Custom Footwear Modification

Custom Footwear Modification


Custom footwear modification is a specialty service performed by OKAPED Pedorthists and our Pedorthic technicians. Orthopaedic modifications to footwear are used to improve function, accommodate deformities, improve foot and leg biomechanics and alignment. As well as simply making your footwear fit your unique foot shape. From internal to external lifts, custom stretching, wedging, widening a shoe, and altering the pitch and angle of your footwear; OKAPED does it all. Once a Biomechanical Assessment and Gait Analysis has been done a modification might be part of the treatment plan.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Rocker Sole Modification

One of the most common custom footwear modifications is a rocker added to a shoe. Once a biomechanical issue has been identified, like ankle OA and limited motion, the clinician selects the most appropriate footwear modification to supplement lost motion. Rocker sole modification design is and fabrication varies depending upon the region being treated or addressed. Three common regions of the foot addressed with this modification is pain or limited motion at the MTP joints (ball of the foot) painful or limited motion in the midfoot, and also painful or limited motion at the ankle. The placement of the rocker is determined by the location of limitation or pain. In essence, one type of Rocker sole does not best address all issues. Clinical experience, gait and alignment observation along with hands on functional assessment help dictate treatment variable.

Full Sole Lift

Lateral Butress

Other Modifications available.

After the details of your biomechanical exam and gait analysis have been reviewed and a treatment plan has been devised the appropriate modification can be done to your footwear.

Common Footwear Modifications:

  • Internal lift, heel or full when footwear can accommodate
  • External full length lift or half sole lift depending upon treatment plan
  • Medial or Lateral wedging of a sole, full length or portion.
  • Shoe upper stretching for width, depth and in some cases minor length stretching
  • SACH heel modification
  • Balloon patch to relieve pressure
  • Medial or lateral buttress to help support the side of a shoe

Contact us to book an appointment for your knee, ankle, or foot condition.


Custom Orthotics

Custom Orthotics


In order to design the most appropriate custom foot orthotic, we carry out a thorough 1 hr Pedorthic assessment. It is comprised of two major components, the biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports. Custom Orthotics are designed from this initial assessment. This includes material selection, modification design to alter foot function or alignment as well as foot orthotic profile and footwear fit goals.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation back in 1997. The exam is the crucial part of determining what is to be fabricated.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility. OKAPED’s clinical staff are University graduates in the health sciences fields such as Kinesiology or Human Kinetics that then went on to do specialized training in Pedorthics.

Okaped Orthotics

Foot orthotics are devices made to address biomechanical or physiological problems. They can be used to treat conditions in the feet such as bunions, plantar fasciitis, metatarsalgia or arthritis. They are also used in helping conditions of the knee, hip as well as the back. The most important aspect when considering treatment with custom orthotics is the examination process and knowing if a foot orthotic is an appropriate treatment choice for your condition.

Unlike over-the-counter solutions OKAPED custom made Orthotics are made specifically for the patient following an assessment of their feet and legs by one of our Canadian Certified Pedorthists. In order to evaluate a patient’s specific and unique requirements, we perform a gait (walking or running) analysis of the patient as well as a hands-on biomechanical assessment of the feet and lower legs. The Pedorthist then takes a three-dimensional model of the patient’s foot and an orthotic is made from raw materials.

OKAPED Custom Foot Orthotics are:

  • Designed from the details of your biomechanical assessment and gait analysis
  • Truly custom by vacuum forming specially selected materials to plaster models of your feet
  • Accurate, rapid, reliable fabrication done in OKAPED’s local lab in Kelowna. We do not “Mail Order” your orthotics.
  • Fabrication usually takes between 5-7 days from the casting until the orthotics are ready. A 24 hour rush service is available when required.
  • Material selection is chosen to match the requirements of our clients. We use soft foams to flexible and firm thermo-plastics

Foot Orthotic

Orthotic Q and A

How OKAPED casts your feet.

In order to make truly custom orthotics a three dimensional image must be made of the foot.  Our Certified Pedorthists have been tested and certified by our College on methods that are deemed accurate and appropriate to make custom made orthotics. We do direct molding to the feet, Biofoam unweighted seated casting, and plaster of paris slipper casting. Since no one method is the best, each practitioner selects the best method based upon the individual needs of the patient. We manufacture your custom orthotics in our onsite lab and do not ship them out to be mass produced. This allows for our Pedorthists and Pedorthic technicians to work side by side to ensure a high quality and accurately fabricated device.  We have investigated digital scanners, milling machines and 3-D printers looking for technology advantages and found that each have advantages and disadvantages. If we change our methodology and techniques it will be noted here.

