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Are you an A Quad?

Posted by casey1313 on in Educational, Foot Typing, QUADRASTEP SYSTEM 0 Comment


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?

Posted by casey1313 on in Educational, Foot Typing, QUADRASTEP SYSTEM 0 Comment


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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Have You Thought About Running a Slideshow in your Waiting/Exam Room?

Posted by casey1313 on in Educational, littleSTEPS, QUADRASTEP SYSTEM 0 Comment

Do you run a video presentation in your office waiting room? Many practitioners find that not only does it entertain your patients, it prompts them to ask you questions about treatment options or products.

If you are just thinking about setting a slideshow/video presentation up, there are several things to keep in mind. First of all, always look at it from the point of view of the patient, and stress what is in it for them. Think less about the features and more about the benefits of the products or offerings – people want to hear how a product can make their life easier or more comfortable. Are there benefits of the materials vs. other comparable materials? Will it save you time? Will it save you money?

Secondly, it is a good idea to have a slideshow/video that is a mix of information for different diagnoses, OTC products, seasonal promotions, social media contests, fun facts, and customized products. A good example is using 6 slides of each of our 6 foot types – patients love to guess which quad they are. Get them to ask you if they were right!

Lastly, it is a good idea to sprinkle patient testimonials throughout your presentation, keep it in your patient’s mind that your products really have made a difference in peoples’ lives.

Here at Nolaro24, we are always striving to come up with promotional ideas to make your life easier. We want you to be able to promote your orthotics program and be successful with it. After many people asking, we are proud to announce that we have completed our own waiting/exam room video, and it is available to you to download for FREE from our website. There are 3 files, 2 are MP4 videos; one larger file suitable for large screen televisions, and a smaller file suitable for laptops or standard monitors. There is also a file in PDF form, you can save individual slides and sprinkle them throughout your own presentations, or use them on social media to let your customers know that you carry our Nolaro24 products, QUADRASTEP® foot orthotics for adults, and littleSTEPS® foot orthotics for kids.

I have to give a big shout out to Elise Hinchman of Lexington Podiatry for her valuable advice and guidance on this project.

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