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Orthotics Plus
Phone: +61 3 9077 6414
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25.01.2022 We will remember them. Captain William Johnstone Knox M.C, 13th Australian Field Artillery, AIF, First World War. Son. Brother. Husband. Father. Grandfather. Great Grandfather. Great Great Grandfather.... It’s important that we find contemporary connections to Remembrance Day. If you live in a home that’s more than 100 years old, chances are it was also the former home of an original ANZAC. Lest we forget. We must connect.
24.01.2022 Say hello to our lovely new Practice Manager Allison! Allison has been working in the healthcare industry for over 12 years across a range of healthcare sectors including management, administration, medical supplies and clinically. Most recently she has worked as a Practice Manager of a Sports Medicine Group overseeing four clinics. Prior to this, she worked as a Registered Nurse holding a Bachelor of Nursing Science Degree from James Cook University. Allison is ori...ginally from sunny North Queensland , and in her spare time enjoys travelling home (hopefully she can visit family and friends soon!), the outdoors and her Maltese Shih Tzu. Welcome to the Orthotics Plus team Allison! www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #practicemanagement #podiatrist #podiatry #sorefeet #footpain #footandankle #kneepain #brace #brokenleg #brokenwrist #shinsplints #footdrop #ndis #diabeticfoot #kneebrace #moonboot #osteoarthritis #backpain #custommade #fes #afo #kafo #orthopaedic #physiotherapy
24.01.2022 14 Common conditions that foot orthotics treat 1. Pes planovalgus (flat feet) 2. Pes cavus (rigid high arched feet) 3. Osteoarthritis ... 4. Rheumatoid arthritis 5. Plantar fasciitis 6. Achilles Tendinopathy 7. Stress fractures 8. Metatarsalgia 9. Ankle pain and impingement 10. Midfoot collapse 11. Diabetic ulcers 12. Lateral column overload 13. Medial column overload 14. Shin splints See more
24.01.2022 Next time youre visiting our Malvern clinic, make sure you grab a coffee and a toastie from our super neighbours milu malvern ! The team at Milu Malvern generously gifted us and other local trading associates this incredibly yummy brekkie as part of this mornings socially distanced Glenferrie Road Malvern Businesses Association meeting! Glenferrie Road Malvern(Of which our wonderful Senior Orthotist and Director, Kate Perlstein is President!) How good does this breakfas...t box look? Thank you Milu Malvern! We enjoyed every bite! www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #glenferrieroad #glenferrieroadmalvern #milu #heidelberg #melbournefoodie #melbournefoodscene #podiatrist #podiatry #shoplocal #supportsmallbusiness #physiotherapist #physiotherapy #orthopaedic #sorefeet #soreknee #kneepain #brokenleg #brokenankle #brokenwrist #AFOs #ndis #bunions #shinsplints #sportsmedicine #sportsdoctor
24.01.2022 What are custom foot orthotics? Foot orthotics alter the biomechanics of your feet to correct, offload and/or support your feet to reduce pain, heal an injury and generally increase your quality of life. Custom foot orthotics are bespoke devices made specifically for your foot and your condition. This means they will be tailored exactly to you and not created based on a generic template.... At Orthotics Plus we are able to customise the foot orthotic to suit your footwear, lifestyle and presentation depending on the outcome of the assessment we provide. Foot orthotics can be broken into 3 sections and the options available at each segment can be used in combination. The design and features used will depend on your assessment and what we are aiming to achieve. Here are some common features of a custom foot orthotic: Hindfoot Heel cupping, selective offloading (ie for heel spurs), wedging, height increase (to alter ankle pitch or accommodate for a leg length discrepancy). Midfoot Selective offloading (ie plantar fascia grooves), medial arch support, arch control, lateral arch support, transverse arch support. Forefoot Forefoot wedging, metatarsal domes, selective offloading, metatarsal cut outs, hallux cut outs. The density of the material we use for the device will also vary according to height, weight, age, activity and clinical presentation. To book an assessment with one of our senior orthotists at Malvern or Heidelberg, please call (03) 9077 6414 or visit www.orthoticsplus.com.au to check out our complete guide to foot orthotics. #orthotist #orthotics #melbourneorthotist #heidelberg #malvern #melbourne #orthoses #customorthotics #customfootorthotics #footorthotics #sorefeet #footpain #custommade #heelspur #plantarfasciitis #archcontrol #higharches #flatfeet #anklepain #kneepain #backpain #podiatrist #podiatry #orthopaedic #footandankle #footandanklesurgery #physicaltherapy #physiotherapist #physiotherapy #sportsmedicine
24.01.2022 Happy Birthday and Welcome India!! You may have noticed a new face at Reception! India has joined us part time at our Malvern clinic in addition to her secretarial role at a busy Rheumatology clinic just up the road at Cabrini. India says she enjoys working both roles simultaneously, as it has been a great opportunity to pick up a wealth of knowledge from both medical specialities. Outside of her clinical duties, India’s major passion is MUSIC. She has been singing as... long as she can remember and has performed professionally for 7 years. In addition to her busy schedule, India also runs private vocal classes for both children and adults in the evenings. Whilst she mostly performs acoustically at weddings and private events, unfortunately COVID-19 has had a huge impact on her ability to perform this year, however India says she is looking forward to an extremely busy 2021! Happy Birthday India, we hope you have an extra special day!! And we’re thrilled to have you as part of our team. www.orthoticsplus.com.au
23.01.2022 Conservative Management for Patello-Femoral Osteo Arthritis: Wearing of the underside of the patella against the trochlear groove of the femur can cause inflammation and eventually osteo arthritis of the patello-femoral joint. Tracking of the patella is clinically difficult to define as there is significant variation in patella shape, height relative to the trochlear groove and movement of the patella. The patella is only in contact with the femur from about 20 degr...ees of flexion through to full flexion. In knee extension it can be palpated and moved quite a lot. In the PFOA knee, preventing normal ROM (range of motion) is not the goal, but reducing extraneous movement can offer some reduction of pain. Normal pronation of the foot during weight bearing will create a small amount of rotation through the ankle joint which is reflected somewhat to the alignment of the knee. Orthotic management of the PFOA knee can include foot orthotics to address the pronation of the foot or internal shoe wedges to adjust ankle alignment. There is recent clinical evidence to suggest that arch support does assist PFOA pain. Another orthotic approach can be knee bracing with a lateral buttress for patella support. More often used for patella instability or subluxation, the lateral buttress and compressive knee sleeve has shown to be beneficial in some patients in relieving pain. Your orthotist can assess your knee and offer options of conservative management for knee pain. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #patellofemoralosteoarthritis #patellofemoralpain #osteoarthritis #arthritis #kneepain #kneebrace #kneesleeve #soreknee #patella #patellapain #pfoa #footorthotics #formfittracker #ossur #genutrain #bauefiend #conservativemanagement #orthopaedic #kneesupport #kneesurgeon #kneepainrelief #physicaltherapy #physiotherapy
23.01.2022 Did you know that it is Brain Injury Awareness Week? Orthotics Plus can assist with the orthotic management of neurological and neuromuscular issues or weakness as a result of acquired brain injury. Our clinicians are all highly trained and highly experienced with a minimum of 10 years of active work under their belt.... Items we commonly fit are: Ankle Foot Orthoses (AFOs) for gait issues resulting from foot drop, spasticity or leg muscle weakness. KAFOs (Knee Ankle Foot Orthoses) for gait issues resulting from lower limb weakness, spasticity or abnormality involving the ankle and the knee. Functional Electrical Stimulation (FES) devices for the lower limb (devices which stimulate the muscles to prevent foot drop during walking). Functional Electrical Stimulation devices for the upper limb (devices which stimulate the upper limb muscles to assist with rehabilitation and prevent loss of muscle strength). Contracture management devices Custom Foot Orthotics Custom Shoes Technology is always changing. If you are a current user of an orthotic device, new materials and technology may be available to assist you and our clinicians would be happy to advise you and facilitate a trial where clinically appropriate. If you have a significant and permanent disability and are aged under 65, you may be eligible for the NDIS to assist in funding your orthotic management. To book an assessment with one of our Senior Orthotists in Malvern or Heidelberg, please call (03) 9077 6414 or visit www.orthoticsplus.com.au #BIAW2020 #braininjury #braininjuryawareness #braininjuryawarenessweek #acquiredbraininjury #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #fes #functionalelectricalstimulation #ottobock #KAFO #AFO #neuromuscular #neuromusculartherapy #footdrop #cbrace #muscleweakness #spacticity #ndis #ndisprovider #contracturemanagement #legbrace #orthosis #abi #stroke #traumaticbraininjury
23.01.2022 Orthotics Plus offers onsite manufacturing. All custom made products are fabricated right here at Orthotics Plus by your Orthotist. This ensures all items are fabricated specifically to your needs. It also allows us to provide short turn around times and immediate adjustments at the time of fitting. ... We pride ourselves on delivering only the highest quality pre-made and custom made products. www.orthoticsplus.com.au
22.01.2022 Poliomyelitis (polio) is a neurological disease caused by infection with the poliovirus. It can damage the nerves which control muscles, causing weakness and even paralysis most often affecting the legs, but also arms, chest and back. A vaccine was introduced to Australia in 1956, and since 2000 Australia has been declared polio-free. 25-50% of polio survivors will experience a return of physical symptoms 15-30 years after initial recovery. This is known as Post-Polio Sy...ndrome. Symptoms can include weakness, muscle atrophy, fatigue, pain in the muscles and/or joints, joint deformity, changes in gait pattern (i.e. limping) and an increased tendency to fall. Many experiencing the residual effects of polio will require the use of an orthosis to help provide stability and improve mobility. Orthoses can compensate for changes in muscle length and function, realign skeletal joints, redistribute pressure and optimise gait pattern. They can also reduce the risk of a trip or fall and improve energy efficiency. Orthoses are most frequently applied for lower limb muscle weakness and joint deformity, however they can also be used for spinal, upper limb and abdominal muscle weakness and deformity. Orthoses to manage polio may include: KAFOs (Knee Ankle Foot Orthoses) AFOs (Ankle Foot Orthoses) Custom Foot Orthotics Spinal Orthoses Abdominal Binder Corset Whether a particular orthoses is actually suitable for you and whether you are capable of exploiting the functionality of the orthoses to its fullest, depends on many different factors. Amongst others, your physical condition, fitness and a detailed medical examination are key. Our orthotists will provide a thorough clinical assessment and are happy to work with you to determine which fittings are most suitable for your goals and requirements. www.orthoticsplus.com.au
