Organized sports have so many benefits for kids, but exuberant over-use can cause repetitive stress injuries. Children who play basketball, volleyball, soccer, football and those who ski, are most likely to injure their Anterior Cruciate Ligaments when they slow down, pivot or land after a jump.1 When minor injuries are addressed promptly, a brace can help with recovery and often get them back in the game with less chance of re-injury.
You can be prepared with resources for many common pediatric sport injuries.
If your child gets hurt, there is no substitute for a doctor’s advice and diagnosis. Once you have a diagnosis and prescription, we can assist you to find the device that best suits your child’s needs.
The 3 most common injuries we see in youth athletes:
Knee Sprains: when a ligament stretches or tears; for example, an anterior cruciate ligament (ACL) or medial collateral ligament (MCL) tear
Tendonitis: when a tendon gets irritated or inflamed, usually from overuse or poor training (for example, in jumper’s knee)
Meniscal Tears: When the cartilage between the upper and lower leg bones (the menisci) tears
Michael came to Collier Orthotics because he was having quite a bit of knee pain from arthritis and a torn meniscus, and wasn’t quite ready for knee surgery. Michael speaks about his care journey with Collier Orthotics and Prosthetics, and how they found him an unloader knee brace which allows him to get back to his daily activities with a lot less pain.
James Muelleners, Sacramento, CA
James shared his tWe are sincerely concerned with serving our patients in the very best way possible. James took the time to tell us about his experience.houghts with us below.
Q: What’s the most important to you about your experience? A:The ability to work with my schedule and accommodate me in Sacramento instead of the bay area in a timely manner, with quality of care and they wanted to help me.
Q: How did you feel after the first evaluation was complete? A:Very complete! Nick did an amazing job and was very thorough and willing to fight for the brace I needed.
Q: What was most important to you during your time in our care? A:The quality of knowledge and the ability to relate.
Q: Why did you choose our company? A:Quality, speed, knowledge and family
Thank you James, we are glad we could help you get back to your daily activities….pain free!
The role of an O&P facility is to provide an orthosis that will aid the patient’s stability and ambulation during the stroke recovery process.
The Orthotist will visit the patient at their care facility and is brought up to speed by the physical therapist and physician with the patient’s diagnosis and outcome goals. We fabricate orthoses for patients with mobility issues who need help with ambulation and rehabilitation at home.
The O&P facility’s job is also to educate the patient and their caregivers on the goals and benefits of using the prescribed device. Follow up appointments with the clinician are very important due to the drastic and sudden changes stroke patients can go through during their rehabilitation process and to check for things such as skin irritation and unusual pain when wearing the device.
During the motor skills assessment our team member walks the patient in parallel bars with no shoes or socks, the Orthotist holds the knee and foot to attain what kind of forces need to hold the patient in correct alignment and stabilize their muscle insufficiency. This is determined by the counter forces that we place on the knee and foot. Once we determine how much force is needed to control the patient’s ankle, foot and knee, a decision can be made on what brace will best help the patient walk.
The team agreed that an ANC (articulated non-cut) AFO (Ankle Foot Orthosis) was the right solution. The function of this brace is to lock the patient’s ankle at the desired position (90 degrees). This helps with toe clearance and to prevent the foot from dragging while walking. It also helps mitigate hyperextension.
The ANC AFO solution is fairly common for patients graduating from rehabilitation settings but who still need ambulation support to get back to their daily activities. The ANC orthosis we have developed is unique – it can be hinged at the ankle once the patient regains stability and strength. This gives the patient a more natural gait as they transition through their therapy. Essentially it is two braces in one, saving the patient a second co-pay, and saves waiting time during the healing process. For any stroke patient, it is critical to fabricate and fit a brace in a timely fashion to get the patient ambulatory as soon as possible for neuro muscular regeneration and gait training. We put a high importance on getting the patient what they need to continue to improve.
