inside look · 2018. 3. 31. · please contact us if you would like to write for the publication....

Current Pedorthicswww.pedorthics.org

Volume 39, Number 4 July/August 2007

Inside Look:Shoe Dermatitis:

A Practical Guide for the

Pedorthist

Pedorthic Management of End Stage Diabetes Mellitus

Michael Veder is Busy, But Not too Busy for PFA

Pedorthic Footwear Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036

CURRENT PEDORTHICS • July/August 2007 1

CURRENTPEDORTHICS

J U Ly / A U g U S T 2 0 0 7

FEATURES

Shoe Dermatitis: A Practical Guide for the Pedorthist By Robert G. Smith DPM, MS ed.

Michael Veder is Busy, But Not too Busy for PFABy Dennis Coyle

PFA Member Finds ‘Solutions 4 Feet’By Berry Craig

Pedorthic Management of End Stage Diabetes MellitusBy Paul Chromey, B.S., D.P.M., C. Ped.

PFA Symposium Updates & Features

CURRENTPEDORTHICS

J U Ly / A U g U S T 2 0 0 7

6

14

16

18

24

18

Pedorthic Management of End Stage

Diabetes Mellitus

DEPARTmENTS

4 Current Pedorthics' Message

32 Association News

38 Industry News

42 Government Affairs

48 Resource Center

50 Vendor News

50 Pedorthic Marketplace

52 Pedorthic Industry Events

54 New PFA Members

54 Advertiser Index

57 Product Reference Guide

Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footwear Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036. Telephone: 202-367-1145 or 800-673-8447, Fax: 202-367-2145, Web site: www.pedorthics.org, E-mail: [email protected]. Copyright© 2007, PFA. All rights reserved. No part of this publi-cation may be reproduced in any manner without written permission. Letters to the Editor and other unsolicited material are assumed intended for publication and are subject to editing.

Articles in CP do not necessarily reflect the opinion of PFA, its Board of Directors or its employ-ees. CP’s use of trademarked names is done in an editorial fashion intended to benefit the trade-mark owner, with no intention of trademark infringement.

Subscriptions are available for $45 per year in the United States ($65 outside USA). Back copies, if available, may be purchased for $5.00 U.S.

If you have any questions regarding d isplay advertising or classified ads, please e-mail [email protected].

Please send all product- and industry-related press releases to [email protected].

Pedorthic Footwear Association Board of DirectorsRandy Stevens, C. Ped., BOCped., CFO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PresidentDane LaFontsee, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vice PresidentKristi Hayes, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Secretary/TreasurerMike Forgrave, C. Ped., C. Ped. (C) . . . . . . . . . . . . . . . . . . . . . . . . . . . .Immediate Past President

Jamie Dick, PT, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorArthur Smuckler, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorMichael D. Veder, C. Ped., CO, BOCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorFaith Ballard, C. Ped., CO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorAlan Barthold, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorHarlon Compton, C. Ped., CO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorLiz Chiles, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorStuart L. Pressman, C. Ped., CO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DirectorDavid Solomon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vendor/ManufacturerLliaisonAllan J. Weiner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Legal Counsel

David J. Levine, DPM, C. Ped. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical AdvisorCraig Young, MD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical AdvisorRaymond L. Fritz, DPM, C. Ped . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical Advisor

Editorial StaffJay Strother . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PublisherDennis Coyle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EditorWilliam Wargo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Design/Production

Advertising & ServicesErin McGill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MembershipBrian K. Lagana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Current PedorthicsMonica Kurlemann . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PFA Symposium

Headquarters Staff

Executive Director Brian K. Lagana

Association CoordinatorBen Petok

membership Services CoordinatorErin L. McGill

Director of EducationAl Baggett

Education AssociateAndrea Tsupros

Director of meetings and Conventions Cele Fogarty

Exhibits and Sponsorship CoordinatorMonica Kurlemann

Director of marketingGregory Akroyd

marketing AssociateNikita Wilson

Current Pedorthics, PublisherJay Strother

Current Pedorthics, EditorDennis Coyle

2 CURRENT PEDORTHICS • July/August 2007

AD PageName: PEL Supply Company

Page 3Pickup: May/June p. 3


PRESIDENT’S mESSAgE

Current Pedorthics exists to serve you.

Association publications have a unique place in the market. They bridge the space between an inward-looking newsletter and a commercial publication. But they can better directly address member readers because they are tuned in to the member experience.

We have many goals for the publication:

We want it to accurately reflect what our mem-• bers do in their jobs – and the innovation they bring to their patients.We want to alert you to the latest treatments, • programs and products available.We want what you read here to be readily appli-• cable in what you do every day. We want to highlight PFA events and activities • that will help you better do your job. We want to archive the association’s (and your) • accomplishments.And we want to report to the medical and con-• sumer communities what PFA and its members are achieving.

We need your help to ensure we reach these goals. Current Pedorthics seeks PFA member volunteers for a new editorial advisory committee.

Many association and medical publications are served by editorial advisory committees. These groups (made up of interested member volunteers) keep the information conveyed in their respective publications on point and keep the topics addressed timely.

What Do Editorial Committee Members Do?

They help establish the editorial calendar. •

An editorial calendar is an issue-by-issue list of planned topics and the specific article ideas that address them. Usually, this outline is created late in the calendar year for the next year’s issues.