22.01.2022 What are the benefits of Functional Electrical Stimulation? The benefits are that an individual is able to use their own muscles to move and is therefore not reliant on a passive device. This may assist with rehabilitation and re-training the brain in the case of a stroke or stimulating the muscles and maintaining strength in the case of MS or partial spinal cord injury. Our patients often report the following benefits to wearing FES devices compared to wearing no de...vice: Improvements in rehabilitation. Faster walking speed. More symmetrical movement. Reduced spasticity in opposing and affected muscle groups. Increase in muscle strength and endurance. Reduced tightness and muscle cramping. Our patients report the following benefits of FES when compared to a device such as an AFO (ankle foot orthosis): Ability to wear a greater variety of footwear. No skin rubbing from orthotic devices. Less muscle atrophy. Better ability to walk on angled or rough terrain. Limbs feel more free. Ability to walk barefoot. Curious to know more? Check out our Complete Guide to Functional Electrical Stimulation (FES) via the link below! https://orthoticsplus.com.au/functional-electrical-stimulat
22.01.2022 Using the latest 3D digital scanning technology with Össur for a patient requiring a CTi Custom knee brace for management of a traumatic ACL injury. The CTI Custom provides stability and protection of the knee joint, and is available in 3 models to suit all activity levels. In addition to photographs and measurements, the 3D scans will allow the brace to be hand-crafted to the patient’s exact leg size and shape to ensure the best possible fit.... www.orthoticsplus.com.au
22.01.2022 Say hello to Senior Orthotist, Alti! Alti graduated from La Trobe University in 2000 after completing part of her training in the USA. She has spent the majority of her career working at the largest Orthotic facility in Australia servicing both the Sydney Childrens and Prince of Wales Hospitals. It was there that she gained a wealth of experience in paediatric work with a strong focus on cerebral palsy and other complex orthopaedic and neurological conditions. ... Alti moved to Melbourne in 2016 to be closer to family and has been working at St. Vincents Hospital for the past few years. She is involved in both acute and rehabilitation roles with particular interest in the management of stroke and spinal cord injury. Alti prides herself in taking a bigger picture approach to treatment that ensures maximum results are achieved without compromising quality of life. You will find Alti at Orthotics Plus Malvern on Tuesdays and Fridays. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #orthosis #stroke #strokerecovery #strokerehab #cerebralpalsy #neurological #neuromuscular #spinalcordinjury #ndis #ndisprovider #paediatrics #orthopaedic #spinalcordinjuryrecovery #spinal #physicaltherapy #rehabilitation #aopa #orthoticsandprosthetics
20.01.2022 Functional Electrical Stimulation (FES) devices are technology which generate muscle movement at a desired area by directly transmitting a low-level electrical impulse to the nerve to activate a weakened, damaged or paralysed muscle. This in turn helps to improve capability and mobility. These devices are wearable, battery powered and specifically target a muscle or muscle group at a specific time to increase function. An example of this is an FES device for foot d...rop. The device will sense when the patient is lifting their foot from the ground and stimulate the common peroneal nerve to activate the muscles which generate lift (dorsiflexion) at the ankle. Depending on position and tuning of the device we can also adjust the amount of eversion (moving the foot away from body at the ankle joint). At Orthotics Plus, we use FES devices to help patients suffering from foot drop, lower limb muscle weakness and upper limb muscle weakness due to the following conditions: Stroke Multiple sclerosis Acquired brain injury Incomplete spinal cord injury Cerebral Palsy Our patients often report the following benefits to wearing FES devices compared to wearing no device: Increased walking speed, stability and confidence Improved balance and decreased risk of trips and falls Increased muscle strength and endurance Reduced tightness and muscle cramping Assisted hand and finger movements Increased joint motion and blood flow Ability to exercise at home or outside the rehabilitation centre For more info, check out our Complete Guide to Functional Electrical Stimulation: https://orthoticsplus.com.au/functional-electrical-stimulat #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #FES #functionalelectricalstimulation #footdrop #nervedamage #footdroptreatment #stroke #strokerecovery #ms #multiplesclerosis #spinalcordinjury #spinalcordinjuryrecovery #braininjury #cerebralpalsy #muscleweakness #spasticity #paralysed #orthopaedic #physicaltherapy #physiotherapist #neuromuscular #neurological #disability #ndis #ndisprovider
20.01.2022 This patient had abdominal surgery in 2008 and since then has experienced muscular weakness, unsteadiness and regular falls. He presented to us with bilateral foot drop (worse on right side) and unable to walk without assistance. We fitted him with custom bilateral AFOs (Ankle Foot Orthoses) which provide stability and allow him to safely lift his feet during gait, thereby lessening the risk of a fall. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #orthoses #AFO #bilateralafos #anklefootorthoses #dropfoot #footdrop #instability #stability #neuromuscular #muscularweakness #gait #agedcareaustralia #ndis #ndisprovider #physicaltherapy #orthopaedic #fallsrisk #fallsriskprevention
19.01.2022 From today, all Orthotics Plus patients and accompanying individuals over the age of 12 will be provided with and required to wear a face mask. Orthotics Pus remains open as an essential service: Monday-Friday, 8:30am-5:30pm. Book an appointment with one of our senior orthotists at Malvern or Heidelberg today! www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #sorefeet #footpain #kneepain #bunions #shinsplints #arthritis #osteoarthritis #fracture #brokenfoot #brokenwrist #moonboot #tendonitis #footwear #customshoes #custommade #ndis #sportsinjury #physicaltherapy #physiotherapist #podiatry #podiatrist #orthopaedic #brace #fiberglasscast #malvern #heidelberg #melbourne
19.01.2022 Our very own Senior Orthotist and Director, Kate Perlstein will be presenting a case study on orthotic management of the complex knee, this week at the Australian Orthotic Prosthetic Association’s ‘Remotely Connected Virtually Together’ Congress. The AOPA Congress will run virtually from 8-9 October and will showcase the best of the best in Orthotics and Prosthetics with leading keynote speakers and exhibitors, with the opportunity to attend live sessions or watch on dema...nd at a later time. You can catch Kate’s presentation How do you brace a knee you can’t touch? Orthotic management of a complex knee from 12pm AEST on Thursday 8 October. Register for the AOPA Congress via the link below. Registrations close 6 October. https://www.aopa.org.au/events/event/aopa-congress-2020
18.01.2022 At Orthotics Plus we never use hard plastics! We manufacture our foot orthotics from a dense foam called EVA (Ethyl Viny Acetate). This shock absorbing material is much more comfortable for the foot whilst still allowing excellent support and control to be built into the orthotic. The density of the foam will depend on the patient and what we are trying to achieve. The properties of EVA allow us the flexibility to make small modifications during your fitting appointm...ents to completely tailor the foot orthotics to your footwear and your feet. We work closely with many of Melbourne’s leading orthopaedic foot & ankle surgeons to manufacture custom foot orthotics for their patients. Our custom foot orthotics are made by hand, on site in our own workshop and never centrally fabricated. The clinician who takes your measurements and conducts the assessment will be the clinician who designs and makes your orthotics. We understand that you don’t want to put up with pain any longer than you need to. Our devices can be finished and ready for fitting within a week. Likewise, we will never leave you with a pair of uncomfortable and intolerable foot orthotics. We can modify them during fitting and during your free 3-month follow up period to ensure they are comfortable and functional. www.orthoticsplus.com.au
18.01.2022 FOOTWEAR SELECTION FOR DIABETICS People with diabetes are prone to foot problems due to peripheral neuropathy (nerve damage) and poor circulation. When left untreated, complications such as developing ulcers and/or charcot neuropathy can develop (see previous 2 posts!). Correct conservative management is therefore a must, and wearing specially designed footwear can help reduce risk, promote healthy circulation and allow the foot to maintain its shape, structure and sha...pe. Management includes: Extra width/depth footwear or custom made footwear (seamless) Custom made foot orthotics When fitting footwear to a diabetic patient, it is essential that there is no risk of pressure or rubbing that could cause skin breakdown and ulcers to develop. Ulceration can occur in as little as just a few hours! Therefore its important to make sure the shoes are seamless on the inside and that the width and depth is appropriate for the patient so as not to increase pressure. Making sure the shoes are made from an appropriate material is also important. Sometimes a lower risk stretchy material is needed as leather may not be forgiving enough. For diabetic patients with a significant foot deformity, custom shoes may be necessary. This is particularly so if the patient requires an orthotic to offload a large area as the extra width/depth footwear may not actually be wide or deep enough to accommodate both an orthotic and deformed foot appropriately. At Orthotics Plus we can fit extra/width depth footwear, custom foot orthotics and prescribe custom made shoes for diabetic feet. We understand that style of shoes is important to many individuals, and we are happy to discuss and factor this into our shoe selection advice. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #diabetes #diabetic #charcotfoot #footulcer #orthopaedicshoes #orthopaedic #custommade #customshoes #ndis #diabeticfoot #footorthotics #podiatry #podiatrist #pedorthist #drcomfort #diabetesmelbourne #peripheralneuropathy #footwear #diabeticfriendly #diabeticlife #diabeticproblems #diabeticfootcare #diabeticfootulcer #diabeticshoes @ Orthotics Plus
18.01.2022 Sesamoiditis is a chronic stress injury caused by frequent pressure resulting in irritation and painful inflammation in the tissues surrounding the tibial and fibular sesamoids (the tiny bones embedded in the tendon of the big toe). It is generally felt as a gradual building of pain in the ball of the foot. Individuals may experience difficulty and pain when trying to bend or straighten the big toe. Swelling, redness and bruising may also be present. Sesamoiditis co...mmonly affects runners, basketballers and dancers and those frequently participating in activities that require a lot of pressure to be placed on the ball of the foot (i.e. crouching and heavy lifting). Wearing high heels and hard-soled business shoes can also increase pressure on the ball of the foot. Individuals with prominent foot bones, high arches and flat feet may also be more prone to sesamoiditis. It’s important that patients experiencing Sesamoiditis seek early treatment to prevent the problem and pain from worsening. Treatment is generally non-operative. Orthotics Plus can assist with a selection of comfortable and supportive footwear and custom foot orthotics to alleviate pressure from the sesamoid bones. Shoes should have a wide toe box so that toes aren’t cramped, and should also be soft-soled and low-heeled. Most patients will experience immediate improvement in symptoms once the pressure on the sesamoids has been offloaded using custom orthotics. If there are no complications, complete resolution can be achieved within months. To discuss your concerns in more detail, we recommend booking an initial consultation with one of our senior orthotists in Heidelberg or Malvern. Call (03) 9077 6414 or book online at www.orthoticsplus.com.au
