NORMAL DIABETIC SHOE: Price range 4500 to 6800 plus GST 1) Diabetic shoes decrease the risk of diabetic foot ulcers and thereby reduce amputations. They provide support and protection while minimizing pressure points on the feet. They also have extra depth to accommodate diabetic inserts. There are many styles to choose from, and the shoes look much like any other shoe. 2) Diabetic shoes are often wider and deeper than regular shoes to accommodate a special multi-density insert that is designed to reduce pressure and callouses to the bottom of feet. Diabetic shoes have a larger “toe box” to prevent squeezing of the toes. Who is eligible for the Medicare diabetic shoe program? - History of partial or complete foot amputation - History of previous foot ulceration - History of pre-ulcerative callus - Peripheral neuropathy with evidence of callus formation - Foot deformity - Poor circulation  Price range 4500 to 6800 plus GST

Genu varum (bowlegs) and genu valgum (knock-knees) are common knee deformities in children that often resolve naturally as they grow. Genu Varum (Bowlegs): In this condition, the knees are apart while the feet and ankles are together, creating an outward curve. It’s typical in infants and toddlers (1-3 years old) and usually improves by age 3 or 4. If severe or persistent, orthotics or braces may be used to support proper alignment and guide bone growth. Genu Valgum (Knock-Knees): Here, the knees touch but the feet are apart. It is common in children aged 3-5 and typically corrects itself over time. If it persists, orthotics or braces may be used to improve alignment. Orthotics and Braces: Orthotics are shoe inserts that correct foot misalignment, potentially improving knee positioning. Braces or splints may be used in severe cases to guide proper bone growth. Braces: In more severe cases of genu varum or genu valgum, braces or splints might be used to help guide the bones to grow in the correct position. These devices are typically used when there's a concern about the condition not self-correcting over time. Braces may be worn during activities to promote proper alignment during movement.

Charcot foot, which is a condition that affects the bones in the foot and ankle and often leads to joint deformities and instability, specialized insoles can be crucial in providing support and preventing further damage. Here are a few types of insoles that might be used: Custom Orthotics: These are specially designed to match the unique contours of your feet. They help distribute pressure evenly, stabilize the foot, and prevent further deformities. A podiatrist or orthotist can create these based on a detailed assessment of your foot structure and needs. Offloading Insoles: These are designed to reduce pressure on specific areas of the foot. For Charcot foot, offloading insoles can help redistribute pressure away from the affected areas to help prevent ulcers and further complications. Rocker Sole Insoles: Rocker soles have a rounded heel-to-toe transition which can help reduce stress on the foot while walking. This can be particularly helpful for individuals with Charcot foot to improve gait and reduce discomfort. Cushioned Insoles: Providing additional cushioning can help absorb shock and reduce the impact on the foot. This can be beneficial if you experience pain or discomfort due to Charcot foot. Rigid Insoles: Sometimes, a more rigid insole is needed to offer strong support and prevent excessive movement of the foot, which can be helpful in managing the condition and preventing further deformity.

A heel ulcer is an open sore that develops on the skin of the heel, typically as a result of prolonged pressure or friction on the area. Heel ulcers can be painful and may take a long time to heal, especially in individuals with poor circulation or diabetes. There are several factors that can contribute to the development of a heel ulcer, including: Prolonged pressure on the heel due to immobility or sitting or lying down for extended periods of time Friction from ill-fitting shoes or socks Poor circulation, which can lead to slow healing and an increased risk of infection Diabetes, which can cause nerve damage and reduce sensation in the feet, making it more difficult to detect and treat ulcers Treatment for a heel ulcer typically involves relieving pressure on the affected area and keeping the wound clean and protected. This may involve the use of specialized dressings, pressure-relieving devices, and wound care techniques. In severe cases, surgery may be necessary to remove damaged tissue or correct underlying structural problems in the foot or ankle. Prevention is key in avoiding heel ulcers. This can involve regular foot inspections, wearing well-fitting shoes, and maintaining good blood sugar control in individuals with diabetes.

A forefoot ulcer is a wound or sore that develops on the ball of the foot, typically as a result of prolonged pressure or friction on the area. Forefoot ulcers can be painful and may take a long time to heal, especially in individuals with poor circulation or diabetes. There are several factors that can contribute to the development of a forefoot ulcer, including: Prolonged pressure on the ball of the foot due to standing or walking for extended periods of time Friction from ill-fitting shoes or socks Poor circulation, which can lead to slow healing and an increased risk of infection Diabetes, which can cause nerve damage and reduce sensation in the feet, making it more difficult to detect and treat ulcers Treatment for a forefoot ulcer typically involves relieving pressure on the affected area and keeping the wound clean and protected. This may involve the use of specialized dressings, pressure-relieving devices, and wound care techniques. In severe cases, surgery may be necessary to remove damaged tissue or correct underlying structural problems in the foot or ankle. Prevention is key in avoiding forefoot ulcers. This can involve regular foot inspections, wearing well-fitting shoes, and maintaining good blood sugar control in individuals with diabetes.

Carbon Fibre AFO  Carbon fiber will provide more energy return. Carbon fiber may be made stiffer and stronger. Carbon fiber AFOs can be made lower profile. There is a weight saving over plastic variants.  One of the main reasons is that they are half the weight of traditional materials. For many patients, this makes a tremendous difference in their ability to go about daily tasks.  Studies have also found that carbon fiber helps to store energy from movement, creating a spring-like action, making forward movement that much easier. This is especially helpful for those with “drop foot”. The calf muscle even gains muscle mass from improved function in some patients.

KAFO with Offset Knee Joint drop lock type  A knee-ankle-foot orthosis (KAFO) consists of a plastic AFO or an AFO with metal uprights, a mechanical knee joint, and a plastic thigh cuff or 2 metal thigh bands. KAFO’s can be used in quadriceps paralysis or weakness to maintain knee stability and control flexible genu valgum or varum.  KAFO’s are also used to limit the weight bearing of the thigh, leg, and foot with quadrilateral or ischial containment brim. A KAFO is more difficult to don and doff than an AFO, so it is not recommended for patients who have moderate-to-severe cognitive dysfunction.  The most common causes of muscle weakness include: -Poliomyelitis -Muscular Dystrophy -Multiple Sclerosis -Spinal cord injury