Educational

ALL NEW Masters Class in December!

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

PODIATRIC MASTER CLASS 2018

Nolaro24 and Talar Medical are proud to offer a revolutionary, one of a kind seminar on December 7-8, 2018 at the Hyatt Regency Dallas FW International Airport. A Master Class covering the Treatment and Implementation of multiple aspects of a Podiatric based practice. This will be a convenient two-day course located in a major airport hub hotel. Master lectures include: Biomechanics, orthotics, pediatrics, wound care, surgery, heel pain, OTC implementation, trauma, sports medicine, and more! We have aligned top speakers from around the country to teach everything from science and treatment protocols to practice management. All aspects of Podiatric Medicine will be covered. Unencumbered by CME regulations, we will be educating you on how to use the actual products. It will be unlike anything you have ever attended. Participants will leave knowing exactly what to do and how to do it ALL!

The Talar Medical network encompasses the best and brightest Podiatric Practitioners in the Nation and they share Nolaro24‘s Educational goals. Education is the cornerstone of our mission and while most seminars teach you only didactics, we will teach you treatment protocols, best buying practices, cutting edge science and technology and how to implement them so that you can effectively grow your practice. While our focus will be on education, several Talar vendors have offered to be on hand, so that you can touch, see and feel their products and learn how to use them and implement them into practice, on site.

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 practice, including, but not limited to:

• How to properly document, educate, and bill for services rendered
• Implementing proven practice management techniques to market and expand your cash-based office programs such as orthotics and DME
• How to successfully apply actual products to treatment protocols
• Mastering protocols in wound care, surgery, heel pain, OTC products, trauma, sports medicine, equinus, and risk management
• How to properly examine and treat  most conditions we see via conservative and surgical treatments
• Mastering Orthotics and Biomechanics using foot typing with hands on training
• Mastering treatment protocols for the pediatric patient

This seminar is both inexpensive and accessible for practitioners and staff and offers 13+ hours of content.  The Hyatt Regency Dallas Fort Worth International Airport is right at the airport so no shuttles or taxis just get off the plane and walk right in! A limited block of discounted rooms has been reserved at the Hyatt for all nights at $139 per night.

Who Should Attend?
DPM,MD,PT,CPED,CO, Medical Assistants , and any licensed medical professionals interested in the Master Class topics.

Course Credits
Approval Pending for ABC. Approval pending for CT PT. DPM Non-CME event. Certificate of Attendance provided upon request.

Tuition
Registration is only $149 for Talar Medical and Nolaro practitioners and customers.  Bring your medical assistants for only $99 each.

Testimonials:
“Whether you’ve heard Louis and/or Roberta speak or not, this is one of the best and practical programs regarding biomechanics and orthotics you’ll hear anywhere, any time. Easy to understand, easy to translate to your patients, easy to implement in your practice…”
-Brandon Macy, DPM

“Great conference. Worth your time. Reignited my passion for biomechanics. Hit the ground running right after the conference!”
– Nick Pagano, DPM

Nolaro24, LLC reserves the right to cancel any course for insufficient enrollment, inclement weather or any other unforeseen event.

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More Information/Register

Questions? 203.725.6179

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Using Heel Lifts for Leg Length Inequality

Posted by casey1313 on in Educational 0 Comment

By Kylie Pearce, B.Sc (Podiatry), C.Ped

When someone has a leg length inequality often it is indicated to use a heel lift. Commonly this is attached to the heel post of a functional foot orthosis (for the shorter limb) as part of a customized orthotic prescription. There are limitations on the amount of lift or correction that can be achieved using heel lifts, the biggest factor is to do with shoe fit, particularly shoe depth, and if you add too much of a heel lift the person will tend to walk out of their shoe or you’ll get excessive heel slippage.

The maximum amount of heel lift attached to the heel post of an orthotic device is about 1/4”, more than that can cause a pelvic iniquity. This amount of lift will also fit in most standard shoes, but not smaller dress shoes.

An alternative to attaching a lift to the heel post of foot orthoses is to make a 3/8” detached tapered lift that extends from the heel to the ball of the foot. This is placed in the shoe of the shorter limb and the orthotic is placed on top of it. These lifts are customized for right or left. This amount of a lift will only fit in deep shoes like Athletic footwear or boots.

More than 3/8” needs to go on the outside of the shoe, and should extend the full length of the shoe, tapering at the toes, think of a platform shoe but just on the shorter side.

Another factor to consider is if the leg length inequality is functional or structural. Functional leg length inequality is where the limbs are actually the same length but one appears to ‘function’ as a shorter limb because of the position of the back and pelvis.

Functional Leg Length Inequality caused by Hip Tilting

A true structural leg length inequality is where there is an actual difference in the length of the limbs, this has a number of causes and it can be congenital but a common cause is after trauma, like an accident causing a fracture of one limb or damage to a growth plate on one side. Surgery can also be a cause. Especially in older patients, leg length inequality can be an unintended consequence of having a hip replaced.

Structural Leg Length Inequality caused by different sized limbs

So you have done an evaluation on your patient and have determined that there is a structural leg length inequality and you feel that your patient would benefit from having a heel lift but you want to know how much of a lift you should use? How much to add depends on the severity, the shoe it needs to go into and the age of the patient. The general rule is to start with no more than half the difference. For example if you have a patient that is 1” shorter on the right, you could recommend the 3/8” lift but you need to explain to the patient that it will require very deep shoes. Or go with a 1/4” lift on the orthotic and have the sole of the shoe modified to add another ¼” to 1/2”. Remember, many patients – particularly women because of cosmetic considerations, are reluctant to have shoes modified unless there is a significant difference in their limb length.

Another factor to consider is if someone has had a limb length inequality for a long time they may have ‘compensated’ for it and a large amount of change in a heel lift may not be tolerated well. In this case you can ramp up the amount of lift gradually to help improve their function and improve any symptoms associated with the leg length inequality.

For more information:

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Visit with Rob Young from Grand Haven Foot & Ankle

Posted by casey1313 on in Educational, Foot Typing, littleSTEPS, QUADRASTEP SYSTEM 0 Comment
from left to right: Scott LaBianco, Roberta Nole and Rob Young

 

Nolaro24, LLC was proud to host Rob Young from Grand Haven Foot & Ankle in Grand Haven MI for a few days after attending our Biomechanics & Orthotics Master Class on April 20-21. Rob spent a few days with Roberta Nole and Scott LaBianco of Stride Pedorthic Center learning about foot typing, observing, and learning about custom and prefabricated orthotics. Rob is working towards his C.Ped certification, and was eager to learn anything he could about biomechanics and foot pathologies. We had a great visit with him and we are sure he is going to be even more of an asset to Grand Haven Foot & Ankle once he gets his certification!

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