18.01.2022 Orthotic intervention is a proven and effective conservative treatment option for people suffering from osteoarthritis and rheumatoid arthritis to help reduce pain and improve mobility. It may also delay the need for surgical intervention. For example, Osteoarthritis sufferers experiencing pain and knee malalignment may benefit from the use of foot orthotics which alter knee alignment by reducing the knee abduction and adduction moment, thereby reducing pain. Foot orthoti...cs are more effective when treatment is started early. Knee orthoses such as the Unloader One Lite (mild to moderate arthritis) and Unloader One X (moderate to severe arthritis) are also great options for offloading one side of the knee joint to reduce malalignment and pain. Softer circumferential knee sleeves such as the GenuTrain Knee Brace may also assist to reduce persistent knee pain and swelling by providing compression and a feeling of stability. For those suffering rheumatoid arthritis, custom foot orthotics aim to accommodate foot deformity by relieving pressure and pain and allowing for an increase in physical function. In Australia, orthotists are the only allied health professionals who are qualified to clinically assess, prescribe, design, fit and review orthoses for the whole body, to support patients with arthritis. We have many types of orthoses in our arsenal to help treat arthritis. To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail. www.orthoticsplus.com.au
18.01.2022 Do I need foot orthotics? The answer to this question is generally based on these factors: Pain... If you have a high level of lower limb and foot pain, your pain is worsening, or your foot pain has been persisting for a longer time, we may be more inclined to suggest foot orthotics. If your foot pain is low and reducing then we may suggest other options first. Age If you are younger and growing, or older and not healing as well, or the pain is limiting your mobility, foot orthotics may be required. Biomechanics An assessment of the structure and function of your foot will assist this decision. If during the assessment and gait analysis we note issues we can immediately address, foot orthotics may be a good option for you. (e.g. hyper mobility, flat feet, very high arched feet, pronated foot posture, bony prominences, painful rigid joints, osteoarthritis, foot structures which cause torsional forces in the foot). History What have you done previously? Have you tried other options or changed your footwear recently? Have you recently started training for a marathon? Are you noticing your feet change shape? The answers to these questions will assist us to determine a course of action. If there are things we can modify in your life such as activity level we will advise accordingly. Diagnosed conditions If you have a particular condition which we know responds well to foot orthotics we will be more inclined to suggest foot orthotics as a treatment. Want to know more? Check out our complete guide to foot orthotics via the link below. https://orthoticsplus.com.au/complete-guide-to-foot-orthoti #orthotics #orthotist #melbourneorthotist #malvern #heidelberg #melbourne #footorthotics #customfootorthotics #customorthotics #orthoses #footpain #sorefeet #sorefoot #heelpain #anklepain #toepain #flatfeet #feet #higharches #bunions #osteoarthritis #arthritis #shinsplints #gaitanalysis #orthopaedic #podiatry #podiatrist #physiotherapist #hypermobility
17.01.2022 Good news Melbourne! As an allied health service, Orthotics Plus will be making a full return to all services from tomorrow Monday 19 October. This means there are no restrictions in who we can see or the types of treatment we can provide. If you have been required to delay treatment or routine care, we invite you to call or head to our website to book a time at our Malvern or Heidelberg clinics - 03 9077 6417. We are open Monday-Friday, 8:30am-5:30pm.... You are permitted to seek medical care if you live more than 25km away. Your booking confirmation can be used as proof of travel. We will continue to maintain strict hygiene and safety precaution measures. For the protection of patients and staff masks are mandatory. If you are feeling unwell with even the mildest of symptoms or have been in contact with a confirmed or suspected COVID-19 case, we kindly ask that you reschedule your appointment to a later date. Thank you everyone so much for your patience and cooperation. We look forward to welcoming you back! Warm regards, Kate Perlstein and the Orthotics Plus team www.orthoticsplus.com.au
17.01.2022 CAM walkers have been walking out the door lately! You might know them as CAM Boots or Moon Boots . Their primary purpose is to prevent or limit ankle and foot movement after a foot or ankle fracture, ligament sprain or to help progress out of a cast. They are often used instead of a cast and can be removed for showering and small range of motion exercises if instructed by the treating doctor. But beware the cheaper versions available online!... If CAM walkers are not made from the right materials and professionally measured and fitted, they will not be effective and can lead to further damage . This can also create a multitude of other issues including lower back pain, knee issues, hip issues, contralateral (opposite) foot pain or even pressure injuries. It is not uncommon for a patient to wear a CAM walker for over 8 weeks a long time to be wearing a poorly fitted or uncomfortable device! Orthotics Plus CAM walkers have a rocker sole bottom to make walking with a rigid ankle a little easier and are covered by warranty to last the course of treatment. We stock various options, a full range of sizes from paediatric to XL adults and will fit you on the day. Our orthotists at Malvern or Heidelberg will measure your pelvis height and visually analyse your gait. From this we can ascertain whether we will need to manufacture heel wedges for your opposite shoe to avoid the leg length discrepancy which can create the hip and back issues associated with wearing a Moon Boot. We will also instruct you on the best practice, so you will know how to wear the CAM walker effectively for your injury to heal and also how to manage hygiene and walk safely. If you want the best management for your injury or for a second opinion on your current device, call (03) 9077 6414 or visit www.orthoticsplus.com.au to book an appointment. #Orthotics #orthotist #melbourneorthotist #malvern #heidelberg #melbourne #camwalker #camboot #moonboot #footfracture #fracturedfoot #brokenfoot #anklefracture #fracturedankle #brokenankle #anklesprain #footandankle #footandanklesurgery #footandanklespecialist #orthopaedic #orthosis #physiotherapist #physiotherapy #podiatrist #podiatry #fracture #stressfracture #footpain #sportsdoctor #sportsinjury
16.01.2022 Wishing our Jewish Community a Happy Hannukah! From all of us at Orthotics Plus
16.01.2022 Following todays Stage 4 announcement, Orthotics Plus Malvern and Heidelberg remain open Monday-Friday, 9am-4:30pm as an essential service. You are permitted to seek care if you live more than 5km away. Your booking confirmation can be used as proof of travel. Further updates will be provided following Government advice. Wash your hands and keep smiling! www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #stage4 #melbourne #sorefeet #soreankle #soreback #kneepain #footpain #bunions #shinsplints #acl #pcl #brokenarm #brokenwrist #brokenleg #footandankle #physiotherapy #orthopaedic #podiatry #podiatrist #osteoarthritis #rheumatoidarthritis #ndis #ndisprovider #afo #moonboot
16.01.2022 Ankle sprains can be the bane of an athletes season or even for the every-day person whos stepped on a crack in the foothpath! Painful and often reoccurring , orthotic management is an effective strategy to reduce the risk of sustaining a follow up injury or series of sprains. Braces such as the ASO or Formfit Ankle brace (pictured) use figure 8 strapping to allow the foot to move in a natural way but prevent excessive supination (rolling outwards) which is ...the movement commonly associated with an ankle injury. The British Journal of Sports Medicine @bjsm_bmj published a study showing that bracing was more effective than neuromuscular training to prevent lateral ankle sprains reoccurring, however we would suggest both effective rehabilitation and orthotic management for a patient looking to return to full function. When bracing its important to have the correct size fit with no excess space around the heel, and the figure-8 straps to be done firmly. We suggest tightening the pronatory strap last and doing this very firm to prevent as much supination as possible. Footwear is also important to allow the brace to work well and good lace up shoes provide the most support to the brace and allow for a more comfortable fit. www.orthoticsplus.com.au #Orthotics #orthotist #melbourneorthotist #malvern #heidelberg #melbourne #melbournelockdown #anklesprain #lateralanklesprain #anklepain #ankleinstability #anklebrace #anklesupport #anklerehab #footandankle #sportsmedicine #sportsinjury #injuryprevention #injurypreventionforrunners #rolledankle #anklestability #aso #formfitanklebraces #ossur #physiotherapist #physiotherapy #neuromusculartherapy #podiatrist #podiatry #orthosis
16.01.2022 How do foot orthotics work? The human foot is made up of 26 bones, 33 joints and over 100 tendons, ligaments and muscles. This structure is remarkable in its function, however things do go wrong. The result may be acute pain, inefficient biomechanics, stress injuries, chronic issues or bad posture of the foot leading to ankle, knee, hip and back pain amongst other problems. If we provide support and correction to the foot, we can address many issues by protecting or redu...cing load on the stressed tissues. By supporting the bony structures of the foot we can offload tired overworked muscles and encourage the activation of other muscles which may not be as active due to the malalignment. Foot orthotics will not magically heal your issue, only your body can do that, but we will encourage an environment which will make this possible. Most patients do notice immediate pain relief when wearing their foot orthotics. Everything is connected! For example, a flat foot which overly pronates (rolls inwards) may suffer from aching arches and lateral (outside) ankle impingements locally, but the flow on effect internally rotates the tibia, causes the knees to dip inwards (valgus malalignment) and the pelvis to drop. The gluteal muscles are then required to work harder to prevent internal rotation and adduction at the femur which could aggravate lower back pain. Some patients with knee osteoarthritis find foot orthotics and suitable footwear will reduce some pain in their knees as the ground reaction force is shifted to the less damaged region of their knee. Foot orthotics are best used in conjunction with suitable footwear, which your orthotist can advise you on. Foot orthotics can be custom made or pre-fabricated. The most suitable device will depend on your condition. Call us on (03) 9077 6414 to book a consultation at either our Malvern or Heidelberg clinic, or check out our website to view our complete guide to foot orthotics! www.orthoticsplus.com.au/complete-guide-to-foot-orthotics #orthotist #orthotics #melbourneorthotist #footorthotics #custommade #customorthotics #orthopaedic #podiatrist #podiatry #physiotherapy #malvern #heidelberg #melbourne #footpain #kneepain #anklepain #sorefeet #osteoarthritis #shinsplints #stressfracture #flatfeet #rheumatoidarthritis #plantarfasciitis #diabeticulcer #achillestendonitis #backpain #soreback #metatarsalgia #higharches #sportsinjury
