Nolaro24, LLC Introduces the QUADRASTEP® E+ orthotic to its popular QUADRASTEP SYSTEM® LineNEW E+ Orthotic from the QUADRASTEP SYSTEM® by NOLARO24, LLC

Nolaro24™, LLC, founded by Roberta Nole, CEO and Louis J. DeCaro, DPM, proudly introduce our 7th QUADRASTEP SYSTEM® orthotic, the E+, to our revolutionary QUADRASTEP SYSTEM® custom-to-foot-type prefabricated foot orthotics line. The QUADRASTEP SYSTEM® is a state of the art alternative to tradi­tional custom orthotic manage­ment. A smash hit with physicians for over 10 years.

Many practitioners around the world already dispense the six original QUADRASTEP® orthotics effectively with great accuracy on about 80% of all patients. With the addition of our 7th orthotic (the E+), we believe practitioners will be able to effectively treat about 90% of all patients.

The QUADRASTEP® E+ orthotic offers more arch support, more forefoot equinus correction, and increased rearfoot posting over the existing E orthotic. The E+ orthotic will not replace the E orthotic, but will allow practitioners to treat virtually every variety of the highly common E QUAD foot-Type. The new E+ offers these alternative design features to more effectively treat the higher arched E’s!

The E QUAD foot-Type is one of the most common and unique looking feet, often with a reverse-lasted foot shape. This foot-type is the result of a combined Uncompensated Rearfoot Varus, coupled with a moderate to large Forefoot Varus. The E QUAD foot-type is one of the most destructive foot-types of all. The combined uncompensated rearfoot and forefoot varus deformities in this foot-type create a very rigid foot that is unable to provide the motions necessary to load the medial aspect of the foot during the stance phase of gait. The key note feature of this foot-type is by far the ballistic heel whip that is evident at heel rise. The larger the forefoot varus deformity the bigger the heel whip, the larger the toe sign, and the greater the chance of kicking themselves in the opposite leg. Our QUADRASTEP® E does a great job at controlling this foot but mostly for the lower arch variants. The QUADRASTEP® E+ will have all of the benefits of the QUADRASTEP® E, but with a more aggressive arch to control those feet with a higher arch.

In today’s practice, the “ideal” method of treating patients via custom orthoses is often time and cost prohibitive due to declining reimbursements. In contrast, off-the-shelf “arch supports”, al­though less expensive, usually lack adequate biomechanical support. The QUADRASTEP SYSTEM® bridges the gap between custom and non-custom orthoses.

Unlike other off-the-shelf orthotic systems that offer only a “one-shape-fits-all” arch support, the QUADRASTEP SYSTEM® offers 7 Quad specific functional orthoses in two widths, each biomechanically tailored to that of a true custom prescription.


Foot Type: B Quad
Position in Nolaro: Shipping/receiving
How long have you worked for Nolaro: 5 years
Favorite part of working for Nolaro: Nolaro has offered me ample opportunity to grow as a professional.
Education: Graduated University of Connecticut 2010, BA in History
The best day of my life was: On Feb 4th 2010, I became a father to a wonderful little girl.
Favorite sports team: Green Bay Packers (NFL)
Hidden Talent/something you might not know about me: In my childhood I took 15 years of dance and was a cheerleader throughout High School
On a Friday night, your most likely to find me: Sitting around a fire with my friends and family or at a live music event.
If you could meet one person dead or alive, who would it be and why: I’ve been fascinated by the music of John Lennon since I was a child. I would love to just sit and listen to him talk about society and the greater world.

Did You Know – There are Just 4 Simple Steps to Foot Typing?

The 4 Steps to selecting a device with the correct features are based on many years of clinical experience and scientifically researched evidence.

Choosing the correct foot type is easy with this simple 4 step process!

The 4 Steps are:

1. Assess arch height



2. Use Toe-Sign to assess forefoot alignment


3. Functional gait assessment


4. Check callus pattern

Callus Patterns for the 6 Quads
Callus Patterns for the 6 Quads

Having trouble choosing a foot type? Send us your video

Did you know that we have an Easy Foot Typing Tool on our website?
Or you can download our Smartphone App and start Foot Typing TODAY!