The NEW E+ from The QUADRASTEP SYSTEM® is here!

Many practitioners around the world already dispense our six original QUADRASTEP® orthotics effectively with great accuracy on about 80% of all patients. With the addition of our 7th orthotic (the E+), 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 keynote feature of this foot-type is 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 oneself in the opposite leg. The E does a great job at controlling this foot but mostly for the lower arch variants. The E+ will have all of the benefits of the regular E, but with a more aggressive arch to control those feet with a higher arch.

To add the new E+ to your existing QUADRASTEP SYSTEM® Kit or to purchase by the pair, call 877.792.4669 or email

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The C Quad

The C QUAD Foot-Type is sometimes referred to as a Subtle Pes Cavus foot or an under-pronator, which means that the foot is not able to roll-in enough for ideal foot function but it’s not as severe as in a high arched foot. This foot-type has a fairly normal looking arch, they don’t have excessively flat feet or an arch that is too high. A key distinguishing feature of this foot-type is an obvious toe-out gait pattern. We call people with this foot type the “John Wayne walkers” and it is one of the most common foot-types, with over a quarter of the population having this foot-type.

People with this foot-type walk very toe-out. Picture how a gunslinger from an old western movie made his entrance into the local saloon. If you’re not a fan of the westerns, think of a penguin or a duck! Anyone who is walking toe-out to a large degree is probably the C Foot-Type. Furthermore, if a person with this foot-type attempts to stand with their feet straight ahead, they will complain that their hips hurt! Why? Because of the way this foot functions, loading the inner aspect of their feet is extremely difficult. As a result they will attempt to acquire the necessary motion by externally rotating at the hips and walking toe-out. The muscles that externally rotate the hips become chronically shortened as a result of this gait pattern. Thus, standing with their feet straight ahead is extremely uncomfortable.

Common complaints from people with the C Foot-Type include hip and back pain, this is because of the slightly rigid nature of this foot and its poor shock-absorbing characteristics, though it’s not as severe as the A. For every step you take, your feet have to work as shock-absorbers and a force equivalent to one and a half times your body weight goes pounding through your feet and then up the body if the feet don’t absorb that impact effectively. When you’re running, it’s a force of about three times your body weight. Therefore, the development of hip and lower back pain is common because these feet aren’t able to absorb the impacts and forces associated with very step you take. Because this foot tends to roll out more than it should someone with this foot-type is very prone to ankle sprains and anyone with a history of ankle sprains is probably going to be either the A or C foot-type.

Another common complaint is bony bumps or swelling on the backs of the heels which are commonly known as ‘pump bumps’. The toe-out nature of C gait means that the backs of your heels are rubbing against your shoes in the wrong place, plus there tends to be some extra sideways motion in the heels during walking. The toe-out gait pattern also can lead to callus formation under the big toes.

All QUADRASTEP Orthotics are available in Regular and Narrow Widths, and with a topcover an an additional charge. For more info, visit our website
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Biomechanical Webinars with Nolaro24

As the end of the year is closing in on us, we are reminded that many of us need to complete continuing education units. Nolaro24 offers 2 NEW Live 1.5 Hour Webinars That Will Revolutionize The Way You Look At Feet!

2 Contact Hours Each, $95 Each, take BOTH for $175!
Pre-approved for Scientific Credits by ABC

4 Simple Steps to Better Biomechanical Assessment

This webinar will provide an introduction to functional foot typing and gait analysis utilizing a simple 4-Step method of visual gait assessment. The presentation will give an overview of 24 variations of the “normal” adult foot, and protocols for classifying feet into 6 major subgroups or “Quads”. This 4-Step Foot Typing method is quick and easy to learn and will offer the practitioner a biomechanically based approach to gait assessment and foot classification. The participant will learn that each “Quad” presents with specific foot traits, such as arch height, toe sign, callouses, and gait pattern; which can predispose a patient to a particular array of clinical conditions. Participants will be required to complete and submit a post webinar quiz and course evaluation for CEU eligibility.

Age Specific Orthotic Protocols for Treatment of Pediatric Flatfeet – from Tots to Teens

This webinar will explain the rationale and importance of early intervention when treating children diagnosed with pediatric flat foot. The presenter will discuss common myths related to the treatment (or lack thereof!) of childhood foot disorders and why ‘blind neglect’ is not the appropriate course of treatment. It will provide the participants age specific protocols to help them determine when treatment intervention is necessary, and tools for educating parents and referring practitioners on the importance of early management. This session will review why ‘pain’ should not be the only consideration when determining whether or not to treat a child, and why other factors such as posture, strength, endurance, coordination and balance should be given equal attention. Torsional deformities and toe walking are reviewed with an explanation on the use of gait plates. One of the most commonly injured parts of the body in adolescents is the foot and ankle, particularly those involved in sports. More than 2.6 million children are treated in the emergency department each year for sports and recreational-related injuries. Therefore it is prudent to understand functional foot types that may predispose youths to particular pathological conditions and risk of injury. This webinar will educate the participants on an easy to learn 4 step method of identifying 6 functional foot groups by examination of gait. It will also teach about particular musculoskeletal pathologies common to each group, and how to biomechanically manage each group using a prefabricated orthotic selection process. Treating the pre-teen and adolescent [foot type] before the injury happens is the best form of prevention, while eliminating the chance for repeated, chronic injuries that could potentially have long term implications later affecting them in adulthood. Participants will be required to complete and submit a post webinar quiz and course evaluation for CEU eligibility.

Approved by ABC for 2 Category 1 Units for Certified Pedorthists, Certified Orthotists, Orthotic Assistants, Orthotic Technicians and Orthotic Fitters. Participants must complete and pass a post-webinar quiz for credits to be awarded.

Visit Nolaro24 for more information