Having this outline of article in hand helps the staff editor better find interested writers. An editorial calendar also assists the advertising sales staff: Salespeople can approach advertising prospects and solicit ad space that addresses specific articles. This helps PFA offset the publication’s expense – and it gives credence to our publication as advertising validates that industry players view the publication as a timely and pertinent publication.

They suggest article topics/angles.•

Even when an editorial calendar exists, editorial committees can help hone it throughout the year. Additionally, these committee members help establish the right story approach for our audience. Even though our members can glean information from many sources, this is the one publication that addresses their perspective directly – and its content should reflect that.

They react/review to articles before publication • (when necessary).

While we do have a professional editorial staff at headquarters, these editors are not pedorthists. While these editorial staff members can assess the quality of writing and correct grammar and usage, there are times when the topics covered turn technical. This is when the editors need a committee of experts to contact to review articles.

Serving on an editorial committee is not a labor-intensive process: We anticipate bimonthly committee calls lasting no more than an hour. We will also meet during the PFA conference. Beyond that, you may be contacted on an article-specific basis depending on your area of expertise.

Committee members are not required to write articles for Current Pedorthics. However, these members are encouraged to submit articles if they choose.

Writers Wanted, Too

If you do not wish to serve on the editorial committee, you can still help by submitting a pedorthics-specific article for consideration.

Have you ever needed information on a subject and not been able to find resources? Do you have specific knowledge that you can share that would help other pedorthists better serve clients/patients? Are you conducting research that you want to share in an industry-specific publication?

You can share your knowledge and research on these pages. Please contact us if you would like to write for the publication.

We look forward to making this publication even better. Please help us meet these goals.

Kristi HayesPFA Marketing Committee Chairwoman

Dennis CoyleCurrent Pedorthics Managing Editor

A mESSAgE FROm CUrrENt PEDorthiCS

We need you!

Kristi HayesPFA Marketing Committee [email protected]

Dennis CoyleCurrent Pedorthics Managing [email protected]

AD PageName: Procare “White”

Location:Pickup:Page 5


American families purchase more than seven pairs of shoes annually from a shoe market that is 98 percent imported.1, 2 There is a variety of footwear styles: casual,

formal, work and athletic shoes made all over the world from leather, rubber and other synthetic materials. Therefore, it is impossible to identify precisely all their constituents. A vast variety of potentially sensitizing chemicals are used during shoe manufacturing and finishing.

A medical condition referred to as “shoe dermatitis” is a form of dermatitis caused by contact of the foot with chemicals in the materials of shoes.3 Shoe dermatitis is a diagnostic and therapeutic challenge and is a common type of contact dermatitis affecting children and adults regardless of race. For

this reason, it is imperative the pedorthist be familiar with recognizing signs and symptoms of shoe dermatitis so that their patients can be referred to a healthcare provider for accurate diagnosis and appropriate treatment. A quick response will help avoid secondary infections and disability.

This review will present causative factors for the etiology of shoe contact dermatitis supported by clinical based evidence as found in the medical literature; a description of the signs and symptoms of shoe contact dermatitis; and preventative measures to avoid shoe dermatitis so that patient education may be conducted.

Causes of Shoe Contact DermatitisAllergic contact dermatitis is caused by the body’s reaction to something that directly contacts the skin. Many different substances can cause allergic contact dermatitis. Cronin reports that historically in the 1930s and 1940s leather and dyes caused most of the presenting cases of shoe contact dermatitis.4 By the 1950s and 1960s, rubber allergens became the most common identifiable cause of foot dermatitis.3,4 Today, shoe dermatitis may occur if a person is sensitive to the rubber or elastic compounds in shoes, form inserts, or from elastic glues used to bind shoe components. The other identifiable causes of shoe dermatitis are cements, dichromates used in tanning, dyes, anti-mildew agents, formaldehyde, and nickel eyelets or nickel arch supports.

The allergen is usually a rubber accelerator or antioxidant used in the manufacture of rubber rather than rubber or

By Robert G. Smith, DPM MSc. R.Ph, C.Ped.

continued on page 8

Shoe dermatitis is a form of contact dermatitis caused by chemicals in the materials of shoes.

Shoe Dermatitis:

A Practical Guide for the

Pedorthist

Aravon o� ers real comfort and real style. Advanced cushioning and support, removable footbeds and stability

components are skillfully hidden within beautiful footwear that women love to wear. Available in multiple widths

and extensive sizes, only from Procare � t specialists and select, � t-oriented retailers. Learn more at aravonshoes.com

©2007 Aravon, a trusted New Balance brand. All rights reserved.

No placebos.


latex. Rubber continues to be blamed as a common cause of shoe dermatitis, especially when the antioxidant monobenzyl hydroquinone is present.3,5 This antioxidant may also cause hypopigmentation of the skin.5 The paraphenylenediamine group of rubber additives are an important cause of industrial dermatitis. Shoe dermatitis is usually caused by the rubber adhesive used to glue the parts together. Moreover, adhesives, both rubber and non-rubber, can cause problems so much so that even leather shoes may contain products that cause shoe dermatitis. Chromates are compounds that contain chromium and are commonly responsible for allergic contact dermatitis from contact with cement, leather, some matches, paints and anti-rust compounds. Chromates are used to tan leather for shoes and clothing. Chromium is gradually liberated from leather collagen by the action of hydroxyl acids in sweat, especially when shoes are worn without stockings.5

Athletic running shoes as well as swim fins contain rubber accelerators, antioxidants and other rubber additives that are common causes of foot dermatitis. These compounds included thioureas, thiurams, carbamates, N-isopropyl-N-phenyl-p-phenylenediamine and mercaptobenzothiazole.