How Long do Orthotics Last?

The functional lifespan of a foot orthotic varies from patient to patient. The materials used to make the custom* foot orthotic, the patient’s foot structure, current levels of activity, age and usage all have an impact on its lifespan. The shell of the foot orthotic generally lasts longer than the top cover (the material used as an interface between the shell and the patient’s foot). Top covers will compress over time but can easily be replaced. The lifespan of a foot orthotic should be measured not by when the finishing touches (the cover material) wear out but by how long it meets the foot’s changing needs for support, correction and pressure redistribution. If your symptoms begin to return it is a good idea to have your orthotic reviewed to determine if modifications or a new device are necessary. We recommend changing soft shell orthotics every 2-3 years and semi-rigid orthotics every 3-5 years.

Adjustments do occur.

From time to time and for various reasons custom orthotics do require adjustments. Two common reasons would be increased comfort or increased correction. In either case we offer 1 Full Year of complimentary adjustments and appointments to ensure your satisfaction. We also pride ourselves in being able to do the work on site at every OKAPED clinic. Shipping them hundreds or thousands of Km away to have someone “tweak” your orthotics, taking up to 2 weeks to have them back in your shoes never made sense to us. In almost all cases we can do it right while you wait at your appointment.

*Custom Made
Unfortunately the word “custom” is sometimes abused and used on products that are mass produced. Custom should mean it is only made for you, and slightly altering a mass produced item or picking a size or height of a product is not making it custom. Ask how your custom orthotics are made for you.

Contact us to book an appointment for your knee, ankle, or foot condition.


Bike & Ski Boot Fitting

Bike & Ski Boot Fitting


OKAPED offers custom Bike fittings for cyclists and Ski Boot fittings for skiers who are experiencing pain or discomfort from their sport. These assessments and corrections involve a biomechanical examination to locate the source of the pain and find solutions to adjust and modify equipment to obtain the desired result.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Bike Fitting

Having issues on long rides or recovering from an injury?

We will analyze your current bike fit and the set-up of your bike to help optimize your performance while assisting injured riders with bike fit related issues. Your alignment, anatomical variables, bike size and components will be reviewed statically and with slow motion video analysis to best help fit you to your machine. OKAPED’s bike fitting process is mainly geared towards clients with existing alignment issues related to their biomechanics. Structural alignment such as a leg length discrepancy or poor foot mechanics can affect the pedal stroke causing a loss in efficiency or possible injury.

Ski Boot Fitting

Ski Boot Stance Alignment

Sore feet or legs skiing or riding? We will analyze your out-of boot and in-boot alignment to ensure best fit and performance optimization. As well we will analyze with our specialized cant wands how your boot and lower extremity alignment can be made to work best together. Book your assessment now to enjoy your days on the slopes.

Exam Specifics:

  • Static stance review
  • Anatomical anomalies identified
  • Fore – Aft balance in boot
  • Cant Wand alignment
  • Outline of recommended  boot modifications and footbed options

Contact us to book an appointment for your knee, ankle, or foot condition.


Biomechanical Exam

Biomechanical Assessment


Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical assessment and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Biomechanical Exam

This first detailed portion of the appointment helps us to make the appropriate treatment or referral recommendations for you.  During this portion of the exam the following will be reviewed:

  • Static skeletal alignment measurements
  • Lower extremity range of motion testing
  • Functional evaluation of joint motions and strength
  • Footwear evaluation and detailed recommendations

By understanding how your body is aligned, what limitations in joint motion exist or if weaknesses are evident, your Pedorthist can help direct you to the proper care or advise you on any in-house treatments that are an option.

Alignment & Joint Movement

At OKAPED our clinical staff study your specific anatomical alignment and movement patterns during an assessment. After completing a static analysis of your unweighted and weighted alignment we utilize HD slow motion video to capture nuances in your movement patterns often not caught in real time or by the naked eye. It is not possible to simply view arch height and foot shape and determine if or how a custom foot orthotic could be utilized and designed. Motion analysis takes years to become an expert at and is even more difficult and often misleading simply using the naked eye in real time when events happen so quickly. Your Pedorthist at OKAPED will review the video with you to educate you by showing you what is actually happening and describing why.

