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standing up while casting for orthotics

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Posted

Hi Elaine,

Just read your recent post that you were seated when the AFO was

cast. This just may have something to do with it.

While I do not have AFOs, I do use custom-in-shoe-orthotics, and when

I was originally measured, molds made, etc., Stefan did it all with

me standing. He explained my feet spread out more when I stand.

Someone mentioned you should see the " lead orthotist " . I mean, why

see anyone else BUT the top person to start. That's what I did with

Stefan at Swiss Balance, of course HE was recommended to me by my

Internist, so maybe I had a head start on finding the " right " person.

I will go to great lengths to find the " right person " , be it

orthopedist, neurologist, physical therapist, orthotist, etc.,

because my needs are nothing to scr** around with. I want the best, I

expect the best.

I hope you get your AFO problem worked out soon.

~ Gretchen

~ Gretchen

Posted

Whenever I have been casted for AFOs, I have been seated. I have seen

people stand for orthotics but for AFOs always seated. I don't think

the fiberglass casting material would work if you were standing.

Bob

Posted

I don't know about AFOs but I've been casted for orthotics twice. The first

time I was standing and the second time I was laying on my stomach. Both times

the fit was perfect. The only problems was with what the orthotics were made

from. I have learned that I can only have orthotics made with a cork center and

alot of of cushioning on top of the cork.

Elaina/NY

Posted

Yes - our feet kind of scrunch up when seated, and when standing the

arches tend to flatten and the foot pressure points are different.

This is a process I had to go through with my orthotist, although I do

not know what type of mold they made for you Gretchen and Elaine, but

mine used plaster and then we set about modifying it from there. The

end result was a flattened (slightly) mold around the tendon from big

toe to heal area, and built up on the outside a bit - something that

really did not show in the seated cast. It is still not 100%, but I

think that is because I continue to stretch my heals and feet so that

means they always change shape.

So DEFINITELY see about getting a recast done or worked on based on

your standing foot form.

Best wishes from London, which I am leaving tomorrow for 10 days in

France (7 of them work but who cares when it is Paris!)

Donna

Posted

Bob is correct...I have never been cast standing up either....U have to

be really still while the cast sets up and one with CMT (who wears

AFOs) finds that somewhat difficult if standing up.

Jimmy

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