Are you an A Quad?


The A QUAD Foot-Type is commonly thought of as an over-supinated or severe Pes Cavus foot. This condition, also known as a Torque Foot, occurs when a Uncompensated Rearfoot Varus is coupled with a Large Rigid Forefoot Valgus.

We fondly refer to the A QUAD Foot-Type as our “chandelier shakers”! Why? Because this foot-type loads heavily on the ground and never seems to pronate, leading to poor shock attenuation.

The development of heel and lower back pain is common. The torque foot nature of this foot-type allows the valgus forefoot to offset the uncompensated inverted heel alignment that would normally lead to a toe out gait pattern (see C Quad foot-type). Overall, the foot progression angle for this person is such that the feet point relatively straight ahead during gait (no toe out) with a narrow base of support, much like a tight rope walker.

For more complete information on the A QUAD including videos, see our A QUAD page.

All QUADRASTEP Orthotics are available in Regular and Narrow Widths, and with a topcover an an additional charge. For more information see nolaro24.com

READ “Clinical Assessment & Orthotic Recommendations for the Cavus Foot”
By Roberta Nole, MA, PT, C.Ped.

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Are you a B Quad?


The B QUAD Foot-Type is a mildly over-pronated foot type or Mild Pes Planus. This is the result of a Compensated Rearfoot Varus with a flexible forefoot valgus deformity. It is often to be found unilateral and is often associated with a structural leg length discrepancy.

The B QUAD Foot-Type is a rarely occurring combined foot deformity, affecting less than 10% of the population. In addition, it is often unilateral. The B QUAD Foot-Type is a mildly over-pronated foot due to a compensated rearfoot varus deformity, however that over pronation is somewhat minimized by a forefoot valgus deformity that acts like a “pronation-deterrent”.

In some cases, this foot-type may be caused by an acquired plantarflexed 1st ray, functioning as a forefoot valgus. This may occur in flexible pes planus foot types as the peroneals are working overtime to try and pull the forefoot into a pronatory twist in attempt to stabilize the midtarsal joint. It is also common to see this condition occur unilaterally on a short limb. Pronating the forefoot into a valgus alignment supinates the foot and helps lengthen the limb. When this foot-type occurs on one side only, we refer to this as a “foot disparity”. When foot disparities occur, each foot functions differently from one another, as so each limb functions differently as well. This has a direct affect on the hips and low back, often leading to sacral-iliac pain. Heel and lower back pain is common. The torque foot nature of this foot-type allows the valgus forefoot to offset the uncompensated inverted heel alignment that would normally lead to a toe out gait pattern (see C Quad Foot-Type). Overall, the foot progression angle for this person is such that the feet point relatively straight ahead during gait (no toe out) with a narrow base of support, much like a tight rope walker.


For more about the B QUAD Foot-Type go to our website.

All Quadrastep Orthotics are available in Regular and Narrow Widths, and with a topcover an an additional charge. For more information see our Customized Orthotics.page on nolaro24.com.

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2018 Biomechanics & Orthotics Master Class in Connecticut

2017 Orlando Biomechanics & Equinus Master Class

If you didn’t make it to the December 2017 Biomechanics & Equinus Master Class DON’T WORRY! We are happy to announce our 2018 Biomechanics & Orthotics Master Class in Windsor Locks, CT on April 20-21. Call about our JANUARY ONLY Special Discount pricing, call 877-792-4669 or ask your sales rep!

Whether you are already one of the many successful users of the QUADRASTEP SYSTEM® or littleSTEPS® foot orthotics for kids; or you dispense custom foot orthotics and want to prescribe better devices, then this is the seminar for you!

The content of this seminar will include both lecture and hands on workshops that will cover the A-to-Z’s of running a successful foot orthotic program, including, but not limited to:

  • How to easily assess foot types
  • How to prescribe foot orthotics (both prefabs and custom) for kids and adults
  • How to troubleshoot orthotic problems and easily fix them!
  • How to choose the correct shoe for each patient, and know it will work!
  • How to implement our proven practice management techniques to market and expand your cash based orthotic program.

This seminar is both inexpensive and accessible for practitioners and staff and offers 10 hours of content. Registration is only $150 per practitioner, and additional associates from the same practice are $100 each. Bring your medical assistants for only $75 each!
The Bradley Airport Sheraton Hotel is right at the airport so no shuttles or taxis, just get off the plane and walk right in! Course hours were selected to least interfere with your practice schedule, and get you home in time to enjoy the remainder of the weekend (Fly in Friday before 2pm and fly out Saturday after 1pm). A limited block of discounted rooms has been reserved at the Sheraton for Friday night.

For More Information download our brochure on our EDUCATION PAGE.

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