As with other footwear, the dye found in the insoles of certain running shoes has caused contact dermatitis in runners. Alternatives options include shoes made mostly of polyurethane.6

A review of the medical literature reveals a number of case reports, retrospective observations, random control trials, practice guidelines that identify the potential antigens responsible for shoe dermatitis.6-19 Shoe contact dermatitis resulting from shoe linings was first noted in 1877 and has appeared as a recent case report caused by para-tertiary butylphenol formaldehyde.12,15,19 The most common allergens in shoe dermatitis as found in the literature are presented graphically as Table 1.

Saha conducted a study to determine the prevalence and clinical patterns of footwear dermatitis. Fifty patients with suspected shoe dermatitis and 30 control subjects were patch tested with 22 allergens. While 70 percent of patients showed sensitivity to these footwear allergens, both potassium dichromate and colophony were identified as the most common sensiters.10 These investigators stress there should be footwear screening to detect responsible allergens and

call on both manufacturers and research institutions to assist with such screenings in order to provide non-allergenic footwear to the public.1

Observational results reported by Freeman in 55 patients with chronic foot dermatitis revealed rubber was most the common allergen, followed by chromate, p-teritary-butylphenol-formaldehyde resin and colophony.3,9

In this study, the incidence of shoe dermatitis was almost equal in both genders. A hallmark observation identified by Freeman was that during a differential diagnosis that all parts of the foot were affected in their patients except the inter-digital areas as well as hyperhidrosis was found in all subjects.9 Freeman’s patient improvement or the resolution of symptoms of 87.5 percent was attributed to successfully finding suitable footwear secondary to patch testing that identified the causative antigen.3,9

Shoe Dermatitis: A Practical Guide for the Pedorthist continued from page 6

Table 1The Most Common Allergens in Shoe Dermatitis found in LiteratureStudy, Year Patient # Method Common AllergensSaha et al, 1993 50 Patch Test Potassium Dichromate

ColophonyFreeman, 1997 55 Interview Rubber

ChromatePara-Tertiary Butylphenol FormaldehydeColphony

Shackelford & Belsito, 2002 704 Patch Test Rubber Components Chromated Leather

AdhesivesRani et al, 2003 119 Patch Test Para-Tertiary Butylphenol Formaldehyde

Cobalt ChlorideGlues

Lazzarini et al, 2004 53 Patch Test Para-Tertiary Butylphenol FormaldehydeChromateRubber Chemicals & Dyes

Holden & Gawkroder, 2005 230 Patch Test ChromateRubber ChemicalsParaphenylenediamine

Nardelli et al, 2005 474 Patch Test Potassium DichromateCobalt ChlorideParaphenylenediamineRubber ComponentsColphonyPara-Tertiary Butylphenol Formaldehyde continued on page 10

AD PageName: Euro International

Location: Page 9Pickup: May/June p. 45


Shackelford and Belsito demonstrated rubber components were the most common allergens contributing to the etiology of allergic-appearing dermatitis.3,7 The continued and increased frequency with which rubber components act as causative allergens in shoe dermatitis is a reflection of their continued use is further accentuated by Belsito.3,8 Most athletic shoes increase the probability of perspiration because of the impermeable nature of their construction. Rubber allergens will penetrate the skin at a greater rate because of this increase in perspiration and will result in increase skin exposure and sensitization of these materials.3,8,11

A prospective investigation conducted by Rani included 109 patients suspected of having contact dermatitis due to shoe allergens. Both shoe series and European Standard series patches were applied on the upper back of each subject and removed after 48 hours.16 Seventy-three percent (n=87) reacted positively to a variety of allergens. These authors determined quantifiably that glues and para-tert-butylphenol formaldehyde resin were the leading cause of shoe dermatitis.

Another investigation was conducted by Lazzarini on 53 patients with eczematous dermatitis among more than 1,027 patients. Patch testing was performed using the Brazilian series. Thirty-seven (70 percent) had at least one positive patch test reaction. The compounds causing positive reactions were rubber-vulcanizing agents, followed by either metals and topical medications.17

Holden and Gawkrodger reported their experience of 10 years of patch testing on 230 patients to identify which allergens are important in determining the cause of shoe dermatitis. Forty-four subjects of the group showed relative allergic positive reactions to the allergens in the British Contact Dermatitis Society’s standard series. Only 13 patients had relevant positive results to one or more allergens from the shoe series. The current shoe series consists of 17 allergens, including two from the rubber series. One percent of the 230 cases were positive for five allergens. Chromate was identified as the top allergen during this investigation. These authors conclude from their observation that nickel is rarely a relevant allergen for foot dermatitis, unless an obvious source of metal buckles is present.13

