Are you looking for a lower extremity custom-fitted orthosis?
Our Certified Orthotists can help you find a solution for your specific issue.
Collier and Laurence practitioners serve Adult and Pediatric patients at our clinics in Northern California. Once you have a diagnosis and a referral from your doctor give us a call to set up an office visit.
After a thorough evaluation and consultation with your physician and physical therapist, a Collier-Laurence practitioner will decide upon the most appropriate custom-fitted orthosis for your diagnosis and the best plan of care for your improved mobility. If you are struggling with an AFO that is uncomfortable or needs to be replaced, we will do our best to you find a better solution. Our office staff and can guide you through the process for insurance approval as well.
Reference Guide for AFOs
Crouch Gait AFOs ‑ Floor Reaction
Articulating No Cut AFO
Arizona & Ritchie AFO
Carbon Fiber AFO
Neurological AFO / Dynamic Phat Brace
Unweighting AFO – Patella Tendon Bearing
Charcot Diabetic AFO
Diabetic AFO — D-Wrap
Proprietary R-WrapTM AFO
Metal AFOs – Volume Control, Edema AFO
Functional and Diabetic Foot Orthotics
Functional Foot Orthotics Clinical Indications:
- Foot instability
- Plantar fasciitis
- Neuroma or pes planus
The device is usually rigid or semi-rigid. Our goal for the patient is to control the abnormal biomechanics of the foot when a patient is overpronating or supinating. We use materials that allow the foot to move appropriately during all phases of gait and at the same time prevent the foot from going into its abnormal compensated and pathological positions.
Accommodative orthotic device to reduce foot pain. Custom orthotics decrease the vertical and shear force that may cause ulceration. They are proven preventative measures in reducing amputation.
- Rigid deformity
- Arthritic joints and /or near a painful chronic skin lesion
- At-risk patients with diabetes
Therapeutic Custom Shoes
- Foot deformity
- Charcot foot
- Severe edema
- Size difference
The above cannot be accommodated with off the shelf therapeutic shoes and custom insoles. The benefits of custom therapeutic shoes are a better, more intimate fit. There are no restrictions on how the shoes can be built which leads to a better accommodation of the deformity. TURN AROUND TIME: 6-8 WEEKS.
Therapeutic non-custom shoes with heat-moldable inserts are available from our Dr. Comfort line. Turn around time is 2 weeks.
Diabetic Shoes with Lateral Wedge Flair
- Inversion/Eversion Instability
- Customizations include: Add Flairs, Butress, and Wedges
- If Foot Orthosis is unsuccessful – Orthotist will add Flairs
- Orthotist will automatically address if needed
- TURN AROUND TIME: 4 WEEKS
Partial Foot Amputation
We can design many different styles. Call 916-979-9729 for an evaluation appointment or contact us by email.
- Identify the needs for balance and safety of gait cycle
- Posterior spring is enhanced with rigid toe plate
- Eliminates distal pressure from dorsi/flexion of toes
- Directs dorsi/plantar flexion of foot to occur at ankle
- If toes are remaining, may require a more flexible foot plate
- Transmetatarsal amputation
- Chopart’s amputations
Features & Options
- Designed to fit into a shoe
- Custom, multi-density removable insole
- Partial foot filler
- Padded with 1/8″ to 1/4” medical-grade foam
- Polypropylene shell
- Carbon footplate
TURN AROUND TIME: 3 WEEKS; TURN AROUND TIME (Toe Filler): 2 WEEKS
DAFO-5 Key Features
- Custom fabricated from cast
- Low profile dorsal trimlines for ease of shoe fit
- Partial heel and midfoot containment
- Arch fill and medial heel stabilization
- Defined plantar surface contours
- Softy Liner provides more comfortable control for difficult-to-correct feet or feet with sensitive boney anatomy
Traditional UCB Indications
- For patients who present with moderate pronation and associated gait instability.
- For patients who need more containment than possible with a lower trimline shoe insert.
- For patients who require extra padding for feet with sensitive boney prominences.
- TURN AROUND TIME 4 WEEKS
Drop Foot AFO
Lightweight and durable, these lower leg orthoses are designed to help lift and support light to severe drop foot. Using this lower leg orthosis will allow you to complete everyday tasks, like walking up and downstairs, easily and more naturally.
- Custom Fit
Dorsiflexion weakness solution
- Flexible to allow PF/DF range
- Energy return
- Popular, fits in patient’s normal shoe size
- Patient acceptance is fairly high
- Different trim lines can affect mechanism of AFO
- TURN AROUND TIME: 4 WEEKS
- TURN AROUND TIME (Thermoplastic and Composite): 1 WEEK
- Controls knee hyperextension/flexion
- Patient acceptance is fairly highDifferent trim lines can affect mechanism of AFO
- ‘Wrap Around’ Design
- “Solid” vs. “Leaf Spring”, depends on trim lines
- TURN AROUND TIME: 3 WEEKS
If a Solid AFO is recommended, a Rocker Bottom Shoe may be suggested.
Lace-up ankle braces have been proven to reduce the incidents of acute ankle injuries in athletes both with and without a previous ankle injury.* The Bledsoe Wraptor combines function and comfort—the key to compliance is to keep your athletes in the game!
Several new materials make the Bledsoe Wraptor more comfortable: Sharkskin material at the base of the foot reduces brace slippage, breathable spacer mesh lining wicks moisture away, and elastic forefoot material reduces fabric bunching.
Freedom AFO Features
- Rigid, semi-rigid or flexible reinforcement materials to match the exact diagnosis with the appropriate amount of support required
- 1” custom padded collar for increased patient comfort and compliance
- Full grain leather exterior for a superior finish
- Full interface lining cushions and protects fragile skin
- Tamarack™ ankle joints
- Leather pretibial lace closure for ultimate support
- Charcot deformities
- Ankle instabilities
- Abnormal ankle alignment
- Traumatic injury
- Lace, Velcro, boot hooks or any combination closure allows the patient to don and doff the AFO more easily
- Met, sulcus or full length foot plate
- Toe fillers
- Soft spot areas for bony prominence and pressure points
- Dorsi assist ankle joint
- Plantar flexion stop
Ankle sleeves are highly recommended for use with your AFO. Visit our partner ComfortSleeves.com for a selection of sleeves custom designed for use with hip, knee, ankle, and foot orthoses.