Contact us to book an appointment for your knee, ankle, or foot condition.


Gait Analysis

Gait Analysis


Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Specialized Examination

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table. True understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of video from its first day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners, a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.

Building Solutions

Once your Pedorthist has examined your alignment, range of motion, and analyzed your gait pattern they will begin the process of building a solution for you. Based upon the findings during the exam your Pedorthist will often try to alter pressures and motions that can be contributing to, or causing your pain or joint irritations. In some cases treatments such as footwear modifications, foot orthotics or bracing may be used. When weakness patterns are discovered or motion limitations noted we will work with your physical therapist or kinesiologist to help you make changes to help your body help itself.

Contact us to book an appointment for your knee, ankle, or foot condition.


Knee Assessment

Knee Assessment


Your first visit to any OKAPED office when you are booked in for a knee assessment is to see one of our bracing specialists. We will discuss your condition and what bracing products would best work for you. Knee braces are either custom made to your exact knee shape or we help size you with a pre-made brace that best fits your knee. Many non-custom braces can be adjusted to better fit you right on site so you can leave with your brace that same day. This first appointment ranges from 30-60 minutes and allows enough time to ensure the right brace is selected and fit properly and comfortably. There is no fee for this appointment.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. At OKAPED we use this training to help us as part of our knee bracing appointments. Our goal is to help you recover and gain full mobility.

Knee Brace Consultation

A knee brace consultation at OKAPED is a very thorough process that provides us with the detailed information about your knee condition, structural alignment and gait pattern. These factors along with your prescription and diagnosis help ensure best outcomes in brace selection and your satisfaction.

Brace manufactures are all slightly different and offer various fit and function benefits in their product line. These manufacturers entrust OKAPED’s clinical staff in making the best choice. We have always partnered with the most recognized companies who are leaders in the industry, and we offer a wide variety because every brace fits differently and your knee is unique and will often fit one brand better than another.

See a bracing specialist at OKAPED ensures you can see, feel and try on bracing products to help educate you and make a more informed decision. It is the same for us. We can make the most appropriate decision with you whether it is for reducing your arthritic knee pain, helping you to ski on that unstable knee, or simply manage general pain and swelling in your injured knee joint. That simply can’t be done over the internet.

Why OKAPED?

Your OKAPED bracing specialist knows the advantages of each product we stock and will help you make the decision on brand, size and when a non-custom knee brace will work for you just as well as a custom knee brace for you. It is all about spending the time working with you and your particular requirements. We even modify and adjust knee braces on site. When you purchase a brace from us there is no cost to adjust the brace in the future. You will never receive these benefits clicking on a size guess on an internet site.

Contact us to book an appointment for your knee, ankle, or foot condition.


Diabetic Foot

Diabetic Foot Care


For people living with diabetes, fluctuations in blood sugar levels can among other things, impair the body’s vascular (blood flow) and nervous (sensation) systems. Over time, high blood sugar levels can lead to damage of these blood vessels (also known as peripheral arterial disease – PAD)  and some of the nerves in the body (also known as peripheral neuropathy – DPN). With loss of sensation in the feet, early warning signs of shoe pressures, rubbing or even having a foreign item in the shoe can be an issue. In a short time breakdown of the skin may occur and Diabetes can make these injuries more difficult to heal. Unnoticed and untreated, even small foot injuries can quickly become infected, potentially leading to serious complications. Booking an appointment with a Pedorthist at OKAPED for an assessment can help you to identify potential problems and help you make healthy choices for your feet.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Pedorthic Care

Care for you feet begins with what you put on them. At our initial exam we will screen for shoe fitting and sizing errors as well as proper sock selection and education. Our biomechanical exam and gait analysis will specifically identify bony and alignment features as well as your walking characteristics that may increase your foot related risks.

Socks should be seamless, and fit constriction free in their entire length. Breathability and moisture wicking can help to reduce breeding of infection-causing bacteria. Specific diabetic socks help reduce foot and leg swelling by increasing blood flow.

Shoe features may include:

  • Minimal seams throughout the shoe to reduce potential friction sites.
  • Deep and wide toe boxes to reduce the chance of pressure points
  • Insoles should be removable and not have increased support as they may increase pressure
  • Outer soles should be cushioned but resist rapid collapse or compaction
  • Laces are ideal so fit adjustment can be altered. Velcro closures can be used if lace tying is difficult. Avoid slip on footwear.