Nardelli report the results of a 13-year retrospective study that was conducted to identify the relationship between the causative allergens in shoes and localization of foot dermatitis.14 The study determined 474 patients presenting with foot dermatitis had a positive reaction to one or more substances related to footwear. The most common allergens in decreasing order of frequency in this study were potassium dichromate and cobalt chloride, followed by p-phenylenediamine, rubber components, colophony and p-tert-butylphenol formaldehyde. Potassium dichromate and cobalt chloride were most often found in relation to dermatitis of the whole foot. Rubber chemicals were associated with dermatitis of the soles of the feet.14

Signs and Symptoms of Shoe DermatitisThe substances that cause shoe contact dermatitis pose no trouble for most people, and may not even be noticed the first time a person is exposed. But once the skin becomes sensitive or allergic to any of the etiological substances, any exposure will produce a rash.3,5 The rash usually doesn’t start until a day or two later, but can start as soon as hours or as late as a week.5 The history of onset of symptoms and absence of any previous history of skin disease and the possible temporal relationship to wearing of new shoes can aid the health care professional in distinguishing shoe dermatitis from other forms of dermatological diseases.

Shoe dermatitis usually shows as redness, swelling and water blisters. The size of these blisters range from tiny to large. Also, these blisters may break and form crusts and scales. Untreated, the skin may darken and become leathery and cracked. Allergic contact dermatitis can be difficult to distinguish from other rashes, especially after it has been present for a while. The dermatitis can occur on the weight-bearing parts, heels, sides of the foot and other pressure and friction areas.12

The most common site first involved with shoe dermatitis is the dorsal surface of the big toe and on the insteps. It later extends by spreading to the other toes and dorsal aspect of the foot.5 Skin lesions may be acute, presenting as red, blistering, oozing and usually symmetrical.3,5 The clinical symptoms of shoe contact dermatitis can range from mild, itchy rash to severe itching with swelling and small blisters.3

On the other hand, chronic lesions are dry lichenified and in severe cases, open sores may present and can result in secondary bacterial infections.3,5 Finally, an important diagnostic parameter used by physicians is the presence of normal skin not in contact with shoes between eczematous areas.3 The design of the footwear determines to a large extent the appearance of shoe dermatitis.12 Pedorthists may keep this observation in mind when they refer a patient for medical evaluation. If untreated, a secondary infection may result that presents as swelling, tenderness and pus formation.

Diagnosis and Preventing Shoe DermatitisThe physician and patient will discuss the materials that touch the person’s skin at work and home, and try to identify the allergen. Freeman recommends that all patients with foot dermatitis who do not respond to treatment should be patch tested to exclude shoe allergy.9

The physician may detect the skin sensitizer responsible for shoe dermatitis by performing a patch test.5 Patch testing is a safe and quick way to diagnose contact allergies. A small amount of the suspected allergen is applied to the skin for a fixed time.5 Patches contain common allergens that are known to cause contact dermatitis. After the patch is removed, the treating physician can check for a positive reaction over a few days.3 If indeed the patient tests positive for shoe contact dermatitis, the pedorthists must make note

continued on page 12



of this allergy within the patient’s chart and ensure and reinforce the physician’s instructions to stop wearing the shoes causing the reaction.3,5 The prescribing and application of topical corticosteroids is a medical standard of care in the treatment of shoe dermatitis.3

The foremost part of the treatment plan for shoe dermatitis is the avoidance of the sensitizer (allergen) once it is known. The pedorthist as an expert in footwear can aid both the physician and the patient by providing both education and aiding with the selection of footwear without materials that may cause shoe dermatitis. Substituting products made of different materials that do not cause allergic reactions will lessen the likelihood of future episodes of shoe dermatitis. Vegetable-tanned footwear can be substituted as an alternative for the hypersensitive individual. This type of footwear contains no rubber or formaldehyde.12

Secondly, the pedorthist may offer an educational initiative to the patient to avoid re-dyed shoes.3, 5 Patients with shoe dermatitis can use special types of shoes prepared from non-sensitizing substances. Adams suggests measures to control sweating may be very helpful for the patient who suffers from shoe dermatitis.12 Physicians or pharmacists may suggest the application of a medicated powder once or twice a day to control foot perspiration. The pedorthist can suggest stockings made of absorbent cotton that should always be worn by the patient who is recovering from an episode of shoe dermatitis.3 Further, the pedorthists could suggest changing socks two or three times a day, and the wearing of different shoes for work and home to prevent dermatitis.12

Stocking DermatitisAnother dermatitis the pedorthist may encounter during their professional interactions with patients is stocking dermatitis. Azodyes in nylon stockings are the main cause of stocking contact dermatitis. Azodyes cross sensitize with paraphenylenediamine derivatives and other related rubber chemicals.5,12 Stockings made from nylon fabrics may also cause contact dermatitis.5 The appearance of stocking dermatitis usually outlines the shape of the stocking.12 The distal part of the feet and the popliteal region are the most commonly affected areas in stocking dermatitis. In females using long nylon stockings, the middle of the thighs are commonly affected.12 In males, using short stockings containing rubber plastic at the upper end of the leg may cause contact dermatitis corresponding to the upper stretch part of the stockings due to the rubber content of the stretched part of the stocking.5

ConclusionShoe dermatitis is a form of contact dermatitis resulting from exposure to different chemicals with a hot humid environment within the shoes. This condition affects children and adults regardless of race.