16.01.2022 Paul suffered a stroke 2 years ago, which left him with right-sided hemiplegia. He presented to us with medial-lateral ankle instability, foot drop and non-symmetrical gait. Our Senior Orthotist, Lynne, trialled him with a Bioness FES device (refer to the ON video ) and was able to achieve a much faster and more confident gait with heel strike, no slap, no ankle instability and reduced asymmetry - a very good outcome! Whilst it may not look like much to the untra...ined eye, notice in the video where the device has been turned OFF, how Pauls right foot is wobbly when he strikes the ground. With continued use of the FES device, Paul will experience increased muscle lengthening and strengthening, decreased energy expenditure and more confidence. His FES program can be adjusted to his gait at his reviews. For more info on FES devices, check out our Complete Guide to Functional Electrical Stimulation via the link below. https://orthoticsplus.com.au/functional-electrical-stimulat #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #fes #functionalelectrictalstimulation #footdrop #footslap #stroke #strokerehab #strokerecovery #instability #bioness #ottobock #ankleinstability #footandankle #orthoses #neuromuscular #ndis #ndisprovider #PhysicalTherapy #physiotherapist #exercisephysiologist #myotherapist #braininjury #multiplesclerosis #cerebralpalsy #spinalcordinjury
16.01.2022 Happy Rosh Hashanah! Shanah Tova from all of us at Orthotics Plus
15.01.2022 Looking for a custom solution to protect your knee? The CTi Custom is the only ligament knee brace that captures the tibia, locking down securely on the tibial crest. The rigid upper and lower arms combine with the hinges, condyle pads and straps to anatomically align the knee joint and provide an accurately-tracking exoskeletal support. This makes it ideal for any sport that puts massive physical demands on equipment or players such as: Motocross Supercross... BMX Mountain biking Snowboarding Skiing Wakeboarding Surfing The cool thing about the CTi Customis that it can be made to suit you and reflect your personal style. The CTi Custom is hand-crafted to your exact leg size and shape. Our senior orthotists will take 3D scans, photograph and measure your leg so that a custom size frame can be manufactured and then fitted. There is also the option to have custom paint jobs on the CTi Custom, varying from changing the colour to fully personalised designs (custom colours are an extra cost). If youre interested in a CTi Custom knee brace, please call (03) 9077 6414 to arrange a consultation with one of our senior orthotists for when Stage 4 lockdown is over. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #kneebrace #CTi #CTicustom #proteCTion #kneeprotection #orthopaedic #custommade #customkneebrace #ossur #injuryprevention #motocross #mountainbiking #supercross #bmx #surfing #wakeboarding #skiing #snowboarding #sportsinjury #sportsmedicine #physiotherapy #sportsdoctor
15.01.2022 Wondering how this cast works? The FlexiOH is a liquid polymer inside a silicone rubber matrix. The light device seen in the video is a high intensity portable blue light which rapidly cures the FlexiOH making the internal structure rigid, whilst the external structure remains cushioned and soft against the skin. This whole process takes about 3-10 min. The perforated design allows for skin ventilation, reducing cast itchiness and preventing skin infections. It’s also l...ightweight, waterproof and washable making it a good option for summer. The zip/button/strap system of these casts make for easy application. After the course of the therapy, FlexiOH can be removed without use of a cast cutter or spreader. Which makes these a good option for kids who might be a bit nervous to have a cast cut off. At Orthotics Plus we specialise in fracture management of the upper and lower limbs. To book an appointment at our Heidelberg or Malvern clinics call (03) 9077 6414. www.orthoticsplus.com.au
15.01.2022 Looking for a custom solution to knee instability? The CTi Customs rigid carbon-fibre frame provides optimal protection and stabilisation of the knee joint. It is an excellent bracing option for knee conditions that may benefit from increased AP and ML stability around the knee, such as ACL, MCL, LCL, PCL, rotary and combined instabilities. The CTi Custom is the only ligament knee brace that captures the tibia, locking down securely on the tibial crest. The rigid up...per and lower arms combine with the hinges, condyle pads and straps to anatomically align the knee joint and provide an accurately-tracking exoskeletal support. This makes it ideal for any sport that puts massive physical demands on equipment or players. It is also ideal for water sports! The CTi Custom is hand-crafted to the patients exact leg size and shape. Our senior orthotists will take 3D scans, photograph and measure the patients leg so that a custom size frame can be manufactured and then fitted. There is also the option to have custom paint jobs on the CTi Custom, varying from changing the colour to fully personalied designs (custom colours are an extra cost). Swipe If youre interested in a CTi Custom knee brace, please call (03) 9077 6414 to arrange a consultation with one of our senior orthotists for when Stage 4 lockdown is over. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #kneebrace #CTi #CTicustom #kneeinjury #kneepain #acl #pcl #mcl #lcl #orthopaedic #custommade #customkneebrace #ossur #ligamentinjury #injuryprevention #motocross #mountainbiking #supercross #surfing #wakeboarding #skiing #snowboarding #sportsinjury #sportsmedicine
15.01.2022 Happy Birthday Kate!!! You are the heart and soul of Orthotics Plus, always smiling, always hilarious, and always looking out for everyone. We hope you have a wonderful day!
15.01.2022 Some helpful definitions for all the Functional Electrical Stimulation (FES) jargon.
14.01.2022 Diabetic foot ulcers are a common condition, occurring in approximately 15% of people with diabetes. There are 1.7million people with diabetes in Australia, so thats about 255,000 individuals who will experience a diabetic foot ulcer (rates of diabetes are increasing, so this number may end up higher!) Diabetic foot ulcers have lengthy healing times and a high rate of reoccurrence that may lead to lower limb amputation. Therefore, prevention and early treatment of ini...tial ulceration is imperative. Orthotists are the only allied health professionals qualified to provide a full range of lower limb orthoses for people with diabetic foot ulcers. In our arsenal we have total contact casting (TCC), CROWs, special offloading CAM walkers, custom foot orthotics and specialised footwear. This case required a non-removable TCC. (SWIPE ) 2 months after initial treatment the wound had healed enough so we transitioned the patient to a more functional device and then to custom foot orthotics with orthopaedic footwear. If managed poorly amputation was a very real possibility for this patient. Our diabetic ulcer patients are managed in collaboration with a GP and podiatrist to manage debridement, nail care and to monitor any infections. For referrers seeking more information, please contact us on (03) 9077 6414 or email [email protected] www.orthoticsplus.com.au #NDW2020 #80reasonstocelebrate #diabetes #diabeticfoot #diabeticfootdisease #diabetic #footulcer #ulcer #footpain #diabetesawareness #nationaldiabetesweek #diabeticmanagement #orthotist #melbourneorthotist #orthotics #malvern #heidelberg #melbourne #podiatry #podiatrist #GP #sorefeet #customfootorthotics #customfootwear #customshoes #CROW #totalcontactcast #TCC #moonboot #cast #CAMwalker
14.01.2022 Compression stocking therapy is a proven medical treatment for venous disorders like DVT, varicose veins and leg ulcers. These stockings can help to relieve pain and swelling and improve mobility. However, the right style and fit is vitally important to these treatments being successful. At Orthotics Plus we measure and fit Venosan compression stockings. These are manufactured in Switzerland and are medical grade. There are different classes/levels of compression that rang...e from: ( ) Moderate varicose veins/swelling Post-op swelling Varicose veins during pregnancy ( ) Standard medical grade compression Deep vein thrombosis Severe oedema/venous ulcer Severe varicose veins ( ) Severe lymphedema Pronounced oedema Chronic venous insufficiency Severe leg ulcers Compression stockings can be open or closed toe, above knee or below knee, pantyhose or chaps. There are also a variety of colours available. Custom made compression garments may also be appropriate for unusual shaped limbs. Included in the cost of your compression garment with us, is a personalised fitting appointment with a trained Orthotist to ensure you get the most out of your compression stocking. To make an appointment at either our Malvern or Heidelberg clinics, call (03) 9077 6414 or book online at www.orthoticsplus.com.au
13.01.2022 What was missed?! On occasion, Orthotics Plus will intervene in cases of Lisfranc/midfoot fractures. These can be misdiagnosed as a severe ankle sprain, mismanaged or even just missed. If a Lisfranc injury is not treated appropriately, damage can occur to the cartilage. This then increases stress on joints of the midfoot, resulting in severe flat foot and midfoot arthritis without resolution. Not a great patient outcome! Lisfranc injuries occur when the bones of the m...idfoot are separated from the bones of the forefoot (metatarsals), particularly around the 1st and 2nd metatarsals. This injury can range from simple to complex, depending on how many joints of the foot are involved. This 31 year old patient fell on her right foot whilst playing badminton. She presented to her local doctor 5 days post injury, however a standard X-ray showed no fracture. She was then referred to us for a CAM walker for pain relief. The patient presented to us with pain, moderate swelling, some plantar bruising and difficulty weight-bearing. When taking into consideration the mechanism of injury (extreme plantar flexion under axial load) and presentation of symptoms, we suggested a Lisfranc injury needed to be considered and recommended that she seek an orthopaedic opinion for further management. After a weight-bearing CT and x-ray showed widening at the Lisfranc complex, the patient underwent surgical fixation and was advised to be non weight-bearing for 6 weeks. 6 weeks post-op, we then fitted her with an Aircast boot in which she was able to weight-bear for another 6 weeks. At 12 weeks post-op we transitioned her to appropriate shoes and foot orthotics, and at 6 months her metalware was removed. www.orthoticsplus.com.au
13.01.2022 STAGE 4 UPDATE As of 3 August 2020, Orthotics Plus Malvern & Heidelberg remain open as an essential medical service Monday-Friday, 9am-4:30pm. You are permitted to seek medical care even if you live more than 5km away. Booking an appointment is encouraged so that your booking confirmation can be used as proof of travel. ... To book, please call (03) 9077 6414 or visit www.orthoticsplus.com.au to book online. Our thoughts are with those who are affected by the Stage 3 & 4 Lockdowns. #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #essentialservices #stage4 #footpain #sorefeet #kneepain #osteoarthritis #rheumatoidarthritis #bunions #diabeticfoot #brokenarm #brokenleg #fiberglasscast #moonboot #podiatry #podiatrist #orthopaedic #anklepain #achillestendonitis #shinsplints #backpain #legbrace #physiotherapist #ndis #comfortableshoes @ Orthotics Plus
