AFO Solutions

Our goal is to fit each patient with a device that will produce lasting results and improve mobility.

Many people experience issues with their feet and ankles. When the discomfort interferes with daily activities, ask your doctor about bracing solutions. With a doctor-recommended prescribed brace, we can help you get a proper fit and back on your feet again.

Is your current AFO uncomfortable, or does it need to be replaced? If it is time for a new brace, maybe there are new factors that have changed the type of brace you need. If you don’t need a new brace and are feeling discomfort, sometimes adjustments can be made for a more comfortable fit.

After a thorough evaluation and consultation with your physician and physical therapist, a Collier-Laurence practitioner will decide upon the most appropriate Ankle Foot Orthosis for your diagnosis. Most people want to improve their mobility and feel more independent.

Ankle Foot Orthosis Reference Guide

To see details on the item you are looking for, click one of the links below.

Charcot “CROW Walker” Diabetic AFO

The CROW walker is for those who have a neuropathic ulcer or those who have been diagnosed with Charcot Foot. This offloading AFO is made from a cast impression and is designed with a soft footbed and cushioned liner. The brace itself is rigid with a rocker bottom to allow for normal heel to toe walking. The walker reduces forces in the foot and ankle and reduces pressure on the bottom of the foot to help heal and prevent ulcers.

Clinical Indications

  • Charcot arthropathy
  • Chronic plantar neuropathic ulcers
  • Post fractures of the distal tibia
  • Neuropathic conditions of the ankle and foot
  • Severe ankle instability
  • Protection of the foot and ankle when non-weight bearing isn’t possible

Features & Options

  • Notched at base of calf to unweight ankle and foot
  • Custom, multi-density removable insole
  • Padded with 1/8” medical-grade foam
  • Polypropylene shell
  • A removable, custom-molded multi-density foot orthotic is included

Diabetic AFO – DWRAP

Alternative to CROW Walker

Indications

  • Ulcers must be 90% healed
  • Chronic plantar neuropathic ulcers
  • Post fractures of the distal tibia
  • Neuropathic conditions of the ankle and foot
  • Severe ankle instability
  • Protection of the foot and ankle when non-weight bearing isn’t possible

Features

  • Two-piece interlocking molded AFO plastazote foot bed
  • Custom molded AFO
  • Reducing anatomy movement, shear force and pressure points
  • Patient compliance has increased because they wear a normal looking shoe
  • Custom molded foot bed
  • Padded with 1/8” medical-grade foam
  • Accommodates volume control up to 2 ½” circumference
  • Comes with X-wide Double Depth rocker bottom shoe and diabetic sock
  • Shoe size must be 13” or smaller

Diabetic Neurowalker

Clinical Indications

  • Charcot foot and ankle
  • Post fractures of the distal tibia
  • Neuropathic conditions of the ankle and foot
  • Severe ankle instability

Features & Options

  • Custom-molded shoe
  • Notched at base of calf to unweight ankle and foot
  • Custom, multi-density removable insole
  • Soft, comfortable molded leather inner shell lining
  • Padded with 1/8” medical-grade foam
  • Polypropylene shell
  • A removable, custom-molded multi-density foot orthotic is included

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

Functional and Diabetic 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

Clinical Indications:

  • Foot deformity
  • Charcot foot
  • Amputation
  • 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.

Partial Foot Amputation

We can design many different styles. Call 916-979-9729 for an evaluation appointment or contact us by email.

Text Box: Toe Filler insert AFO
  • 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
Text Box: Partial fill orthotic insert

Clinical Indications

  • 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

UCB Orthotics

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.

  • Prefabricated
  • 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

Solid AFO

Indications

  • Controls knee hyperextension/flexion 
  • Drop-foot
  • Inversion/Eversion

Features

  • Popular
  • 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 is 4 weeks

If a Solid AFO is recommended, a Rocker Bottom Shoe may be suggested.

Crouch Gait AFOs – Floor Reaction

  • Prevents forward tibial rotation
  • Utilized for crouch gait presentations: Post Polio, CP, Spina bifida, SCI, Downs Syndrome
  • Criteria: No knee contractures; Good voluntary control of hip extensors; Biologically stable knee
  • Turn around time is 4 weeks.

Articulating No Cut

Two Braces in One! This custom engineered device can be converted to articulating for free ankle motion, saving additional patient co-pay expense.

  • Controls knee hyperextension/flexion
  • Drop-foot
  • Inversion/Eversion
  • Once patient has strengthened through therapy, hinges of the AFO can be exposed to free the ankle when approved by PT and/or Orthotist
  • Turn around time is 4 weeks

Articulating AFO

  • Wide variety of joints
  • Can make an Articluated AFO initially function like a solid AFO.
  • Patient post-CVA
  • Post-op gastrocnemius lengthening in child with deplegia cerebral palsy
  • Many design variations possible
  • Single or Double/Dual Chamber
  • Plantar flexion stops

Indications

  • Dorsiflexion assist
  • Plantarflexion stop
  • Free motion
  • Inversion/Eversion
  • Knee hyperextension
  • Turn around time is 4 weeks

Arizona Brace

  • PTTD
  • DJD
  • Ankle fusion
  • Severe pronation
  • Articulating available

Richie Brace

  • Postier Tibial Tendon Disfunction
  • Plantar Fasciitis
  • Chronic Ankle Instability

Carbon Fiber AFO

  • Mild Dorsiflexion assistance with coronal plane stability
  • can be custom fit or custom fabricated
  • Offers some energy return to the user.

Off-the-Shelf Orthotics

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

Indications

  • PTTD
  • Charcot deformities
  • Ankle instabilities
  • Abnormal ankle alignment
  • Traumatic injury
  • Arthritis

Options

  • 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.