at sciactivenetwork.org.

Troy Plunkett, sci active network

SCI Active Network
P.O. Box 3434
Vallejo, CA 94590

info@sciactivenetwork.org

Sacramento Region Wheelchair Basketball Program

wheelchair basketball sacramento

Andre Christian, father of a boy who received a prosthetic made by J.R. Brandt at our Sacramento location, reached out to us with an update about his son’s achievements.

Stephen Christian, wheelchair basketball

This photo was taken after Stephen pushed his wheelchair for 15 miles on the American River Bike Trail. Stephen is a Warrior!

“Our son Stephen has been the beneficiary of a prosthetic made by J.R. in your Sacramento facility and was under his care for a couple of years. Last year Stephen joined a wheelchair basketball program and it was truly life changing for him. The friendships, flying to tournaments, discipline from weekly training, learning to overcoming challenges, independence, working as a team and the increase in his confidence was truly remarkable.”

Do you know someone in the greater Sacramento area who wants to experience the many benefits and FUN of our wheelchair basketball program? Please share this post.

Christian Rodriguez with the Sacramento Royals, works to create opportunities for physically challenged persons. The JV Team practices at the Sacramento YMCA (downtown on W), and there is a Recreational Team which competes through the Northern California Recreational League. He can be reached at 916-228-1755 or visit sacroyals.com.

wheelchair basketball sacramento

The Sacramento Royals

We are sharing the Sacramento Royals Wheelchair Basketball Program recruiting flyer, aimed at youth 10-18 years for their JV Team, or high school ages for their Recreational Team. The Sacramento Royals practice at the YMCA on W Street in Sacramento. You can visit their website at sacroyals.com.

Orthotic Patient Case Study – Amyotrophic Lateral Sclerosis (ALS)

Mr. Cutchlow came to see Collier Practitioner Ray Diaz for a pair of new braces, and expressed frustration with his instability due to his Amyotrophic Lateral Sclerosis.

Upon evaluation, Ray noticed the patient had more than just weak inverters/evertors. He also had no plantar flexion and dorsiflexion strength.
Prior to the Phat braces he was using a walking aide, now he’s not. As you can see in the video, his gait is much more stable and his speed improved.

Patient Challenge:

The previous AFOs (Arizona braces) were not picking up his foot, causing him to buckle and fall when ambulating.

Collier Resolution:

Ray introduced the Phat braces to Mr. Cutchlow. These braces will provide the stance control and swing phase, and resolve the weak medial lateral ankle instability. The Arizona braces provided nothing for the absent plantar and dorsiflexion.

The day Mr. Cutchlow came back for delivery of his Phat braces he couldn’t believe the balance, stability, and confidence the braces were giving him.

Mr. Cutchlow has had two follow up visits. The first visit was to see how the braces are working for him. The second visit was a minor adjustment. It feels very rewarding to know Mr. Cutchlow’s goals were achieved and that it also built up his confidence to do more enjoyable things with his grandkids.

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