13.01.2022 ACL CONSERVATIVE MANAGEMENT At Orthotics Plus we work with multiple Orthopaedic knee specialists, Sports Doctors and Physiotherapists to provide conservative management for ACL injuries. ACL surgery is considered on the basis of age, level of instability and lifestyle/level of activity (and Covid-19 elective surgery restrictions!)... Surgery can be avoided by ensuring strong surrounding musculature around the knee joint, however if the patient does not maintain their strength, the instability and pain will return. Symptoms would include pain, swelling and instability - a feeling of the knee giving way. The degree of injury can be measured with knee laxity tests or confirmed with MRI. Mild instability can be managed with a soft sleeve hinged knee brace for media/lateral stability and proprioceptive feedback. Greater instability including rotational instability requires a rigid frame Knee Control Orthosis (KCO) which can stabilise medio-lateral instability and rotational instability by nature of its frame design, for example, the ssur CTi or Flex. In some extreme sports such as motocross, riders will wear KCOs such as CTis for prophylactic ACL management or to protect an old ACL injury. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #acl #aclinjury #aclrehab #aclrecovery #aclsurgery #aclconservativetreatment #acltear #sportsinjury #sportsmedicine #orthopaedic #kneespecialist #kneebrace #aclbrace #ctikneebrace #romkneebrace #ossur #bauerfeind #KCO #anteriorcruciateligament #kneesurgery #nonsurgicaltreatment #conservativemanagement #physiotherapy #physiotherapist
13.01.2022 Tools are down for the AFL Grand Final long weekend. We will be back in full swing on Monday 26 October and with a return to our regular hours! Monday-Friday, 8:30am-5:30pm. Until then, CARN THE CATTAS!! (Also, GO TIGES!! We’re a mixed fan base here at Orthotics Plus either way it’s going to be a tense few days ahead for some of us! ) www.orthoticsplus.com.au
13.01.2022 Orthotics Plus provides prefabricated and custom made AFO devices. The AFO Light by Össur is a super lightweight carbon fibre posterior leaf spring style Ankle Foot Orthosis. We find patients love the ‘barely there’ weight of the device and the amount of lift it generates at the ankle, great for fairly simple presentations of Foot Drop and when the patient wants something minimalist! We will add a custom foot orthotic on top for additional comfort and control and th...en balance the contralateral limb to maintain gait symmetry. www.orthoticsplus.com.au
12.01.2022 Charcot foot is a serious complication that can develop as a result of peripheral neuropathy (nerve dysfunction) and decreased circulation. It is commonly seen in those with Diabetes Mellitus. Over time, elevated blood sugar levels may cause the tissues of the body to become stiff (glycation). This includes muscles, tendons, nerves and blood vessels in the foot and ankle and even the lower leg. This combined with a reduced blood supply, which prevents healing, means the... foot is unable to maintain its normal structure, and the small bones of the foot collapse and fracture. The loss of protective sensation due to Peripheral Neuropathy means the patient may continue to walk not knowing their feet are experiencing damage. If the fractures and injury go unnoticed and are not correctly treated, severe deformity and disability can occur. The hallmark deformity associated with this condition is a rocker-bottom appearance of the foot caused by mid-foot collapse. A deformed foot is at high risk of ulceration due to high pressure areas. This can lead to breakdown, infection and even amputation. Early diagnosis of Charcot foot is extremely important. It’s imperative that diabetic patients take preventative measures and seek immediate care if the following signs or symptoms of Charcot foot are present: Foot is warm to touch Redness Swelling Pain or discomfort (may not always be present) For patients with a Charcot foot, there are several phases of pathology which require different treatments. These include: Total Contact Cast (TCC) CROW (Charcot Restraint Orthotic Walker) Custom made footwear or extra width/depth footwear Custom made foot orthoses Correct management of an active Charcot foot will allow the foot to maintain its shape, structure and function. To determine the most appropriate treatment for you, we recommend booking an initial consultation with one of our senior orthotists at Malvern or Heidelberg to discuss your concerns in more detail. Call (03) 9077 6414 or visit www.orthoticsplus.com.au to book.
12.01.2022 Orthotics Plus Malvern is now open Saturdays from 10am-1pm! Both our Malvern and Heidelberg clinics are also open Monday-Friday 8:30am-5:30pm. Find us at: ... Shop 1/148-150 Wattletree Road, Malvern. Level 2, Cape Vue Building, 68 Cape St, Heidelberg. We specialise in orthotic management of: Foot and ankle conditions Fracture management of both the upper and lower limbs Diabetic foot management Neuromuscular Conditions (complex and simple) Spinal-acute and post-operative We also treat knees, upper limbs, osteoarthritis and vascular conditions + more! NDIS Provider. No referral necessary. Call (03) 9077 6414 to book, or book online at www.orthoticsplus.com.au
12.01.2022 Conservative Management of Ankle Osteo-Arthritis (OA) Ankle arthritis can significantly reduce quality of life when walking becomes painful and activities of daily life are affected by ankle pain. The joint of the ankle is a hinge in 2 parts - between the tibia, fibula and talus and further down the chain, the talus and the calcaneus. There are multiple articular surfaces within the ankle joint and ankle arthritis can be in either section of the hinge, both sections or ...focal to an area within the ankle joint complex. Osteo-Arthritis can be the result of a post traumatic change in ankle alignment or damage to the chondral surfaces, it may be wear and tear due to overuse or compensation for another injury or it could be related to postural alignment where a person has a pronation or supination of the ankle that causes uneven distribution of forces through the ankle. Before surgery is considered, it is worth trying conservative management of the ankle joint. There are levels of orthotic management that can relieve OA pain significantly, waylaying the need for surgery. Least intrusive would be appropriate, well-structured footwear with a rocker sole. There are brands of shoes and runners on the market that have these features built in. Good runners will often help with ankle and foot OA. More designs of casual shoes with these features are available now than ever before. Ankle stabilising braces will restrict ankle ROM down to a level that can be sufficient to control ankle OA pain. Foot orthotics can help with re-alignment of the structures of the foot which can offload the area affected by OA to produce a great pain free outcome. An Ankle Foot Orthosis (AFO) is often described as an ankle fusion without the surgery and is sometimes used to trial the concept of an ankle fusion and how it would affect gait by walking with a locked ankle. Although more cumbersome than the restrictive orthoses, an immobilising orthosis can be taken off at the end of the day! The outcome for many is significant pain relief and putting off the time required for post-operative rehabilitation. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #melbourne #ankle #osteoarthritis #ankleosteoarthritis #anklearthritis #arthritis #anklepain #anklemobility #anklerehab #nonsurgical #footandanklesurgery #footandankle #footandanklesurgeon #anklefusion #afo #anklefootorthosis #orthopaedic #podiatrist #podiatry #physiotherapy #osteo #aopa #oa #orthopaedicshoes
12.01.2022 Our Director and Senior Orthotist, Kate Perlstein in action at our Heidelberg clinic! www.orthoticsplus.com.au #orthotist #orthotics #heidelberg #malvern #melbourne #kneebrace #soreknee #osteoarthritis #arthritis #footpain #sorefeet #anklepain #hippain #backpain #shinsplints #brace #bracing #podiatrist #podiatry #physiotherapy #neuromuscular #spinal #ndis #ndisprovider #fibreglasscast #orthopaedic #physiotherapist #sportsdoctor #sportsinjury #camwalker
12.01.2022 At Orthotics Plus our orthotists are specially trained to fabricate a variety of customised footwear modifications on site to help treat a range of conditions by accommodating, correcting, reducing pain and overall improving a patient’s mobility. Aside from resoling, other such modifications might include: Heel and Sole raises to accommodate a leg length discrepancy.... A Rocker Bottom Sole to ensure a smoother roll over, especially for patients who have a locked ankle, Hallux Rigidus, diabetic foot or who have been fitted with a rigid AFO. Rockers can also reduce forefoot pressure. Carbon Fibre Plates to stiffen the sole of the shoe and prevent toe extension, i.e. in patients with great toe fusion, injury or great toe osteoarthritis. Floats to provide lateral stability. All these options can be discussed at your initial consultation. To book an appointment at either our Malvern or Heidelberg clinics, call (03) 9077 6414 or visit www.orthoticsplus.com.au to book online.
12.01.2022 FES System Comparison - A Clinician’s Perspective Orthotics Plus’ senior orthotists have reviewed the currently available Functional Electrical Stimulation (FES) lower-limb gait devices in Australia. This is to assist in your research and decision-making. Our opinions and findings are not meant to be a replacement for a consultation and assessment. There are aspects of every individual presentation that will always require professional consultation.... FES uses electrical impulses to stimulate nerves to cause a muscular contraction. In a foot drop device, it focuses on the muscles to lift the foot (dorsi-flexors) and the muscles that turn the foot out (evertors) to create a natural walking pattern. Aside from the technology replacing the traditional static Ankle Foot Orthosis (AFO), the other benefits include strengthening and lengthening of disused and contracted muscles, improved blood flow, improved proprioception, improved gait symmetry and reduced energy expenditure. It also means not having to wear shoes all the time as you have to with a traditional AFO. Device cost aligns to options of fine-tuning for specific individual requirements. The lower cost FES units are single channel and have limited options in adjustable settings. The higher end units provide more options for balancing strength of stimulation to different muscle groups. The most expensive offers multi-channel electrodes and detecting the position of the limb in space with gyroscopic technology. For more info, check out Our Complete Guide to FES: https://orthoticsplus.com.au/functional-electrical-stimula/
11.01.2022 Did you know that Orthotics Plus regularly provides treatment for upper limb fractures? Wrist Hand Orthoses (WHO) are commonly used to treat wrist fractures, scaphoid fractures or midshaft radius/ulna fractures. They can be fabricated to immobilise the wrist or both the wrist and thumb. WHO can either be custom made from a low temperature plastic or a high temperature plastic. A low temperature plastic WHO can be moulded directly onto the skin and finished on site usin...g velcro straps. A high temperature plastic is a stronger material which requires moulding over a plaster cast. If a high temperature WHO is required, a plaster cast must be taken and the orthosis fabricated overnight. At Orthotics Plus we also use pre-fabricated WHO if there is a simple ligamentous injury which doesnt require complete contouring to the shape of the limb. To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail.
