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.
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.
The 3D Chéneau-Gensingen brace utilizes the latest bracing technology for the best possible outcome:
CAD/CAM is used for the creation of each curve-pattern specific brace for a three-dimensional treatment addressing all three planes
Treats mild, moderate and severe scoliosis
A viable option even for patients with 40°+ curves
Custom fabricated with voids and pressure zones to work in conjunction with Schroth Method Best Practices
Front closing design and less material for more comfortable fit and ease of application
History of the Chéneau Brace Development
Dr. Chéneau was the first brace developer in 1979 in an effort to advance and improve scoliosis bracing an to work in conjunction with the Schroth corrective breathing method developed by Katharina Schroth, and the classification system being developed by Christa Lemert-Scroth. In the 90’s, Dr. Hans-Rudolf Weiss (Christa’s grandson) hosted courses at the clinic demonstrating Dr. Chéneau’s bracing concepts. At the time, braces were still being fabricated from a mold of the patient’s torso through casting. Dr. Weiss went on to develop the ‘Chéneau Light®’ brace. It had a record of improved patient outcomes and reducing the need for scoliosis surgery.
CAD/CAM technology, comfortable design and solo donning.
The newest Chéneau-Gensingen brace design has evolved to a higher standard with the advent of CAD/CAM technology and many years of documenting and researching in-brace results. The unusual features of the brace work to reduce spinal rotation in all three planes. Openings positioned at the spinal concavities and corrective pressure points are plotted with CAD/CAM and fabricated to have a built-in correction effect according to a patient’s individual curve pattern. This exacting fit is much more tolerable for the patient which contributes to improved corrections and happier patient. In addition, most patients will not need assistance after they learn how to don the brace.
Our practitioners trained with Dr. Marc Moramarco, the most experienced Schroth Method practitioner in the United States. In the video, Dr. Marc Moramarco visited Dr. Weiss at his facility in Germany and they discuss the benefits of Cheneau bracing over other bracing methods.
The Schroth physcial therapy method is used in conjunction with brace therapy for best possible outcome.
For osteoarthritis knee pain relief, you need a prescription from your doctor for an unloader-style knee brace. A custom-fitted unloader knee orthosis (brace) has a range of settings to dial in to make the brace as comfortable as possible. Your practitioner should be able to show you how to use the different settings.
An OA brace can relieve bone-on-bone joint pain and slow down the degenerative process. Dynamic OA braces open the joint only when the leg is extended and the most pain relief is needed. No pressure is applied when the leg is bent. With dynamic unloading, these braces are comfortable to wear for extended periods of time.
Treatment with the correct knee brace can relieve most osteoarthritis symptoms:
Pain, after overuse or after long periods of inactivity
Aching and soreness of the joints
Stiffness after periods of rest, swelling of the joints.
Cold weather brings on aches and pains – it is not your imagination. Most common in weight-bearing joints, the pain can settle into your knees, hips and ankles. It is important to remember that stiffness is one of your body’s early warning signs. If the symptoms persist, be sure to check in with your doctor. If stiffness and joint pain persist it might be a sign that you have arthritis, and you want to address the issue as soon as possible with your doctor to prevent further progression.
The Collier-Laurence Orthotic Team works with your doctor and other care providers to find the correct knee orthosis (brace) for your diagnosis. We have these tips for those who might be shopping for an osteoarthritis knee brace:
1) How many patients does the facility see monthly? The busiest clinics tend to have the more experienced practitioners.
2) Look for an orthosis (brace) recommended by your doctor for your specific condition. How many different OA braces do they offer to patients?
a. Petite style
b. Large styles
c. Valgus / varus
d. Custom / off the shelf
e. Hand Dexterity problems
f. Sports related
3) Do they have a return policy on braces that don’t provide pain relief? Will they provide other options?
4) Your brace can’t help you if you don’t wear it regularly. If your brace is uncomfortable or pinching, contact the provider and they should be able to make adjustments for a better fit.
Unfortunately, there is no cure for arthritis, but there are ways to manage the pain and slow down the progression of arthritis. Although it maybe difficult, staying active is important. Make sure to check with your doctor or physical therapist for appropriate exercises for your condition.
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.
Rick Todd COF, managing partner at Collier Orthotics & Prosthetics, has many great things to say about JR when interviewed by BOC, and the positive impact he had on their growing business.
Why does JR deserve this award?
Because he is knowledgeable in Orthotics and Prosthetics, BOC accreditation standards, Medicare standards and his outstanding service with patients. He has the ability to give of himself and teach in the area of Orthotics and Prosthetics as well as everyday life. JR has the ability to communicate with physicians and physical therapists on difficult cases. He works for the overall interest of the business and outcome as a whole, not income alone. Follow up is assured in all of the above areas. JR is an amazing family man and great friend, even if I didn’t always want to hear what he had to say.
How did you meet JR, and what has been the impact of his service throughout your career?
I originally met JR in 1992 when I was a Bledsoe sales representative in Northern California. JR ran the Shriners Orthotic and Prosthetic practice in both San Francisco and then in Sacramento. When dealing with JR in regards to product purchases he was very respectful of my position even though I was just a salesman peddling products to Shriners. He always treated me with the utmost respect and every time I saw him he had some funny story to tell me, as well he was full of information and willing to teach.
I did not see JR for many years except at an occasional trade show. When I would bump into him it was just like I had seen him in the past. He was friendly, great to talk with and like a long lost friend and always full of knowledge.
In 2012 I was in the midst of growing my first orthotic practice. I started to work with Jim Hewlett in regards to accreditation through BOC and applying for my first Medicare license. At that time I found out that JR was working with BOC as well as Jim Hewlett and doing site surveys. We rekindled our relationship. Jim let me know that JR was interested in getting back to seeing patients again, and that he would like to do patient care. I then hired JR as the director of Orthotics for my company.
JR was an open book and not only was he a fantastic practitioner; he is very accomplished in our field.
Watch the presentation, JR says Thank You.
He was helpful in all the Medicare and accreditation rules, and if he didn’t have the answer he has a relationship with someone who did. He was also very helpful in the setup of our second Orthotic and Prosthetic facility. He understood from his Shriner days, the function of utilizing space in a manufacturing area. He was also helpful in finding the appropriate products and tools to set up a state of the art manufacturing facility. In the early days of this new business he had the ability to streamline systems, bring employees together, and communicate with physicians about patients and product philosophy, as well as the biomechanics that went along with this. JR has the ability and interest to get the best outcome of all situations, and give of himself as a mentor and a teacher to my staff.
Not a day goes by without thinking how he is doing in his present situation. JR was diagnosed with Acute Lymphoblastic Leukemia on September 4th 2016 and underwent seven rounds of intense chemotherapy. He was a candidate for a Bone Marrow Transplant at Stanford University Hospital and after an exhausting international search a 10/10 donor was located. On March 30th JR received his transplant and after 100 days of living at Stanford he is finally home recovering and in remission. He still has a long road to go in recovering his blood counts, energy and general wellbeing but he is as always in good spirits and we at Collier continue to wish him and his family well.
His smile and jovialness is missed by all at Collier Orthotics and Prosthetics and we hope to be able to see him soon.
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