Nolaro24™ LLC maker of QUADRASTEP® and littleSTEPS® families of foot orthotics
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FAQ


General Questions

 

HOW DO I ORDER OR RE-ORDER?

QUADRASTEP® and littleSTEPS® foot orthotics are only sold through practitioners and clinicians. You may use our FIND A PRACTITIONER Tool to locate someone in your area. If there is not a local practitioner or clinician in your area, you can Email Us and we will try to assist you in finding someone that you can order from online or by phone.

 

WHAT KIND OF INSTRUCTIONS DO I NEED?

Instruction will be provided to you by your practitioner or clinician. If you lose them you may DOWNLOAD them.

 

DO I REMOVE THE INSOLES THAT CAME WITH MY SHOES?

You can do one of two things. You can leave the insole under the orthotic if you do not have a topcover on the orthotic, this will keep the orthotic from slipping. Or you can put the insole over the orthotic if it fits, this will give you some extra padding and cushion. Very small orthotics such as littleSTEPS® may not fit the insole over the orthotic because of the deep heel cup, in that case it is best to leave them under the orthotic.

If your orthotics came with a topcover, you can take the insole out of the shoes and use them as a template to trim the top of the topcover to the correct length/shape. You then don't have to use the insole as the topcover acts as a full length insole.

 

SHOULD I DISINFECT MY FOOT ORTHOTICS?

Once you have purchased your orthotics, they can be cleansed with soap and water. Please note that hot water should never be used because it may melt and deform the orthotic.

 

WHAT IS THE BREAK IN PERIOD FOR MY NEW ORTHOTICS?

Most patients should be able to gradually increase their wear time over a 7-10 day period. This begins with normal activity and gradually works towards more strenuous activities, such as sports. It is recommended that all foot orthoses be worn with socks to avoid blisters.
You can download Break Iin instructions HERE.

 

MY ORTHOTICS ARE "SQUEAKING", WHAT CAN I DO ABOUT IT?

A trick we have learned is that you can take a dryer sheet and put it inside your shoe under your orthotic. The noise is usually slight movement, so if the dryer sheet doesn't work, there are some other things to consider as well. If it is a short orthotic (blue, green, or purple), you can leave the lining that came with the shoe in there under the orthotic (as long as it doesn't have a large arch bump) so the orthotic doesn't move. Even the longer ones can move sometimes (yellow, red, orange). If they have a topcover (the black and gray swirled cover glued onto the orthotic), they should be trimmed using the lining that came with the shoe as a template so that they fit snugly in the shoes. Sometimes you have to get your hands in there to feel if they are curling up inside, and adjust by cutting the ends a little more.

It can be hard if you are switching between shoes, since many shoes are not shaped the same! But they should be close. A proper fit should prevent any movement. Make sure your shoes aren't too narrow, which will cause your orthotic to "float" some in the shoe and the movement from that can cause squeaking.

Another think you can try is to rough up exteriors edges with sand paper to take off the shine.

 

HOW LONG WILL QUADRASTEP® OR littleSTEPS® ORTHOTICS LAST? WHEN SHOULD THEY BE REPLACED?

Depending on usage, body size, and age, a pair of our orthoses should last approximately 1-2 years. You should check your orthotics every few months for signs of wear and tear that might change the way your orthotics are supporting your feet. Children may outgrow their littleSTEPS® every 6 months to a year, and should be checked often for proper fit. Please see the picture to the right in the littleSTEPS® FAQ Section.

 

CAN QUADRASTEP® OR littleSTEPS® ORTHOTICS BE CUSTOMIZED?

Yes. The most common adjustments are to the length or width, heel- cup adjustments, adding full-length covers or liners, additional padding, and only for QUADRASTEP® orthoses - metatarsal mounds/bars, extra posting or heel-lifts. These can be ordered by your practitioner or clinician.

 

WHAT IS THE MATERIAL THAT QUADRASTEP® OR littleSTEPS® ORTHOTICS ARE MADE OF?