11.01.2022 De Quervain’s Tenosynovitis is a painful condition affecting the tendons along the thumb side of the wrist (Abductor Pollicis Longus and Extensor Pollicis Brevis). Symptoms can include pain and swelling near the base of the thumb and difficulty moving and gripping whilst using your thumb and wrist. Since this is an overuse injury, repeated movements of the wrist and thumb will worsen the symptoms. A great conservative treatment option is a custom made or off the shelf Wr...ist Hand Orthosis (WHO) to immobilise all wrist and thumb movements. This will reduce movement and pain levels. To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail. www.orthoticsplus.com.au
11.01.2022 It’s World Cerebral Palsy Day! Orthotics Plus work alongside medical and allied health professionals to support people living with Cerebral Palsy by assessing, manufacturing and fitting appropriate orthoses to meet the individual’s unique needs and personal goals. All our clinicians are highly trained and highly experienced with a minimum of 10 years active work under their belt. Cerebral Palsy (or CP) is a neurological condition generally affecting body movement and m...uscle coordination. It is caused by a non-progressive brain injury or malformation either before, during or right after birth. There are approximately 34,000 Australians living with Cerebral Palsy, and it is the most common physical disability in childhood. At Orthotics Plus, we can see all CP patients requiring help with: Ankle Foot Orthoses (AFOs) for gait issues resulting from foot-drop, spasticity or leg muscle weakness. KAFOs (Knee Ankle Foot Orthosis) for gait issues resulting from lower limb weakness, spasticity or abnormality involving the ankle and the knee. Functional electrical stimulation (FES) devices for the lower limb (devices which stimulate the muscles to prevent foot drop during walking). Functional electrical stimulation devices for the upper limb (devices which stimulate the upper limb muscles to assist with rehabilitation and prevent muscle strength being lost). Contracture management devices. Custom Foot Orthotics & custom shoes. Compression garments. Pressure relieving devices. Postural supports. Muscular weakness of the lower limb. Muscular weakness of the upper limb. Spasticity Gait instability Orthotic devices for the body. We are a registered NDIS provider (4050043469) and take great pride in giving our NDIS participants the one to one time, care and attention they deserve. To find out if we can be of assistance to either yourself, a loved one or an NDIS participant please call (03) 9077 6414. www.orthoticsplys.com.au
10.01.2022 The scaphoid is one of the small bones in the wrist, positioned on the thumb side. It is the most commonly fractured carpal bone, accounting for 70-80% of all carpal bone injuries, and 8% of all sports related fractures. A scaphoid fracture is usually caused by falling on an outstretched hand with the weight going through the palm. Patients present with wrist pain (particularly over the anatomic snuff box ), swelling and often with limited motion. Approximately 10-20% ...of scaphoid fractures don’t show up on plain x-rays, so a Magnetic Resonance Imaging (MRI) is required. The major complication of scaphoid fractures is non-union or mal-union which can lead to instability and secondary osteoarthritic change. Proximal, oblique or distal fractures may be more susceptible to non-union due to poor vascularity, with non-union occurring in 5-15% of cases. Generally, stable (undisplaced or minimally displaced) scaphoid fractures are conservatively managed by immobilisation of the wrist in a below elbow fibreglass cast or custom moulded plastic wrist hand orthosis for up to 12 weeks depending on the location of the fracture. It is important to start immobilisation early, as the risk of non-union increases the longer immobilisation is delayed. To determine the most appropriate treatment for you, we recommend booking an initial consultation to discuss your concerns in more detail. www.orthoticsplus.com.au
10.01.2022 At Orthotics Plus we work with multiple Orthopaedic surgeons who specialise in knees. Sometimes patients who are having knee surgery require bracing pre or post-operatively. There are generally two different types of pre-/post-operative knee braces: Range of motion knee brace... Locked knee brace Your knee specialist will specify which brace is required and the range of motion allowed. The braces we generally use are the GII Hinged Knee Brace , Formfit Hinged Knee Brace and the Zimmer Knee Immobiliser. These are pre-made braces, which need to be customised/shaped to correctly fit the contours of your knee. If this doesn’t occur the knee brace will not be comfortable and will not control the knee correctly. We do have access to many different knee braces which we can order if a different or custom made brace is required. To book an appointment at either our Malvern or Heidelberg clinics, please call (03) 9077 6417 or book online at www.orthoticsplus.com.au
09.01.2022 Tibial Plateau Fracture Orthotic Management: Tibial plateau fractures are often caused by a side impact, seen in pedestrianvs. car accidentsor when your excited 30+kg puppy runs into your legs They can be very significant injuries, often involving the knee joint which can have more serious implications in the long term and would require surgery.... The tibial plateau is one of the major load bearing surfaces of the body. The large surface of the top of the tibia makes up the base of the knee joint. A small fracture to the medial or lateral aspect of the tibial plateau can heal without surgery, however high energy injuries will often result in the stability of the tibial plateau being compromised with the cartilage and soft tissue structures of the knee joint damaged. Surgery will most likely be required for these injuries. A small, non-displaced tibial plateau fracture can be managed with a Range of Motion knee brace. Also a ROM knee brace may be introduced post operatively for rehabilitation and recovery. A brace instead of a cast has the benefits of being removable for wound reviews and hygiene. Also, the Range of Motion knee brace has a hinge design that can be locked in one position, limited to a controlled range of movement that can be increased over time or allowed to move through the full range of knee movement. Generally for tibial plateau fractures, the brace will be locked with the knee fully extended for several weeks. Then under the direction of your surgeon and supervision of your physiotherapist the range of motion along with exercises and weight bearing will be gradually re-introduced. www.orthoticsplus.com.au #orthotics #orthotist #melbourneorthotist #malvern #heidelberg #melbourne #tibialplateaufracture #fracturedknee #brokenknee #kneefracture #romkneebrace #rangeofmotionkneebrace #kneebrace #fracture #fracturemanagement #tibialfracture #orthopaedic #orthopaedicsurgery #physio #physiotherapy #physicaltherapy #orthosis #orthoticmanagement #ossur #aopa #orthoticsandprosthetics
09.01.2022 Orthotics Plus remains open as an essential service. However, moving forwards, our new opening hours will be Mon-Fri, 9am - 4.30pm as we try to balance providing the best service to our patients and the ongoing restrictions. To book an appointment call (03) 9077 6414 or tap the link in our bio. Mask up and stay safe everyone!
09.01.2022 Our complete guide to Functional Electrical Stimulation (FES) is now live! FES is a modern solution to foot drop and upper limb weakness. https://orthoticsplus.com.au/functional-electrical-stimulat
08.01.2022 How much better does that look?! Mary suffered a stroke in 2011 which resulted in right-sided hemiplegia. She presented to us with right foot drop with audible foot slap, stiff knee gait, hip hiking and circumduction during gait. She was also uncomfortable walking without an assistive device or rail. ... Our Senior Orthotist, Lynne fitted Mary with a Functional Electrical Stimulation (FES) device (this one is the Bioness L300-GO) with very good outcomes. Whilst wearing the FES, Mary was able to walk with heel strike, decreased circumduction, some knee flexion and few gait deviations. There was also a significant increase in her walking speed (approximately 60% faster!) She also reported significantly less energy expenditure when wearing the FES device and is more comfortable to walk without assistance or rail. Together with her physiotherapist at Klint Intensive Neuro Therapies , we are continuing to review Mary, and are pleased to report that several months on she is making great progress with stamina and different terrains. Awesome work Mary! For more info on FES devices including how to arrange a trial, check out our Complete Guide to Functional Electrical Stimulation via the link below. https://orthoticsplus.com.au/functional-electrical-stimulat Thanks Mary for allowing us to use your footage. #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #fes #functionalelectrictalstimulation #footdrop #footslap #stroke #strokerehab #strokerecovery #strokeweek2020 #strokeawareness #Nationalstrokeweek #bioness #ottobock #orthoses #neuromuscular #ndis #ndisprovider #PhysicalTherapy #physiotherapist #exercisephysiologist #myotherapist #braininjury #multiplesclerosis #cerebralpalsy #spinalcordinjury
08.01.2022 Painful bunions are more common in women than they are in men, but they do occur for reasons other than wearing high-heeled shoes! Mostly, bunions are hereditary. Poor footwear can exacerbate the bunion prone foot to create painful, inflamed bunions. The term bunion mostly refers to the 1st Metatarsal Phalangeal Joint (MTPJ), but the 5th MTPJ can also develop a bunionette or Tailors Bunion. The Great Toe or Hallux shifting its alignment such that the 1st metatars...al abducts away from the midline of the foot is referred to Hallux Abducto Valgus (HAV) or Hallux Valgus. Foot structures that are low or flat in the arch, or pronated through the ankle and midfoot, are more likely to develop HAV. In severe cases, surgery is recommended for pain relief. Surgery will change the foot structure to relieve pressure, but often choices about appropriate footwear are still required after surgery. Conservative management of bunions can provide excellent pain management without the hospital stay and 6 weeks off your feet plus the risks of wound infection. Custom foot orthotics are designed to take some of the load of the body off the 1st MTPJ to relieve pain. Depth/width footwear that will accommodate the foot orthotics and allow the toes to sit without pressure or restriction are simple ways to relieve bunion pain. Runners are the most easily accessible and generally accepted footwear that is appropriate for relieving pressure on bunions, but fortunately there is a growing range of nicer shoe options that will allow for orthotics and good foot posture. There are some silicon products that help with sheering and rubbing over bunions that can be very helpful such as toe spacers, bunions shields or gel pads. But the jury is out on night splints generally they help reduce pain when worn at night time, but they cannot be used inside a shoe and the general view is that they do not provide a long term solution. Your Orthotist can advise you on the most appropriate foot orthotic design for your bunions and help with footwear options. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #podiatry #podiatrist #customorthotics #orthoses #orthopaedic #bunions #halluxvalgus #halluxabductovalgus #bunionsurgery #bunion #bunionsurgeryrecovery #buniontreatment #footpain #toepain #sorefeet #bunioncorrector #splint #toesplint #footorthotics #bunionshield #comfyshoes #shoelover #orthoticshoes #physicaltherapy
07.01.2022 Fathers Day Gift Idea: An appointment with an Orthotist. What can an Orthotist do that will genuinely be helpful to and appreciated by Dad? 1Help assess and fix any pains, conditions or injuries with his feet, ankles, knees, hips, back, wrist... Think osteoarthritis, rheumatoid arthritis, plantar fasciitis, flat feet, bunions, foot drop/stroke, instabilities , deformities, sporting injuries, posture, mobility...... 2Help him to feel more comfortable and less tired throughout the day. 3Optimise the way he moves and performs in physical activities. To book your Dad in to see one our senior orthotists at Malvern or Heidelberg, call (03) 9077 6414 or book online at www.orthoticsplus.com.au Due to current restrictions, appointments will need to be made post lockdown (Monday 14 September is the expectation) unless urgent. #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #fathersday #fathersdaygift #fathersdaygiftideas #fathersdaymelbourne #fathersdayinlockdown #footpain #kneepain #backpain #arthritisrelief #osteoarthritis #flatfeet #footdrop #physiotherapy #podiatry #kneebrace #orthoses #footorthotics #plantarfasciitis #bunions #sportsinjury #footandankle #orthopaedic #mobility #giftidea
