Design: Treatment of Peroneal Nerve Palsy (Foot Drop)

Kevin discusses foot drop as a condition as well as the pros and cons of various orthotic treatment options available for those with foot drop.
-Kevin Matthews, CO/LO

[@samithdilshan1023]

plz help me

[@anthonycarney7849]

I had a mojor stroke 8years ago and I have drop foot I got a lot of casts like ur showing and I never improved because it just ur foot is not getting any excrise

[@dr.pd30]

Hi my daughter she's 2yrs now she's toe Walker and cannot sit on her own can you suggest what treatment should we do

[@orthoticdepartment6656]

for use of turbo AFO, what do you mean by weakdorsi and plantar flexors.What weak means.,is it MMT zero or 1 or 2 or 3

[@jordanmathison-delt5943]

I have a question about about hand orthoses

[@mynameisyou4270]

Hello sir, How could I buy AFO?

[@aerynkallstrom9888]

Are there signifiacant differences in treating peroneal nerve palsy versus restricted dorsiflexion due to hypertonicity in the calf?

[@AdvancedOrthopedic]

Yes, with peroneal pasly alone you do not need a plantarflexion stop, or bumper in the back. It is needed with hypertonic calf muscles.

[@dmacinnis1]

My son was not a toe walker as a young child. He is 11 now and started toe walking about 2-3 years ago. After the last 6 months we started really taking notice because everyone started asking us. I asked him the other day if he could do a squat on his heals. He struggled and could not. But he could do a great squat using on his toes? Lately he is walking on his toes 90% of the time. He can walk on his heals but prefers the toes. He is has always been very athletic, walked at 10 months old. He is a very fast runner. I am going to make an appt tomorrow because I am not sure why over the last 3 years what the change has been? But we live in FL and I am leary of doctors here. So any advice would be appreciated..

[@AdvancedOrthopedic]

dmacinnis1 Hello. I haven't heard of delayed toe walking before, so I would be concerned there may be an underlying condition. I would see a pediatric orthopedic surgeon for a comprehensive evaluation. I don't blame you for being wary, but that's the place to start. Muscle and nerve testing of his lower extremities may prove it's nothing, but get him looked at.

[@NudgingCharlie13]

Thank you for doing this. This was very helpful. I have used an allard toe off bilateral braces. Both mine broke so we went into the blue rocker. I tried the carbon fiber brace you showed here but couldn't wear it. The bar is on the inside of the ankle and non adjustable. It cut into my ankle. I am considering the hard plastic braces because carbon fiber breaks. My orthotist wanted me to try the blue rocker before doing the hard plastic. I have shin splints which I am thinking the carbon fiber caused. The plastic goes behind the leg and doesn't put pressure on the shin. It is such a pain to take the brace on and off every time I get in the car to drive. I wish they had locking hinges like a tool box where you could pop them open for driving and lock them for walking. I am not a candidate for the spring hinges.

[@AdvancedOrthopedic]

The carbon fiber braces will eventually fail with higher activity patients. I've had a few crack, but most are still out there working well. They also have a lower weight limit. I would recommend a rigid design like the Turbo FRAFO if you have issues with breakage in the future.

[@NudgingCharlie13]

+Advanced Orthopedic Designs I missed this reply when you initially put it up and just now found it. Thank you for your reply. I am still currently in the Blue Rocker braces. However I had to quit wearing them on a daily basis due to shin pain (they have double padding on each) and a broken ankle strap. I do wear them on occasion without the ankle strap. This summer I need to get a solution figured out. Due to the cost of the braces and the insurance changing I have to commit to one kind of brace. My Blue Rockers were about $1,000 each. Are the Turbo FRAFO that you suggested expensive? I don't want to make a $2,000 mistake. My orthotist didn't want me to go to the rigid plastic AFOs. He didn't think I would be happy with them because of the differences in energy return compared to the carbon fiber. I That's why I agreed to try the Blue Rockers. If I was in your area I would make a visit. Missing videos from you and looking forward to the next one. Thank you for your time!

[@AdvancedOrthopedic]

+NudgingCharlie13 The Turbos cost about the same, around $900 each. The enegy storage and return of prefabricated carbon AFOs is overrated. The carbon must be rigid to get any real return, just look at a prosthetic foot to see what kind of rigidity is required for real energy storage and return. I've had many patients travel from across the US. I agree it's expensive and not many have this as an option. The secret to effective, rigid plastic braces is in the alignment.

[@saifulsyazwanmohffadzil1650]

Hai what will determine the trimline of the texas turbo between low and high profile

[@AdvancedOrthopedic]

+saiful syazwan mohf fadzil I suppose you're talking about the posterior trimline. I don't have a specific landmark I use. For the low profile you can trim at or just above the Achilles insertion. You can use either design for most cases, but I always use the higher trims for Achilles rupture or tendinitis.

[@jmoss4838]

I had 2 carbon fiber braces and both cracked and broke

[@AdvancedOrthopedic]

That is not uncommon. There are cheap versions that don't hold up well. I use the Otto Bock Walk On AFO mostly. They hold up well. I haven't had one break in years

[@sehamk6783]

Hi! Is there anyone who represent you in Sweden who can sell your products?

[@rahilarora3792]

Seham K same in USA?