Category Archives: Patient Case Study

Double Upright AFO helps diabetic patient get back on his feet

Practitioner Ray Diaz recently cared for Mr. Harrell, a 50-year-old diabetic. He presented with a very unstable gait and had been previously diagnosed with left foot drop secondary to a stroke and leaving him with left side paralysis. Mr. Harrell would his arms for balance while ambulating, and had experienced a number of falls.

certified orthotist, custom afo

Certified Orthotist Ray Diaz

Ray fabricated a left double upright Ankle Foot Orthosis with extra depth shoes and custom accommodative inserts for Mr. Harrell. The AFO is used to control the instability in his lower limb by maintaining proper alignment and controlling motion and drop foot. The double upright AFO will be attached to the diabetic shoe which allows for edema and protects the diabetic foot from any shear forces. His chronic diabetic neuropathic condition requires extra depth shoes and custom diabetic inserts to accommodate his deformed feet. The AFO will also protect his de-sensitized feet from repetitive stress and irritation – something his current shoes were not providing.

Mr. Harrell has been wearing the double upright AFO for a few weeks now and it has boosted his confidence. He has been very satisfied with the progress he has made toward resuming his normal walking routine.

Mr. Harrell had a few words to describe his patient experience at Collier:

“Ray Diaz treated me with professionalism and was very kind to me. I can walk a lot better! Everything was done in a timely manner and he made me feel at home. I love my new shoes and brace! I am very happy I was referred to Collier.”

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Pediatric Case Study: Helping a young patient transition to wearing a prosthesis.

On a recent Monday afternoon, Harmony was meeting with practitioner George Villarruel for her final fitting for the new prosthesis she will wear.

Harmony was born as a congenital right trans radial amputee. Now that she was getting older, her parents wanted to give her an opportunity for bi manual function.

pediatric prosthesis

Laura Kendall (left), Harmony (right) without devices and wearing their prosthesis.

Over about 5 visits, George has been working with Harmony for fittings and preparing her for some of the challenges when adapting to a prosthesis. In fact, George thought it could be helpful to Harmony and her parents to speak with someone who has lived as an amputee since birth. Laura Kendall, a long-time congenital left trans radial patient, came to the office to meet the family. Harmony’s parents were thrilled to connect with someone who really understood their daughter’s challenges – and Laura had such a happy, positive attitude that reinforces with Harmony that life is not about what you don’t have, it is about what you can achieve.

Harmony is eager and excited to use her new prosthesis when it is finished in the next week. You can learn more about Laura’s story here.

 

pediatric practitionereGeorge Villarruel has trained our team in all aspects of care for young patients and their families. His psychology background helps him understand patient care and help our patients heal on the outside and the inside. If you have a question you can contact George here.

 

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Pediatric Upper Extremity Prosthesis, A Mother’s Testimonial

When treating pediatric prosthetic patients, working with the family ensures patient success.

Pediatric Upper Extremity Prosthesis

Colin’s Mom expressed her thanks: “It always seemed that George presented a wealth of information regarding the options for my son’s care — with the goal of helping my husband and I decide what would be best for our son as well as practical for our lifestyle.” Maria Haugseth, Sacramento, CA; Colin’s Mom

Colin needed to be fit for his first prosthesis. His long-term treatment plan was developed with his team of caregivers and his mom. Colin was treated by George Villarruel, one of our pediatric and upper extremity prosthetic specialist practitioners. He customized the prosthesis and educated Colin and his mom over a period of about a year during treatment.

Colin’s Mom was with him every step of the way and she deserves a lot of credit for her positive outlook and supportive encouragement. Over the many visits and with a lot of hard work, Colin is now successfully doing more activities with his new arm prosthesis and is not letting anything hold him back.

Colin is ecstatic to be riding his bike!

With the support of his family, and a prosthetic device from Collier O and P, Colin is ready to tackle his next goal.

Our Pediatric Prosthetic Care Specialists

  • Extensive experience working with pediatric patients
  • Veterans are welcome to come for a consultation about problems or challenges with their current prosthesis
  • Our bilingual practitioners can converse with patients in their chosen language

Pediatric Upper Extremity Prosthesis

Our lead prosthetist spent many years with Shriners Hospitals for Children. The volume of patients seen in this inpatient setting established him as a specialist in upper and lower extremity prosthetic care for children and their growing needs. Our philosophy is that we want to treat the family first, and then the patient will have the understanding and guidance they need to be self-reliant.

Collier Orthotics and Prosthetics has offices in Sacramento and the Bay Area Region. Please call 916-979-9729 and we can answer your questions and set an appointment at the location most convenient for you.
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A determined Sandra gets a reciprocating gait orthosis, and gets out of her wheelchair!

reciprocating gait orthosis

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

gait orthosesAfter 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.

 

Collier 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 Collier Practitioner below, or call us for a consultation.

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