Shoe contact dermatitis presents as a diagnostic and therapeutic challenge for the healthcare provider. Rubber

compounds continue to be blamed as a common cause of shoe dermatitis. As an important member of the health care team, the pedorthist must be familiar with recognizing signs and symptoms of shoe dermatitis so that their patients can avoid secondary infections and disability.

This review presents causative factors for the etiology of shoe contact dermatitis supported by clinical-based evidence as found in the medical literature. The shoe dermatitis signs and symptoms are presented in a narrative and accentuated with clinical photos. Preventative measures to avoid shoe dermatitis are offered to the pedorthist so that they may provide patient education.

Dr. Smith received his certification in Pedorthics from BCP in 2001. He completed postgraduate training with the College of Medicine at the University of Wales, Cardiff, Wales, UK in wound care and tissue repair. He received his Masters of Science degree from College of Medicine at the University of Wales, UK 2006. He is a consultant to PICA in the area of Podiatric Pharmacy. He is a consultant to National Board of Podiatric Medical Examiners. He is a contributing editor and reviewer to JAPMA in the areas of Podiatric Clinical Pharmacology. He has authored 40 refereed journal articles in the disciplines of Pharmacy and Podiatry. He operates a sole practice Shoe Sting Podiatry in Ormond Beach, Fla.

References1. Kevin M. Burke. President-Chief Executive Officer. American Apparel & Footwear

Association. State of the U.S. Apparel & Footwear Industry ... www.apparelandfootwear.org/president-reports/April05col. Accessed July 21, 2007.

2. Burke KM. Letter to Sander M. Levin Chair House Committee on Ways and Means. Dates February 26, 2007 http://waysandmeans.house.gov?hearings.asp accessed July 18, 2007.

3. Smith RG. A review of topical corticosteroids. Podiatry Management 2006 25 3: 207-216.

4. Cronin E. Shoe dermatitis. Br. J Dermatol 1966; 78:617-625.

5. Principles of Pediatric Dermatology Chapter 26 Skin sensitization due to other irritants www.drmhijazy.com/english/chapters/Chapter26.htm accessed July 21, 2007.

6. Caselli, M A. Sports Medicine: How to handle contact dermatitis in athletes. Podiatry Today 2003; 16: 68 – 70.

7. Shackelford KE, Belsito DV. The etiology of allergic-appearing foot dermatitis: a five-year retrospective study J Am Acad Dermatol 2002; 47: 715-721.

8. Belsito DV. Common shoe allergens undetected by commercial patch testing kits: dithiodimorphorpholine and isocyanates. Am J Contact Dermatitis 2003; 14: 95-96.

9. Freeman S. Shoe dermatitis. Contact Dermatitis 1997; 36: 247-251.

10. Saha M, Srinivas CR, Shenoy SD, et al. Footwear dermatitis. Contact Dermatitis 1993; 28: 260-264.

11. Roberts JL, Hanifin JM. Athletic shoe dermatitis JAMA 1979; 241: 275-277.

12. Adams RM Shoe Dermatitis Calif Med 1972; 117: 12-16.

13. Holden CR, Gawkrodger DJ. 10 years’ experience of patch testing with a shoe series in 230 patients, which allergens are important? Contact Dermatitis 2005; 53: 37-39.

14. Nardelli A, Taveirne M, Drieghe A, et al. The relation between the localization of foot dermatitis and causative allergens in shoes: a 13- year retrospective study. Contact Dermatitis 2005; 53: 201-206.

15. Oztas P, Muhterem P, Levent C, et al. Shoe dermatitis from para-tertiary butylphenol formaldehyde. Contact Dermatitis 2007; 56: 294-295.

16. Rani Z, Hussain I, Haroon TS. Common allergens in shoe dermatitis: our experience in Lahore, Pakistan. Int J Dermatol 2003; 42: 605-607.

17. Lazzarini R, Duarte I, Marzagao C. Contact dermatitis of the feet. A study of 53 cases. Dermatitis 2004; 15: 125-130.

18. Onder M, Atahan AC, Bassoy B. Foot dermatitis from the shoes. Int J Dermatol 2004; 43: 565-567.

19. Durhring LA: A practical Treatise on Disease of the Skin, Philadelphia, JB Lippincott & Co, 1877, 327.



Michael Veder is a busy man, but he can’t complain.

Veder, C.Ped., CO, BOCO, operates Gaitwell Orthotic & Pedorthic, based in Eaton, Ohio, but the practice includes three other Ohio offices. He also co-owns Gaitwell Labs with his partner, C.Ped. Ryan Nichols. The lab is a central fabrications lab. Veder’s schedule doesn’t stop there. He volunteers as president of the Serenity House, a non-profit transition home in Cincinnati.

Of course, he does all of this while serving on the PFA Board of Directors (class of 2007). Fortunately, Veder is able to balance all his work-related responsibilities and still find time for his wife Kathy, dog and three Pant horses.

It all comes down to practice and experience. With 18 years in the pedorthic industry, Veder has both. He has a broad background with orthotics and pedorthics but offers specialized services in the lower extremity. His customer base is physician referred.

It’s been a long time since Veder graduated from Ball State University. His path to Ohio was interesting and unpredictable.