06.01.2022 How much better does this look?! Knee Ankle Foot Orthoses (KAFOs) are orthoses that encompass (yes, you guessed it!) the knee, ankle and joints of the feet. They are commonly prescribed to people that have muscle deficiencies which result in the inability to the keep the leg stable whilst standing. In the absence of a KAFO, an inefficient and unsafe walking pattern can ensue- or the patient may not be able to walk at all. Different styles and variations of KAFO...s include: Free-swinging (knee is unrestricted) Locked (knee is always locked) Stance control (locked when weight is put through the orthosis and unrestricted when the affected leg is swinging) Stance and swing control (leg is controlled when weight is put through the orthosis and also when the affected leg swings through) Historically the most commonly prescribed KAFOs were locked and free-swinging. This was in part due to a lack of technology available and funding limitations. Whilst they have their benefits, they are a far cry from producing a natural and safe walking pattern. In order to produce the safest and most functional walking pattern, a stance and swing control orthosis, such as the C-Brace, needs to be considered. The C-Brace has a computer controlled knee joint that can allow the user to move in a more natural way on all terrains (flat surfaces, uneven terrain and stairs and ramps). Importantly, it controls the leg when you put weight through it, but allows it to bend (as opposed to keeping it locked straight) so helps to preserve the joints in your body and allow more natural movement. It is for this reason, it has become the gold standard in KAFO management. If you think a device like this could be a great solution for you or someone you know, feel free to contact us for an assessment and, if it is clinically appropriate, we would be more than happy to facilitate a trial. www.orthoticsplus.com.au #orthotist #orthotics #melbounreorthotist #malvern #heidelberg #melbourne #KAFO #kneeanklefootorthotics #neuromuscular #neurological #stroke #spinabifida #spinalcordinjury #MS #multiplesclerosis #polio #cebrebralpalsy #musculardystrophy #cva #legbrace #cbrace #ottobock #physiotherapy #physiotherapist #neuromusculartherapy #nervedamage #disability #physicaltherapy #ndis #ndisprovider
06.01.2022 Have you met Kate Perlstein, Senior Orthotist and Director of Orthotics Plus? Kate graduated with a Bachelor of Prosthetics and Orthotics from La Trobe University in 2004. After graduating, Kate was immediately offered a one year graduate position at St. Vincents Public Hospital. Throughout this year, Kate was exposed to complex musculoskeletal conditions (particularly Polio) and complex custom made orthotics. This included custom foot orthoses, custom ankle foot o...rthoses and custom made ground reaction ankle foot orthoses. St Vincents Hospital is one of the only Orthotic departments in Australia to use carbon fiber and fiberglass laminates almost exclusively to create their orthoses. In 2005, Kate commenced practicing at the Alfred Hospital . During this time, she was exposed to acute trauma patients (particularly spinal fractures), some of which were life threatening. The Alfred is one of only two hospitals in Melbourne specialising in the fitting of halo-thoracic orthoses for treatment of complex cervical (neck) injuries. The orthotics department was also in charge of the outpatient fracture clinic where she gained significant experience fitting fracture casts and fracture orthoses. In 2008, Kate started work in a private orthotic facility. The primary motivator for a move to private practice was the opportunity for greater exposure to foot and ankle conditions and interaction with Orthopaedic surgeons, Rheumatologists and other referring doctors . Kate also began to develop an understanding of how to run a successful business, which she worked toward and opened her first clinic, Orthotics Plus Malvern in 2012, and then expanding to Orthotics Plus Heidelberg in 2019. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #malvern #heidelberg #melbourne #aopa #stvincentshospital #alfredhospital #LaTrobeUniversity #footpain #anklepain #footandankle #spinal #cervicalspine #polio #neuromuscular #musculoskeletal #customorthotics #customfootorthotics #afo #customafo #footdrop #ndis #ndisprovider #osteoarthritis #rheumatoidarthritis #orthopaedic #fracture #fractureclinic
06.01.2022 We can all be F.A.S.T. Heroes! This National Stroke Week (Aug 31-Sept 6) Stroke Foundation is urging Australians from all walks of life to become the next generation of F.A.S.T. Heroes. A F.A.S.T. hero is anyone who can help save a life simply by knowing how to recognise the F.A.S.T. (Face. Arms. Speech and Time) signs of stroke. ... When a stroke happens, brain cells start dying at a frightening rate of up to 1.9 million per minute, but medical treatments can stop this damage. The message is simple Time is brain. The faster you can be treated after stroke, the more chance you have of making a full recovery. #strokeweek2020 www.orthoticsplus.com.au
06.01.2022 Bioness have 2 models of lower limb FES units currently available in Australia. The L100-GO and the recently released L300-GO. The L100-GO is the simplified model of the Bioness range and as such is cheaper. It is a single channel unit and has an optional footplate for greater refinement of gait. The L300-GO, is arguably the top of the line of all FES units currently available and also carries the highest price tag. It has multi-channel electrode options, does not requi...re a footplate to get finer gait adjustments due to its gyroscopic technology, and has an option (at an additional cost) for a knee stabilising thigh cuff attachment which can be used for quadriceps or hamstrings stimulation. This thigh cuff is functional without the lower leg unit if there is no footdrop presentation. Importantly, it offers the largest range of options for a customised positioning of electrodes and level of stimulus to offer the most flexibility for varying individual anatomies and presentation. We find the Bioness system to be the most responsive unit for people taking sidesteps, walking backwards and performing atypical steps that cheaper units may not be capable of correctly interpreting. This can be an important feature for safety and specific activities. The Bioness system is also able to be controlled by an app on the patient’s phone. Training modes are available with both Bioness devices which can build strength and endurance and improve blood flow in the affected muscle groups when at rest. For more information on FES refer to our previous posts, or check out our Complete Guide to FES: https://orthoticsplus.com.au/functional-electrical-stimula/ If you think FES may be suitable for you or someone you know please call (03) 9077 6414 to arrange an FES consultation at either our Malvern or Heidelberg clinics. Where possible, we would be happy to facilitate a trial.
05.01.2022 Looking for a custom solution to your knee instability? The CTi Customs rigid carbon-fibre frame provides optimal protection and stabilisation of the knee joint. It is an excellent bracing option for knee conditions that may benefit from increased AP and ML stability around the knee, such as ACL, MCL, LCL, PCL, rotary and combined instabilities. The CTi Custom is the only ligament knee brace that captures the tibia, locking down securely on the tibial crest. The rig...id upper and lower arms combine with the hinges, condyle pads and straps to anatomically align the knee joint and provide an accurately-tracking exoskeletal support. This makes it ideal for any sport that puts massive physical demands on equipment or players. It is also ideal for water sports! The CTi Custom is hand-crafted to the patients exact leg size and shape. Our senior orthotists will take 3D scans, photograph and measure your leg so that a custom size frame can be manufactured and then fitted. There is also the option to have custom paint jobs on the CTi Custom, varying from changing the colour to fully personalied designs (custom colours are an extra cost). Swipe If youre interested in a CTi Custom knee brace, please call (03) 9077 6414 to arrange a consultation with one of our senior orthotists. @ Orthotics Plus
05.01.2022 IMPORTANT STAGE 4 UPDATE We appreciate that these restrictions will have a significant impact on our patients and referrers. If you are booking an appointment with us, we would like you to please consider - ... 1Is this booking essential in the next 6 weeks? 2Is this booking required for urgent equipment repair or maintenance? 3Do I have a care plan endorsed by NDIS, TAC, DVA or WorkCover? (Different rules apply for those under these funding bodies). Unfortunately as routine non-urgent care is NOT permitted during Stage 4 restrictions, we kindly ask for bookings to be made after Monday 14 September if non-essential. Please contact reception on (03) 9077 6414 to discuss your booking options. Orthotics Plus Malvern & Heidelberg will remain open Monday-Friday, 9am-4:30pm. Please be aware that those who meet the above criteria ARE permitted to seek medical care even if you live more than 5km away. You may use your confirmation of booking as proof of travel. For the protection of patients and staff, masks are mandatory when attending our clinics. If you are feeling unwell with even the mildest of symptoms or have been in contact with a confirmed or suspected COVID-19 case, we kindly ask that you reschedule your appointment to a later date. We are here to support our patients and their medical needs during this challenging and uncertain time. If you would like to get in touch please call (03) 9077 6414 or email [email protected] We thank you for your cooperation and patience during this time. Kind regards, Kate Perlstein and the Orthotics Plus team www.orthoticsplus.com.au #orthotics #orthotist #melbourneorthotist #malvern #heidelberg #melbourne #ndis #tac #workcover #dva #afo #kafo #fes #neuromuscular #stroke #multiplesclerosis #spinabifida #polio #cerebralpalsy #braininjury #kneepain #footdrop #orthopaedic #podiatry #podiatrist #injury #archsupport #fracture #dhhs #alliedhealth
04.01.2022 An Olecranon Fracture is a fracture of the elbow that can occur as a result of direct impact or when falling on an outstretched arm, where the triceps tendon pulls the olecranon away from the ulna. An Olecranon Fracture can be very painful and make elbow motion difficult or impossible. Depending on severity of the injury and on direction from the referring surgeon, a hinged elbow brace may be required to reintroduce and gradually increase elbow range of motion. ... A ROM brace such as the Innovator X consists of a forearm and upper shell with a joint in between. This joint can be set in various positions depending on the stage of rehabilitation. Other conservative management treatments for an Olecranon Fracture may include a custom moulded backslab or shoulder immobiliser. To determine the most appropriate treatment, we recommend booking an initial consultation with one of our Senior Orthotists to discuss your concerns in more detail. www.orthoticsplus.com.au
04.01.2022 We pride ourselves on a thorough physical assessment of our patients. This patient has a very obvious PCL sag sign, as evidenced by the posterior translation of the tibia. In an acute patient, with the relevant history, this would likely be a sign of a PCL rupture and would indicate management with assistance of an orthopaedic surgeon and potentially an orthosis such as the Össur Rebound PCL brace to reduce strain on the healing PCL. ... In this patient’s case it is due to a PCL which never healed after a traumatic incident. It will be managed via a rigid carbon fibre device to provide more stability long term. The goal is to enable more stable gait with less pain and give the patient greater confidence in the knee.
