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Plantar Tissue Stress Plantar tissue stress is as

Plantar Tissue Stress

Plantar tissue stress is associated with the risk of complications including ulceration in patients with diabetes or diabetic foot disease.

Plantar tissue stress is a combination of vertical and shear forces that occur during weight-bearing activity.

For information on our range of DOLAbetic services visit

https://dolaorthotics.com/dolabetic/

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#sportsmedicine #sportsdoc #sportspodiatrist #chiropractor #chiro #athletictrainer #physicaltherapist #diabetes #diabeticfoot #diabeticfootcare

DOLA Orthotics is again proud to support the ISPO

DOLA Orthotics is again proud to support the ISPO World Congress.

After an amazing even in Japan in 2019, the 2021 event is going Virtual.

Check out the program. Early bird rego ends soon.

Registration for #ISPOcongress21 virtual edition is open.

Register now to get the latest insights into prosthetics, orthotics, and assistive technology!

https://www.ispo-congress.com/registration/

#prosthetics #orthotics #assistivetechnology

DOLA Pro Customisation In-focus: Customisation f

DOLA Pro Customisation In-focus: Customisation for 1st MPJ function and football boot fit

This client needed a low bulk orthotic to fit Nike football boots for an elite player.

They selected the DOLA Pro-fit full length orthotic and performed a series of in-clinic customisations.

Prescription:
Full length DOLA Pro-ft prefabricated EVA orthotic shell
Mortons extension cut out to forefoot with poron fill
Durafit blue semi-perforated full length top cover

Orthotip:

This client used the lab customisation service and sent a prescription and the football boots to our lab for manufacture.

For more information on the Lab customisation service visit: https://dolaorthotics.com/pro-series/

To download the prescription form visit:
https://dolaorthotics.com/wp-content/uploads/2019/11/DOL129-PRO-Pres-Form_PF.pdf

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Custom Orthotic in Focus: Lateral flange Polyprop

Custom Orthotic in Focus: Lateral flange

Polypropylene shell
Vertical balance
Forefoot to rearfoot balancing for Forefoot Supinatus in casting
0 degree Extrinsic poly rearfoot varus post
Standard 20% arch fill
Standard MLA high point
Lateral flange
High Heel Cup
1st metatarsal cut out
Full Length eva cover
Durafit forefoot extension

OrthoTip:

The lateral flange is an increase in the height of the lateral border of the orthotic running from the heel cup towards the 5th metatarsal head.
The length of the flange can be short, to 5th metararsal base or cuboid , or long, to 5th metatarsal neck or shaft.

Common uses:
-lateral instability
-flexible supinated foot type
-transverse plane control
-part of UCBL design

Considerations before use should include:
-footwear fit
-potential irritation
-ability to adjust

If irritation occurs the poly flange can be adjusted by:
-heat gun to outside and remolding of plastic
-reduce height with grinder

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The DOLA ProFIT…. is focused on FIT with a reduc

The DOLA ProFIT…. is focused on FIT with a reduced orthotic footprint for harder to fit footwear.

The DOLA Pro-FIT combines the function of the DOLA Pro full length prefabricated orthotic with advanced fit technology for the shoes they need to fit.

Designed by clinicians for the everyday in-clinic challenge of fitting todays most popular shoe styles:

Casual shoes
Street shoes
Narrow waisted sports shoes
Football boots
Cleats
Skates / Ski boots

Suitable for a range of usage and prescription options from:

Instant dispense
DIY modification
Advanced modification

For all of your patients, children to adults, everyday to sports and comfort to complex.

For more information visit:
https://dolaorthotics.com/profit/

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Remote Learning: Lateral Expansion (Part 2) Facto

Remote Learning: Lateral Expansion (Part 2)
Factors to consider in lateral expansion prescription?

Lateral expansion or heel expansion is traditionally a plaster modification or CAD modification applied to a cast or scan of the foot at the heel region and lateral border:

The overall aims are:
1) The weightbearing heel must fit into the orthotic
2) The orthotic must fit into the shoe

The amount of expansion applied to the lateral heel depends on multiple factors including the:
-Fat pad expansion on weight bearing if the cast or scan has been taken in a NWB or SWB position
-Cover thickness within the orthotic heel cup
-Mid-layer thickness: poron cushioning layer within the orthotic heel cup
-Dorsal Additions: heel pad / horseshoe pad within the orthotic heel cup
-Allowance for foot morphology / swelling etc
-Width available in footwear choice

Orthotip

The challenge when prescribing an orthotic can be to balance footwear fit with orthotic variables.

If the shoe is narrow, with little room for expansion from the NWB heel, a thinner cover with no dorsal modifications may be beneficial for shoe fit allowing a smaller lateral expansion prescription.