Current Pedorthics: What made you decide to become a Pedorthist?

Veder: In 1989, I was working at the V.A. hospital in Cincinnati, in the housekeeping department. My friend, Mike Marmer, who was third generation in his family’s shoe store business had left to join Kempf Surgical Appliances in Cincinnati. I believe this was the first strictly clinical pedorthic practice in Cincinnati. He became so busy so quickly he could not keep up with the work. I was looking for a little extra money and accepted a part-time lab position. I had to learn a little anatomy to follow the fabrication instructions. Along the way, I would overhear some of the patients’ responses and tales of joy of being relieved of severe pain. I began to wonder why sometimes I would be directed to push the inside of the foot and other times the outside. I started to ask questions

and then read a book on Gait and Biomechanics. I became fascinated by the whole process and decided that was what I wanted to do for a living.

CP: How did you become involved with PFA?

Veder: Being a member of PFA was just a normal part of what I was doing, as I told you Michael Marmer was third generation at his family’s shoe store. His father, Saul, was one of the original founders of PFA. Over the years, I have had the honor of getting to know and actually teaching with Mr. Marmer. I’ve been a PFA member since 1992.

CP: What led you to becoming a PFA Board of Directors member?

Veder: I had never aspired to be on the board of directors. My practice, Gaitwell O&P, which I started in 2002, has a clinic in Commonwealth Orthopaedics Centers in Northern Kentucky. Dr. Nicholas Gates, M.D., an Orthopaedic surgeon who specializes in foot and ankle care, is my primary referral source. I have been working very closely with him for nearly 10 years. I have learned a lot from him and from Dr. Matthew Connolly D.P.M., at Commonwealth Orthopaedics Centers. I guess that PFA sends the Current Pedorthic magazine to many healthcare professionals, including the foot and ankle surgeons. Dr. Gates read about the position and nominations and thought I would be a good candidate. I guess he and some of the other doctors wanted to nominate me but found out they could not and had my office manager, Deborah Retherford, contact some local C.Peds. to see if they would nominate me. This was all done without my knowledge and when it was presented to me, I was honored and humbled just by the thought of it. I accepted. I have gone to the PFA Symposium for 17 straight years but I’m not a big hand-shaker guy. I keep a pretty low profile and didn’t think many people knew me. I didn’t think I would get elected. Well, I didn’t; however, PFA President Randy Stevens called after the election and told me there was a vacancy on the board. He

michael Veder is Busy, But Not too Busy for PFAPFA Board Member Comes With 18 years of ExperienceBy Dennis Coyle

Michael Veder, C. Ped., CO, BOCO, is a business owner and PFA board member.


asked if I would be interested in accepting a position on the board. I felt honored and accepted.

CP: As a PFA “insider,” how do you feel the association helps the everyday Pedorthist?

Veder: I’ve only been on the board for one year, but I’ve always known the importance of representation and education. PFA provides both of these to its members. In June, I attended my first official face-to-face meeting with the board at the strategic planning meeting held in Chicago. I was very impressed with the board and the staff. It was an exciting weekend, spent discussing ways to improve both representation and education.

CP: Being a Pedorthist is a demanding but rewarding job. What keeps you going, excited and energized about what you do?

Veder: It’s the patients and truly making a difference in their lives. I agree it’s demanding but it doesn’t seem that way very often. I enjoy figuring things out and coming up with solutions. We all experience these joys. I’ve had family members call me after a patient has passed away to thank me for helping to keep their loved one active, happy and live a fulfilling lifestyle.

CP: On the opposite side of the spectrum, what are some of the more difficult aspects of the job?

Veder: All the people I see are patients; I don’t have any “customers” so I am 100 percent dependent on third-party reimbursement. My business manager Carolyn Klumpp is very good at the insurance contracts and all that stuff. So to a degree, I’m insulated from it.

CP: You’ve seen a lot of changes since you’ve joined the industry. What are some of the major differences?

Veder: When the therapeutic shoe bill was passed in the mid-1990s, I thought it was a great idea; however, now I think it has become a great disservice to our patients and our field. It has become a big money maker for some people who have no desire to treat patients. It has even become a mail-order business. We are talking about brittle insensate feet and some severe ulcers. It’s appalling. If I had the power, I would fix it or resend it. You can’t put a lot of these patients in anything but a custom-foot orthosis. The process can be very complicated and intricate. It can cost $300 to $400 a pair, not $32 a foot. They require significant follow-up that happens every one or two weeks for months. After we’ve had resolution, they should be seen every three to six months. They should not be given a pair of shoes and three sets of “inserts” and say, “See ya next year.”

CP: What do you feel are current “hot buttons” or areas of interest for pedorthists?

Veder: Obviously, the merging of BCP into ABC. The decision by BOC to begin a certification for Pedorthists. Also, government affairs that PFA is very involved in. This is

actually a very exciting time to be involved and possibly play a small part in the process

CP: In your opinion, what is the future of Pedorthics?

Veder: No doubt, it’s foot and ankle specialist in the medical community. I feel no one comes close to us in this area. I became an othotist mainly to do AFOs. The physicians in our area were not satisfied with the results they were getting from other so-called bracing specialists. By applying and incorporating some basic Pedorthic principles to AFOs, we would get significant positive reproducible results.