04.01.2022 Celebrating the end of the year with an Orthotics Plus team dinner at Mr. Miyagi www.orthoticsplus.com.au
03.01.2022 We all know traditional plaster casts aren't summer holiday friendly. No-one likes swimming and showering with a garbage bag on their arm or leg or missing out all together! Luckily at Orthotics Plus we do water-proof casts for upper and lower limbs so you can swim, shower, slip-n-slide or paddle board to your heart’s content. Ask us about our light-weight waterproof fibreglass casts, or the FlexiOH which is both waterproof and breathable.... Appointments still available this week in both Heidelberg and Malvern, so get in quick before we head off on our own holidays! Call us on (03) 9077 6414 or head to www.orthotics plus.com.au to make an appointment.
03.01.2022 Will foot orthotics weaken my feet? No. This is a common myth. When used correctly foot orthotics do not ‘take over’ the role of muscles in your feet, leaving them lazy and ineffective. They correct a biomechanical issue and rebalance and normalise the muscle activity in your feet. Many studies and even a systematic review have found a more normalised muscle activity in patients with a flat foot deformity when using foot orthotics.... When aligned correctly the foot will work more efficiently as the muscles and joints are not at the extreme end range of their possible range of motion. Muscles generally work more efficiently and can produce more strength during the middle of the range of motion of the respective joint they control. Additionally a foot which has a corrected posture will provide a better and efficient structure for human gait during running, walking or sports. Many elite athletes wear foot orthotics and we regularly see athletes to assist with their chosen sports. Curious to know more? Check out our Complete Guide to Foot Orthotics: https://orthoticsplus.com.au/complete-guide-to-foot-orthoti
03.01.2022 Achilles injuries are often associated with sudden bursts of speed or changes in direction when playing sport , but they can also occur under less physical circumstances such as diabetes or use of some steroidal medications. The level or grade of injury will generally fall within 3 grades: Grade 1 a minor tear with pain and some muscle fibre damage but no loss of strength or ROM.... Grade 2 a partial tear causing pain and restricting strength and ROM. Grade 3 a full rupture whereby there is a distance between the ends of the tendon and can be detected with palpation and a visible depression in the region of the rupture and a loss of active plantar flexion. Treatment options depend on age, activity level and the severity of the injury. Younger, more active people are better candidates for surgery and older more sedentary people will often be managed conservatively. The benefit of conservative management being the removal of risks associated with surgery such as wound infection. There is great debate regarding surgical versus conservative management of Achilles injuries. It mostly comes down to the rate of re-rupture in the post injury population. High level athletes will lean toward surgery for the lowest chance of re-rupture, however there is growing support for conservative management as with functional rehabilitation the rates of re-rupture are similar to surgical outcomes. Severity of the rupture will be a deciding factor as with larger gaps between the ends of the tendon, it may be necessary to surgically intervene. Grafting is considered when the distance between the ends of the tendon is greater than 3cm. Conservative management orthoses: Immediate - CAM Walker with internal layered heel wedge usually 3 to 5 cms of removable wedges CAM Walker with ROM ankle 30,20 or 10 degrees settings of plantar flexion After CAM Walker - Internal shoe heel wedges or silicon heel wedges Long term - Custom foot orthotics Your Orthotist can manufacture and fit acute orthoses for Achilles injury management and assist with managing postural alignment of the foot and ankle and selecting appropriate footwear for the longer term. www.orthoticsplus.com.au #orthotist #orthotics #melbourneorthotist #achilles #achillesrupture #achillestendon #achillesrehab #achillesrecovery #footandankle #diabetes #sportsinjury #sportsmedicine #sportsdoctor #legpain #runninginjury #physiotherapist #physiotherapy #orthopaedic #podiatrist #podiatry #osteo #malvern #heidelberg #melbourne #CAMwalker #moonboot #injuryrehab #rehabilitation #injury #injurymanagement
02.01.2022 Who needs a massage?! A big warm welcome to Matthew Bayley, Remedial Massage Therapist and Founder of High Performance Bodywork, who has joined our space here in Heidelberg! Remedial massage plays an important role in injury prevention and training consistency. Matthew is experienced working with athletes, people in chronic pain and people dealing with many different injuries. He will facilitate your recovery through remedial massage treatment backed by educ...ation and passion to research and understand the body. Plus, have you ever had a remedial massage? They’re awesome! Get the best out of your body! High Performance Bodywork are open Monday-Friday, 9am-5pm. Book online: www.hpbodywork.com/book-online P.S Become a High Performance Athlete and win! Each month, High Performance Bodywork will be giving away 3 x 1 hour remedial massages (valued at $70/session) to one lucky athlete, and 10% off your first remedial massage treatment to all unsuccessful entrants*. To enter and for full T&Cs, visit: www.hpbodywork.com/high-performance-plan *T&Cs apply
02.01.2022 It’s World Cerebral Palsy Day! Orthotics Plus work alongside medical and allied health professionals to support people living with Cerebral Palsy by assessing, manufacturing and fitting appropriate orthoses to meet the individual’s unique needs and personal goals. All our clinicians are highly trained and highly experienced with a minimum of 10 years active work under their belt. Cerebral Palsy (or CP) is a neurological condition generally affecting body movement and m...uscle coordination. It is caused by a non-progressive brain injury or malformation either before, during or right after birth. There are approximately 34,000 Australians living with Cerebral Palsy, and it is the most common physical disability in childhood. At Orthotics Plus, we can see all CP patients requiring help with: Ankle Foot Orthoses (AFOs) for gait issues resulting from foot-drop, spasticity or leg muscle weakness. KAFOs (Knee Ankle Foot Orthosis) for gait issues resulting from lower limb weakness, spasticity or abnormality involving the ankle and the knee. Functional electrical stimulation (FES) devices for the lower limb (devices which stimulate the muscles to prevent foot drop during walking). Functional electrical stimulation devices for the upper limb (devices which stimulate the upper limb muscles to assist with rehabilitation and prevent muscle strength being lost). Contracture management devices. Custom Foot Orthotics & custom shoes. Compression garments. Pressure relieving devices. Postural supports. Muscular weakness of the lower limb. Muscular weakness of the upper limb. Spasticity Gait instability Orthotic devices for the body. We are a registered NDIS provider (4050043469) and take great pride in giving our NDIS participants the one to one time, care and attention they deserve. To find out if we can be of assistance to either yourself, a loved one or an NDIS participant please call (03) 9077 6414. www.orthoticsplys.com.au
02.01.2022 COVID-19 Roadmap to Recovery at Orthotics Plus In line with DHHS advice Orthotics Plus may provide some face to face services as metropolitan Melbourne moves into Step 2 of the Roadmap to Recovery. We need to consider if a face to face service will be required to -... 1Prevent a significant change or deterioration in functional independence. 2Essential as part of a broader plan of care with a medical practitioner. 3Required as part of a conservative management approach to avoid or delay elective surgery. 4Required post-operatively to prevent secondary complications or aid functional recovery. Unfortunately routine care is not yet permitted. Please contact reception on (03) 9077 6414 to discuss booking options. You are permitted to seek medical care if you live more than 5km away. Your booking confirmation can be used as proof of travel. For the protection of patients and staff masks are mandatory. If you are feeling unwell with even the mildest of symptoms or have been in contact with a confirmed or suspected COVID-19 case, we kindly ask that you reschedule your appointment to a later date. We are here to support our patients and their medical needs during this challenging and uncertain time. If you would like to get in touch please call (03) 9077 6414 or email [email protected] Warm regards, Kate Perlstein and the Orthotics Plus team
02.01.2022 Who can wear an FES device and how do I know if I am suitable? Functional Electrical Stimulation (FES) devices are suitable for people with muscular weakness, loss of co-ordination or paralysis due to upper motor neurone issues. An upper motor neurone issue is an issue which is limited to the brain or spinal cord. A patient with a lower motor neurone lesion (such as nerve injury in the extremity) is not generally suitable for FES as the pathway the electrical impulse a...ct along is interrupted and can’t conduct the signal regardless of an internal or external generation. Interestingly, even if the nerve is severed beyond the spinal cord but above the site of stimulation the stimulation will generally not work. We require a complete circuit from muscle to spinal cord to complete the stimulation, and the nerve will generally cease to function due to the damage to the structures which provide the cells with the necessary resources for cellular maintenance. At Orthotics Plus we generally use functional electrical stimulation systems for patients with: Foot drop Quadriceps weakness Upper limb weakness Our goals will always align with those of the patient, but most people work with us seeking to function more effectively, gain strength, rehabilitate more effectively and gain independence. For more info, check out our Complete Guide to Functional Electrical Stimulation https://orthoticsplus.com.au/functional-electrical-stimulat
01.01.2022 Look who we found hiding out in the paediatric CAM walker!
01.01.2022 What was missed?! On occasion, Orthotics Plus will intervene in cases of Lisfranc/midfoot fractures. These can be misdiagnosed as a severe ankle sprain, mismanaged or even just missed. If a Lisfranc injury is not treated appropriately, damage can occur to the cartilage. This then increases stress on joints of the midfoot, resulting in severe flat foot and midfoot arthritis without resolution. Not a great patient outcome! Lisfranc injuries occur when the bones of the m...idfoot are separated from the bones of the forefoot (metatarsals), particularly around the 1st and 2nd metatarsals. This injury can range from simple to complex, depending on how many joints of the foot are involved. This 31 year old patient fell on her right foot whilst playing badminton. She presented to her local doctor 5 days post injury, however a standard X-ray showed no fracture. She was then referred to us for a CAM walker for pain relief. The patient presented to us with pain, moderate swelling, some plantar bruising and difficulty weight-bearing. When taking into consideration the mechanism of injury (extreme plantar flexion under axial load) and presentation of symptoms, we suggested a Lisfranc injury needed to be considered and recommended that she seek an orthopaedic opinion for further management. After a weight-bearing CT and x-ray showed widening at the Lisfranc complex, the patient underwent surgical fixation and was advised to be non weight-bearing for 6 weeks. 6 weeks post-op, we then fitted her with an Aircast boot in which she was able to weight-bear for another 6 weeks. At 12 weeks post-op we transitioned her to appropriate shoes and foot orthotics, and at 6 months her metalware was removed. www.orthoticsplus.com.au
01.01.2022 Wishing a very Happy Birthday to our awesome Practice Manager, Allison!! Allison is integral to the daily oversight of our Malvern and Heidelberg clinics and keeps us all in line. We’d be lost without her! We hope you have a wonderful day off in the Yarra Valley, Allison!! www.orthoticsplus.com.au
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