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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Welcome to our new Blog: Kylie’s Corner!

kylie picI’m excited to do my inaugural blog post about Foot typing and functional foot orthoses. For those people who don’t know me. I Graduated as an Australian Podiatrist in 1994 and I am also a US Certified Pedorthist. My specialty is biomechanics and functional foot orthoses. I have been working part-time for the QUADRASTEP SYSTEM® as a biomechanics instructor for the past couple of years and I have recently become their Education Coordinator.

I first heard about foot typing and the QUADRASTEP SYSTEM® when I was attending a Podiatry convention in Las Vegas about 4 years ago and I heard a lecture by Dr. Louis DeCaro, DPM and he kept referring to foot typing and how all the patients he sees get assigned a foot type. I was fascinated by this concept and liked the idea of having a standardized assessment model for patients. One of my pet peeves is the fact that if a patient goes to see a foot practitioner for foot orthoses and then sees someone else that patient can end up being prescribed and dispensed different types of orthotics for the same condition! This is very confusing for patients. It is a different story in the world of Optometry, for example. It doesn’t matter where you go and who you see, anywhere in the world, if you need eye glasses you are going to get the same glasses prescription no matter where you go.

Anyway time went on and I happened to see Dr DeCaro lecture at another convention and in this lecture he went into the Basics of how foot typing works and doing the assessment on the QUADRASTEP SYSTEM®. My first thought and initial reaction was that I wished I had of known about this when I was in Podiatry school it would have made my life much easier. I made a decision at that point that I really wanted to find out more about this and be able to teach it to others and I’m pleased to say that I have been able to do just that in recent years. Since I’ve been teaching the one day class on Functional Gait Analysis, which I now like to call Biomechanics Made Easy, it has been my intention to make the understanding of prescribing and dispensing functional foot orthoses much easier plus more fun and rewarding. I know the way I was taught biomechanics in Podiatry school was very confusing and there is a lot of misconceptions and conflicting information which just adds to the confusion. Roberta Nole, who invented the QUADRASTEP SYSTEM® and foot typing algorithym, is a modern day genius in my opinion.