CP: What will Pedorthists need to do in order to strengthen the position of Pedorthics in the medical field and its overall reputation?

Veder: Change our image from “the shoe fitter guys.” There is a tremendous need for our skills. We need to develop the education and qualifications to do all types of foot and ankle orthotic care. When you take a typical crow boot and start applying Pedorthic principles to it, it becomes many times more effective. And, as I said, nobody does this as well as we do.

1/4 AD PageName: Pedorthic Newswire

(Aetrex)Location: Page 15

Pickup: May/June p. 14


PFA member Colin Martin, C. Ped., said Solutions 4 Feet “is probably as close as you are going to get to a pedor-thics facility in the United Kingdom.”

Martin, a transplanted Scot, operates Solutions 4 Feet in Bicester, England, near historic Oxford. He bills his firm as “a new dimension in footwear fitting, footwear modification and footcare” offering “products and services which have not been available in the U.K. until now.”

Martin sells running shoes, athletic socks and accessories, plus Superfeet orthotics. “I have not found anything that works as well for the cost as the Superfeet system,” he said. “Our return rate is less than one half of 1 percent.”

An avid skier, Martin, who grew up in Glasgow, also sells some ski boots by special order, mainly to racers, instructors and other high-level skiers. But he said his clients are more than athletes.

“We can help anybody who’s got a pair of feet,” he said with a chuckle. “We’ve got a good mix of customers. We maximize human performance using video analysis and biomechanical profiling.” Experience helps, too, he said. Martin has been fitting and modifying footwear for 17 years.

He works by appointment only. When his diary is empty, he locks up and goes home or runs errands. He likes being his own boss, but prefers straddling a fitting stool opposite clients to pouring over paperwork and cpmleting marketing programs.

“I hate doing the accounts,” he confessed. “Marketing is not a problem. My wife helps me. She works over here for Hasbro, the American toy company. She’s the global marketing director for Monopoly. She has a monopoly on Monopoly.”

Martin, his spouse and some friends named Solutions 4 Feet “after a couple of bottles of red wine,” he recalled, grinning. “We just started brainstorming. Finishing off a few bottles of red wine is a good way to get names for businesses.”

His PFA membership and C. Ped. certificates hang by the front door at Solutions 4 Feet. The facility, housed in a new red brick building made to look old, includes a fitting-sales area, office, lab and stock room.

“Certification certainly gives me credibility with the local heath care professionals,” Martin said. “I get referrals from GPs and the physios [physical therapists]. Without certification, they wouldn’t look twice at me.”

He said about 20 percent of his clients are sent by physicians. “I see people with general foot problems, such as plantar fasciitis, and I also see a lot of runners with foot injuries.”

He said word-of-mouth advertising brings most new clients to his front door. “We advertise very little,” Martin added. “We tried the national running magazines, but that was a waste of money. Advertising in the local paper didn’t hit the targeted audience we wanted.”

Colin Martin, C. Ped., Secures Niche in Bicester, England

PFA Member Finds ‘Solutions 4 Feet’ By Berry Craig


Handbilling helps generate new clients, he said. “We go to a lot of running events – 5K and 10K runs – and put brochures on the windscreens of cars. If there are 350 or 400 cars, we hit every one of them.”

Runners and others who show up for appointments on their own get their feet carefully examined. “If I see a major problem, I send them to a DPM in Birmingham,” he said. “It’s a little bit of a drive, but people are quite happy to travel that distance to get the right care.”

Like pedorthists stateside, Martin educates clients at the fitting stool. He said many Britons, like many Americans, sabotage themselves with their footwear.

“Sometimes, they wear shoes that are inappropriate for what they are doing. For example, they wear a casual sneaker for running instead of a performance shoe.”

Cheap, poorly made shoes can cost wearers dearly in foot pain, too, he said. “Many people buy shoes in shops with a ‘pile it high and sell it cheap’ mentality.”

Martin said he offers service, fit and affordable footwear. “We sell mid-range running shoes because we have found that’s where the bulk of the market is and because we know those shoes work.”

The wrong size shoe can also cause foot woes, he added. “A lot of people over here, too, wear shoes that are too small because the last time they had their feet measured was when they were kids and their parents dragged them kicking and screaming to buy a new pair of school shoes.”

Or, he added, they were sized with simple sticks that only measure heel-to-toe length. Martin uses American-made Brannock Devices, which show heel-to-toe and heel-to-ball length plus width.

“By just measuring heel-to-toe, you end up crowding the foot into a shoe shorter than it should be,” he said.

Martin’s Brannocks are specially made models in blue British and red Mondopoint scales. He uses the British-scaled Brannock – emblazoned with a tiny Union Jack flag – for fitting running shoes. The Mondopoint measurer is for ski boots. Martin learned about the Brannock Device from Phil Oren of Flagstaff, Ariz., founder of FitSystem by Phil Oren. Oren barnstormed the United States and Great Britain, teaching people how to better fit and modify boots based on his system.

Martin finds time to teach advanced footwear fitting classes for Anatom Academy, operated by Anatom Ltd., based in Edinburgh, Scotland’s capital. “I mostly deal with retail shop workers and hiking boot and ski boot fitters.” Martin practices what he teaches. For gait analysis, he uses a video camera trained on a treadmill and wired to a laptop computer. He said the equipment shows color images of the client, running or walking, in normal or slow motion or in freeze-frame.