When it is determined what type of orthosis is needed, it is fabricated to specifications. It must help the patient meet therapy goals such as:
Toe pick up, ankle stabilization and improved gait
Sufficient clearance or relief for the head of the fibula
The patient can ambulate safely in the orthosis
The Varus/Valgus correction provides the desired support
Skin check was satisfactory
The range of motion settings meet prescription criteria
When we fit the patient after fabrication we double check:
The orthosis conforms to the contours of the body
The finished height of the orthosis is appropriate
The patient is stable while standing
The workmanship of the orthosis is satisfactory
The patient can sit and adequately flex knee with orthosis
Follow up from the clinician is a very important step we take due to the drastic and sudden changes these patients can go through during their rehab process. If you would like to speak with one of our practitioners about a specific issue, please send us an email.
Stroke Awareness: Three important milestones.
Why the first 3 hours, the first 3 days, and the first 3 months are significant during stroke recovery.
The first 3 hours are vitally important for patient to have critical medical care that will make a difference in their survival rate. Call 911, do not drive self or patient to hospital. Emergency responders can begin medical care as soon as they arrive and while patient is being transported
The first 3 days in the hospital gives doctors time for tests and assessments to determine the course of care. Rehab can begin as early as 24 to 48 hours after the stroke while the patient is still under hospital care.
The first 3 months are therapeutically important as this is when the brain is most capable of making reconnections through neuroplasticity. This can also be an exhausting time for a stroke survivor and they may need mental health and caregiving support.
Amputees and those with congenital disorders who wear a prosthetic device typically have a long-term relationship with their prosthetist. If you have never worn a prosthesis, this is an outline of what you should expect during your journey.
Are you ready for a prosthesis?
Obtaining a prosthesis is usually a long term process. You need to prepare your muscles so they are in the right shape to utilize your new device. This usually means working with a physical therapist and other members of your care team to educate you about day-to-day living with a prosthesis. Having care team members that communicate is extremely important for a successful outcome with your prosthetic device.
If you decide having a prosthesis is the path you want to take, you will want to find a prosthetist to collaborate with on your care team. Your physician will provide the referral to be seen at our facility. The next step is for us to evaluate the best course of action for your daily living and future goals.
What is the best way to learn more about getting a prosthesis?
Before you can see a prosthetist, your doctor will need to:
Document your current condition
Diagnose your K-Level
Collaborate among the members of your care team
After the appropriate device has been decided upon, you will continue your PT while your prosthesis is manufactured. During the fitting process, over multiple visits, your prosthetist fine tune your device socket and provide the training you need to get the most out of your new prosthesis.
Your doctor will complete an evaluation checklist. This is when you should ask questions. This information will be the basis of the report being sent to your insurance company which ultimately determines the affordability of your prosthetic device.
History of Amputation
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.
Step 2: Diagnose your K-level
Your doctor will confirm your K-level which determines the type of device your insurance will approve. The K-level is based on your daily activities and current physical condition. it is possible over time that you can graduate to a higher K-Level if you continue to progress in your abilities.
Step 3: Team Collaboration = Improved Prosthetic Care
On your first visit, options will be discussed to find the prosthetic configuration that allows you to get back to your daily activities and meet your future goals.
In addition to your doctor, your care team will consist of physical therapists and your prosthetist. Cohesive care during your rehabilitation will help you stay on track with your short and long-term goals to better improve your outcomes.
The team collaboration is a transparent process – the goal is patient education through communication with all members of the team. Collective input creates a clear plan which leads to higher patient satisfaction with improved functional results. After your final fitting, your prosthetic devices will need adjustments over time, so you will likely check in with your prosthetist once or twice a year.
“I believe that providing a prosthesis is just the beginning of my responsibility as a prosthetic provider, I am also involved in the education and follow up care of my patients”,says George. He is always eager to learn new methods and philosophies and share for the benefit of the team as well as the success of the patients’ prosthetic experience.
Every patient is unique, physically and psychologically and we have the experience and compassion to guide them through this journey. We have put together a list of resources of organizations and articles to help you and your family members.
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’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.
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.
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.
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.
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.
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.
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.
SCI Active Network
P.O. Box 3434
Vallejo, CA 94590
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.
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.
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