OKAPED Custom Foot Orthotics for Diabetes

Orthotics are made from a 3D mold of the feet or via direct molding with Plastazote. Plastazote is considered a gold standard material for wound care. It specifically helps with the reduction of friction, pressure and accommodation of foot shape anomalies.

Materials selected for OKAPED custom foot orthotics help create more uniform pressure distribution while still offering proper support when biomechanical control of the feet is required.

Most custom Orthotics for people with diabetes will be made from soft raw materials and offer full contact along the entire foot length.

Diabetic Daily Foot Care

Helpful Tips from the Canadian Diabetes Association

As always, prevention is the best medicine. A good daily foot care routine will help keep your feet healthy.

Start by assembling a foot care kit containing nail clippers, nail file, lotion, and a non-breakable hand mirror. Having everything you need in one place makes it easier to follow this foot care routine every day:

  • Wash your feet in warm (not hot) water, using a mild soap. Don’t soak your feet, as this can dry your skin.
  • Dry your feet carefully, especially between your toes.
  • Thoroughly check your feet and between your toes to make sure there are no cuts, cracks, ingrown toenails, blisters, etc.
  • Use a hand mirror to see the bottom of your feet, or ask someone else to check them for you.
  • Clean cuts or scratches with mild soap and water, and cover with a dry dressing suitable for sensitive skin.
  • Trim your toenails straight across and file any sharp edges. Don’t cut the nails too short.
  • Apply a good lotion to your heels and soles. Wipe off excess lotion that is not absorbed. Don’t put lotion between your toes, as the excessive moisture can promote infection.

Wear fresh clean socks and well-fitting shoes every day. Whenever possible, wear white socks – if you have a cut or sore, the drainage will be easy to see.

Best Advice

Do:

  • Wear well-fitting shoes. They should be supportive, have low heels (less than five centimeters high) and should not rub or pinch. Shop at a reputable store with knowledgeable staff who can professionally fit your shoes.
  • Buy shoes in the late afternoon (since your feet swell slightly by then).
  • Wear socks at night if your feet get cold.
  • Elevate your feet when you are sitting.
  • Wiggle your toes and move your ankles around for a few minutes several times a day to improve blood flow in your feet and legs.
  • Exercise regularly to improve circulation.
  • Inspect your feet daily and in particular, feel for skin temperature differences between your feet.

Don’t:

  • Use over-the-counter medications to treat corns and warts. They are dangerous for people with diabetes.
  • Wear anything tight around your legs, such as tight socks or knee-highs.
  • Ever go barefoot, even indoors. Consider buying a pair of well-fitting shoes that are just for indoors.
  • Put hot water bottles or heating pads on your feet.
  • Sit or cross your legs for long periods of time.
  • Smoke. Smoking decreases circulation and healing, and significantly increases the risks of amputation.
  • Wear over-the-counter insoles – they can cause blisters if they are not right for your feet.

For more information about diabetes and for diabetes related health resources visit https://www.diabetes.ca/

Contact us to book an appointment for your knee, ankle, or foot condition.


Template Clinic Deluxe

Name


Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.

Condition

Understanding what is at the source of your pain or condition is the first step in finding a solution that is right for you.

Symptoms & Signs

Identifying specific issues with your knee, leg, ankle or foot are performed at our clinics to help provide a treatment plan.

Treatment

Specific orthotics, braces, compression sleeves and socks, boots, footwear and other products are manufactured or fitted to help your recovery.

Detail 1

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table but true understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners as a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.

Detail 2

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table but true understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners as a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.

Name


Your first visit to any OKAPED office when you are booked in for a Pedorthic assessment begins with a 1 hr initial assessment. It is comprised to two major components. The biomechanical exam and the gait analysis. During this initial appointment we will also be reviewing your footwear so please bring in your most commonly used pairs for work, leisure and sports.

Condition

Understanding what is at the source of your pain or condition is the first step in finding a solution that is right for you.

Symptoms & Signs

Identifying specific issues with your knee, leg, ankle or foot are performed at our clinics to help provide a treatment plan.

Treatment

Specific orthotics, braces, compression sleeves and socks, boots, footwear and other products are manufactured or fitted to help your recovery.

Detail 1

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table but true understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners as a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.

Detail 2

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table but true understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners as a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.