If the shoe has room for greater expansion above the NWB heel, a thicker top cover, poron midlayer or dorsal additions including heel cushion or pads can be prescribed.

NOTE: if a thicker cover, midlayer or dorsal additions are required for the prescription, a change in patient footwear may be needed prior to manufacture to ensure the device will fit in the shoe.

Class task:
On a patient: measure the heel width in different positions and compare.
NWB
SWB
Full WB

How would these measurements influence your prescription?

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Behind the Design Series: Balance Forefoot to Rear

Behind the Design Series: Balance Forefoot to Rearfoot

In behind the design we look a one aspect of the orthotic design and discuss its selection.

This client needed a custom poly orthotic with the captured forefoot alignment balanced to the rearfoot in the vertical position.

They selected balance the forefoot to rearfoot in the postings section of the DOLA Prescription form.

Orthotip

This selection was due to the forefoot being assessed as flexible and the orthotic shell being used to bring into alignment without compensatory rearfoot motion.

Prescription considerations for this variable include forefoot morphology:

Forefoot to rearfoot frontal plane alignment options:
-Rectus
-Varus
-Valgus

Forefoot flexibility:
-Rigid
-Flexible

Prescription options:
-Balance forefoot to rearfoot
-Intrinsic / extrinsic forefoot varus / valgus post
-Forefoot varus / valgus extension

Orthotic Prescription Consideration:

-Forefoot to rearfoot balance is most common for a flexible forefoot
-Intrinsic / extrinsic forefoot varus / valgus posting can be used for a rigid forefoot or to apply an orthotic reaction force in prescribed direction.

Alternative options include a forefoot varus or valgus extension, which continues under the metatarsal heads to the sulcus or full length. This applies more orthoric reaction force to the forefoot by extending the wedge under the metatarsal heads.

For more resources visit: www.dolaorthotics.com

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The DOLA Pro range of orthotic blanks are designed

The DOLA Pro range of orthotic blanks are designed for you to make the orthotic your patient needs.

Add dorsal additions, plantar additions, plantar grinds, fit grinds , midlayers and your choice of top cover.

It's your patient, it's your prescription.

Think of the DOLA Pro like a pizza base. Just add the toppings you want for exactly what you want, everytime.

Sign up for our free email newsletters though our

Sign up for our free email newsletters though our website at

https://dolaorthotics.com

Get your dose of;

Product updates
Orthotips
Education resources
New product release details
Conference details
Prescription support

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DOLA Pro Customisation In-focus: Diabetic offload

DOLA Pro Customisation In-focus: Diabetic offloading of plantar pressures

This client needed a prefabricated orthotic customised with 1st metatarsal cut outs, a navicular divot and styloid process divot for previous ulcer site loctions.

As a high risk patient, diabetic anti-shear cover was selected to address plantar tissue stress.

Prescription:
Full length DOLA Pro prefabricated Medium EVA orthotic shell
4 degree rearfoot varus grind
Bilateral 1st metatarsal cut outs with slow release poron fill
Right navicular divot with slow release poron fill
Left styloid divot with slow release poron fill
Diabetic anti-shear top cover

Orthotip:

The DOLA Pro full length EVA shell allows in shell modifications including:
-1st metatarsal cut outs
-divots
-apertures
-grooves

Make a highly customised device in a cost effective prefabricated orthotic.

Fast and easy DIY modification in-clinic chairside to get your patients the help they need as quickly as possible.

Other DOLA Pro features include:
-Common clinical markings
-Intrinsic rearfoot varus and valgus grind without extra material
-Pre-Reinforced arch
-In-built 4mm heel raise

For more resources visit: www.dolaorthotics.com

#dolaorthotics #dolaortho #qutpods #qutpodiatry #podiatryresident #podiatryonline #medschool #dpmstudent #physicaltherapystudent #podiatrystudent #physiostudent #orthotics #orthoses #footorthotics #footorthoses #insoles #orthoticinsoles #orthoticfabrication #podiatry #podiatrist #dpm #footdoctor #physiotherapist #physiotherapy #physio #fisio #fisioterapia
#diabetes #diabeticfoot #diabeticfootcare

DOLA Custom Orthotic In-Focus: Footwear Fit to San

DOLA Custom Orthotic In-Focus: Footwear Fit to Sandal

-Custom polypropylene shell
-Vertical balance
-Forefoot to rearfoot balancing for Forefoot Supinatus in casting
-4 degree Extrinsic poly rearfoot varus post
-Standard 20% arch fill
-Standard MLA high point
-Heel cup height to match footwear
-Heel cup and shell width to match footwear
-Poron forefoot extension
-EVA forefoot extension
-Full length Durafit semi-perforated black top cover

OrthoTip:

The client requested an orthotic to match perfectly to the Naot sandals.

