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As much as I am inclined to bespoke orthoses, there are occasions where off-the-shelf are more appropriate and for these occasions I use Interpod Control Tech Flex orthoses which are described as being made from 'Sorbo-tech' and are bascially a rigid shell which you add covers to.
The rearfoot control is excellent and symptoms, particularly in the youngsters, are very quickly resolved, as well as being easy to wear as they are not thick (it would be fair to say I have an unhealthy bias towards them!)
However, one problem is the covers which you attach to them and which come off in some circumstances.
Therefore, if there's anyone out there who also uses them? Have you had the same problem and what have you done to stop it? Otherwise, does anyone know of a good 'shell' orthotic with good rearfoot control that might be a good replacement?
Sorry to be a knowledge leech, but it's getting late and I want my dinner!!
Interpod Control Tech Flex ....However, one problem is the covers which you attach to them and which come off in some circumstances.
... Have you had the same problem and what have you done to stop it?
I just do not use the topcover (its only attached by a lousy self adhesive). The top cover is not needed.
BTW, these terms are very unique to the UK and not used very much at all outside the UK:
Chairside = put together while patient is in treatment chair
Bespoke = custom made
If so, do people not skid around on them without the covers on?
Never had a problem with them sliding around.
DISCLAIMER: Despite rumours to the contrary, I have NO vested financial interest in Interpod. I am very good friends with those that do (as i am with those behind several other prefabs on the market); have done some contract testing for them at the University (as I have done for others); and have done some paid speaking at seminars for them (as I have done for others). I just do not know why rivals (one in particular) choose to lie about my involvement.
I have been using the Interpod devices in patients with early RA and I am getting really good results. I don't use the top cover provided either. In most cases I find that I am adding a forefoot kinetic wedge and I tend to use poron which gives the RA patients some additional forefoot cushioning. I usually then cover the full length device with yampi or EVA. The thing to watch with this is that you roughen the Interpod surface, I use sandpaper, to ensure that the materials stick on well.
Thanks for your feedback. I tried sandpapering to keep the provided covers on, but it made no difference.
I have considered adding top covers myself but it is a bit of a fiddle given that I work privately, without use of an on-site lab. Sending them to another lab to get re-covered turned into an extensive and time-consuming business!
I'm going to see how they go without the covers and take if from there.
I use Lunasoft as a top sheet, sticks well, wears well and is not expensive, easy to trim, you don't need a grinder, just glue and scissors, although I find myself adding forefoot wedges and pads etc fairly frequently
Otherwise, does anyone know of a good 'shell' orthotic with good rearfoot control that might be a good replacement?
Orthopro made by Peninsula Podiatry Lab in Melbourne Australia are half decent IMO, and are rarely spoken about (that I hear of anyway). They have a skive inbuilt, and due to their mildly rough surface, can easily be covered/added-to or worn nude.
A$30 = E$20??? Wholesale.
Disclaimer: I have no connection with PPL. Just used them over the years. They are a durable rigid device.
I buy a sheet of 3mm poron with one side covered with cambrelle, but I tend to like it double sided so it copes with friction in the shoe. Can be fiddly but it does last.
I also use it to replace old plain insoles as it is durable and soft for the oldies.