Our orthoses are manufactured from an injection molded thermoplastic compound that has the unique combination of strength and soft edge feel, providing optimal patient comfort. The strength of the material used is a feature that has been specifically matched to the amount of support each foot type requires.

 

QUADRASTEP SYSTEM® Questions

 

THE QUADRASTEP® ORTHOTIC IS THE RIGHT LENGTH BUT IT SEEMS TOO NARROW FOR MY SHOE, CAN I FIX THIS?

QUADRASTEP® orthotics are designed with all of the correction you need for the best results. They are best suited to an athletic shoe to give you a solid foundation. If the QUADRASTEP® orthotic is the correct fit but seems too wide for your shoe, you can have your practitioner or clinician order you a pair in a narrow width to accomodate your specific shoe.

Narrow orthotics are ¼” narrower and are designed for cleats or fashion shoes, and often work better for women or people with narrower feet. As a general rule you will have less shoe fit problems in a Narrow orthotic. Just keep in mind that if you reduce width too much you can reduce function, so an assessment needs to be done to make sure that the fit is correct and function hasn’t been compromised.

 

little STEPS® Questions

 

WHAT IS DEVELOPMENTAL FLATFOOT AND WHAT CAN I DO ABOUT IT?

Developmental Flatfoot is one of the most common conditions affecting the musculoskeletal system of children and teenagers. There is a tendency to under treat or ignore a child's flatfoot unless it is severe. Developmental flatfoot is the precursor to serious foot dysfunction and often results in some level of disability in the adult foot. Recognizing this anomaly early in life will save joints and musculoskeletal issues later in life.

There are many things that can be done to manage a developmental flat foot. Your healthcare provider can help diagnose the condition and recommend appropriate treatment. Intervention may include balance and coordination exercises, in addition to littleSTEPS® foot orthotics for kids.

 

IS TOE WALKING NORMAL?

It is normal for a child to walk on their toes for the first 2-3 months of walking. If your child continues to toe walk after this time, they should be examined to determine if they have tight heel cords (the tendon that connects to the back of the heel). Children who toe walk may simply require stretching of their heel cords or they could require other intervention. Although many children will continue to walk on their toes despite having normal heel cord flexibility, children with developmental flat foot may assume this position to gain more stability. Wearing supportive shoes in combination with a littleSTEPS® foot orthotic can help them.

 

HOW DO I FIND THE SIZE ON MY CHILD'S littleSTEPS® ORTHOTICS OR GAIT PLATES?

How to tell the size of your littleSTEPS® foot orthotic or gait plateOn the bottom of each littleSTEPS® foot orthotic or gait plate, on the heel, there is a circle with the model and size stamped on it. Please note that it also says "LEFT" or "RIGHT" under the size. The orthotic in the picture to the left is a littleSTEPS® foot orthotic size 9 or a littleSTEPS® gait plate size 7, left foot. It is important that you get the littleSTEPS® orthotics or gait plates in the correct shoe, and it is not always obvious by the shape of the littleSTEPS® orthotic or gait plate. It is also a good idea to make sure your child knows how to tell which shoe each orthotic goes into, in case they come out of the shoe during an activity or changing their shoes.

 

HOW DO I KNOW IF MY CHILD HAS OUTGROWN THEIR littleSTEPS® ORTHOTICS?

A general rule for parents, in regards to knowing when their child should be brought in for replacement littleSTEPS® orthotics because they may have outgrown them, is to base it on your child's shoe size. If your child needs a new pair of shoes in the next size then they probably will have outgrown their littleSTEPS® orthotics too. It is always advisable to see the practitioner or clinician who issued your child their littleSTEPS® orthotics every 6-12 months, to ensure they are working effectively and still fit. Children can have sudden growth spurts and if you find you need to buy your child new shoes in their next shoe size then we strongly recommend an appointment as soon as possible to check if their littleSTEPS® orthotics may also need replacing.

How to tell the correct fit for a littleSTEPS® foot orthotic

 

How to tell the correct fit for a littleSTEPS® gait plate

 


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