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 nolaro24.com

 

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Have you thought about a Holiday Special?


It’s finally that time of the year, THE HOLIDAYS!! It’s also the end of the year, so it’s a good time to offer a special deal on some of your remaining stock that you might want to get rid of to make room for next year’s stock. Have a sale on that case of toenail fungus gel that has been sitting in your store room.

A lot of our customers start now to offer a deal on QUADRASTEP® and littleSTEPS® orthotics for the holidays. It’s a great time to offer something like:
Buy 1 pair of orthotics, get a second pair for 1/2 price!
Or Buy a Pair of QUADRASTEP® orthotics for just $99!
Get littleSTEPS®
foot orthotics for $50
– whatever falls in line with your practice’s pricing guidelines.

Do an email blast, post a flyer in your office, or send a holiday card to your patients with an offer or coupon inside. Post a coupon code on Facebook, tweet it,  just connect to your patients in any way that works for you.

Don’t forget to stock up on QUADRASTEP® and littleSTEPS® orthotics during our End of the Year Restocking Sale going on now! It’s a great time to stock up and use your end of the year budget to save on taxes. For info on the sale, call Bert Parsloe at 203.725.6179 or call to order 877.792.4669.

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COMING THIS FALL! NEW E+ from The QUADRASTEP SYSTEM®

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.

Read our Profiles in Excellence on the NEW E+ featured in Podiatry Management

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