They provided the shoes to the lab for fitting, ensuring no fitting adjustments would be needed on dispense.

This allowed for multiple footwear fit considerations to be adjusted:
-Shell width
-Heel cup width
-Heel cup height
-Forefoot thickness

The shell dimensions and multilayer forefoot was adjusted to match shoe fit and match forefoot depth.

If you are unable to send the patients shoes to us, other options include:
-insole template
-full photo series and measurements

Send shoes for fitting to:
DOLA Orthotics
PO Box 3242 Australia Fair
QLD 4215

For more information visit: www.dolaorthotics.com

#orthotics #orthoses #footorthotics #footorthoses #insoles #customorthotics #archsupport #orthoticinsoles #dolaorthotics #dolaortho #podiatry #podiatrist #podiatrystudent #podiatryclinic #podiatrists #dpm #footdoctor #footpractitioner #australianpodiatry #foothealth #podiatry #podiatryau #foothealthau #naot

DOLA News @ www.dolaorthotics.com Visit the News

DOLA News @ www.dolaorthotics.com

Visit the News tab on the website for the latest information on DOLA Orthotics.

If there is something our clients need to know, it will be there including:

Conferences you can see our products and talk to our staff.

New Product launches and special offers.

New guidelines and procedures.

Let us support you in your clinical practice.

https://dolaorthotics.com/news/

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videos

How to use DOLA orthotics to ensure optimal results for your patients

Choose from our extensive library on customising your orthotic and clinical tests for your patients.
Click on the tabs below to view videos.

CLINICAL TEST VIDEOS - 9 VIDEOS

NON WEIGHT BEARING ASSESSMENT
ANKLE JOINT

NON WEIGHT BEARING ASSESSMENT
SUBTALAR JOINT

NON WEIGHT BEARING ASSESSMENT
MIDTARSAL JOINT

NON WEIGHT BEARING ASSESSMENT
1ST METATARSOPHALANGEAL JOINT

FUNCTIONAL TEST
RCSP VS NCSP

FUNCTIONAL TEST
LUNGE TEST

FUNCTIONAL TEST
JACKS TEST

FUNCTIONAL TEST
STJ AXIS & MSRT

FUNCTIONAL TEST FOREFOOT TO
REARFOOT ASSESSMENT
DOLA PRO GRINDING CUSTOMISATIONS - 15 VIDEOS

DOLA PRO: REARFOOT VARUS POST

DOLA PRO: REARFOOT VALGUS POST

DOLA PRO: MEDIAL TAPER

DOLA PRO: LATERAL TAPER

DOLA PRO: MEDIAL PLANTAR GRIND

DOLA PRO: LATERAL PLANTAR GRIND

DOLA PRO: REARFOOT POST TAPER

DOLA PRO: REARFOOT THICKNESS REDUCTION

DOLA PRO: HEEL CUP HEIGHT REDUCTION

DOLA PRO: PLANTAR FASCIAL GROOVE

DOLA PRO: STYLOID ACCOMMODATION

DOLA PRO: METATARSAL HEAD ACCOMMODATION

DOLA PRO: DIVOT ACCOMMODATION

DOLA PRO: 1ST MET HEAD CUTOUT

DOLA PRO: FULL LENGTH TO 3/4 LENGTH
DOLA PRO TECH PLATE CUSTOMISATIONS - 4 VIDEOS

DOLA PRO: IN-TOEING GAITPLATE

DOLA PRO: OUT-TOEING GAITPLATE

DOLA PRO: TOE WALKER

DOLA PRO: MORTONS EXTENSION
DOLA PRO PORON ADDITIONS - 6 VIDEOS

DOLA PRO: METATARSAL DOME

DOLA PRO: METATARSAL BAR

DOLA PRO: MEDIAL ARCH PAD

DOLA PRO: LATERAL ARCH PAD

DOLA PRO: REVERSE MORTONS EXTENSION

DOLA PRO: CUBOID PAD
DOLA PRO EVA ADDITIONS - 5 VIDEOS

DOLA PRO: HEEL RAISE

DOLA PRO: REARFOOT VARUS WEDGE

DOLA PRO: REARFOOT VALGUS WEDGE

DOLA PRO: FOREFOOT VALGUS (DORSAL)

DOLA PRO: FOREFOOT VALGUS (PLANTAR)

common conditions pdf library

An overview of Common Conditions complete with Patient Presentations and Orthotic Considerations.

Click on the tabs below to view all titles and view PDFs.

BIOMECHANICAL PRESENTATION PDFs
LEG / KNEE PATHOLOGY PDFs
LOWER LIMB / ANKLE PATHOLOGY PDFs
REARFOOT PATHOLOGY PDFs
MIDFOOT PATHOLOGY PDFs
FOREFOOT PATHOLOGY PDFs

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