His said his pedorthic assessment includes a range of muscle, motion and joint tests, plus plantar pressure mapping of the soles of clients’ feet.

Martin said he measures the Oren way. For non-weight bearing calculations, he fastens a Brannock Device on a fitting stool angled at 45-degrees so the foot being sized will form the proper 90-degree angle with the ankle.

After measuring both feet unweighted, he has clients stand as they normally do.

Then he slips a Brannock Device under each foot. “I want to make sure the hips are nice and level,” he said.

He has to switch his British and Mondopoint Brannocks from foot to foot. “If you only have one Brannock Device, you can cut out a 9-millimeter piece of plywood in the shape of a Brannock and that will work, too,” Martin said.”

More information about Solutions 4 Feet is available on the company Web site, www.solutions4feet.co.uk.

Berry Craig is a freelance journalist who has been writing about the pedorthics profession for more than 15 years. Craig teaches at the West Kentucky Community and Technical College in Paducah and lives in nearby Mayfield, Ky.


Diabetic Neuropathy describes a group of syndromes caused by degeneration of the peripheral and auto-nomic nerves in association with diabetes mellitus.1

Usually neuropathy occurs after carbohydrate intolerance has been present for some time; however in rare cases, neuropathy precedes the onset of diabetes. Very importantly, Diabetic Neuropathy is a diagnosis of exclusion since no definitive diagnostic tests are available.

HistoryDiabetic Neuropathy was described before the discovery and use of insulin. Mononeuropathy of the cranial nerves was described by Althanus in 1866. Loss of deep tendon reflexes and nocturnal hyperesthesia were described by Bouchard and Pary in 1884. However, diabetic autonomic neuropathy was not described until Rundles in 1945.1

PathogenesiThere are many theories still being investigated regarding the biochemical sequence of the events that occur in diabetic neuropathy. Currently, work is being done regarding metabolic disturbances in the Schwann cell.2

The Schwann cell if permeable to glucose even when hypoinsulinemia exists. This cell contains the enzyme that is required to convert glucose to sorbitol. If Schwann cells were exposed to hyperglycemia, they would be expected to accumulate sorbitol intracellulary. Sorbitol, which is osmotically active, would cross the cell membrane and draw water into the cell with resultant edema, necrosis and demyelination. Evidence both for and against this theory exists and neither is conclusive at this time.

Diabetic mononeuropathiesThe diabetic mononeuropathies involve cranial or peripheral nerves either singly or as a monoeuritis multiplex.


of “End Stage” Diabetes mellitusPedal Neuropathic Manifestations

By Paul A. Chromey, B.S., D.P.M., C. Ped.

of “End Stage” Diabetes mellitusPedorthic management

Editor’s note: This is the first installment of a two-part article. The second installment will appear in the September/October issue of Current Pedorthics.


Cranial NervesThe most common form of mononeuropathy is that involving the cranial nerves. The nerves to the extraocular muscles are most commonly involved. Onset is abrupt and may be preceded by severe pain, both above and below the eye. The third cranial nerve is most commonly involved. Presenting complaints are pain and diplopia. Objective findings are third nerve palsy-ptosis, which is inability to move the eye superiorly and medially. The pupillary reflex to light is still present.

Nerve RootsRadiculopathy involving a single nerve root is a common but often recognized form of diabetic mononeuropathy. Multiple nerve roots may also be affected and recurrent involvement has been described. Presentation an older person with acute onset of radicular pain that does not cross the midline and is most disturbing at night. Examination may reveal hyper or dyesthesia conforming to a single dermatome. Nerve conduction studies help to confirm the diagnosis of radiculopathy.

Peripheral NervesMononeuropathies of peripheral nerves in the diabetic (as also in the nondiabetic) most commonly involve nerves that are exposed to external pressure. The abnormalities of

metabolism associated with diabetes may make the nerves more susceptible to external pressure.

In the lower extremities, compression of the lateral femoral cutaneous nerve at Pouparts ligament causes features of pain, numbness and paresthesias of the lateral thigh. Similarly, on the anterior surface of the thigh, quadriceps weakness and loss of patellar reflex when the femoral nerve is entrapped. Footdrop accompanies by sensory symptoms and signs on the dorsum of the foot occurs with entrapment of the peroneal nerve at the head of the fibula. Sensory signs and symptoms on the sole of the foot occur with entrapment of the posterior tibial nerve in the tarsal tunnel.

For the pedorthist, recognizing mononeurpathic entrapments is important in a patient with the distal symmetrical polyneuropathy since these lesions can be corrected and their painful symptoms alleviated utilizing sound pedorthic standards of care.

Distal Symmetrical PolyneuropathyThis is the most frequent encountered form of diabetic neuropathy. Characteristically, its onset is insidious, the patient may notice nocturnal leg cramps or diffuse discomfort of the lower extremities that interfere with sleep. Clinically, it is most first diagnosed in an asymptomatic diabetic with loss of vibration sense, loss of ankle jerk, and diminution of pinprick sensation. Tingling, itching, numbness and paresthesias on the soles of the feet may present as the first symptoms. As the disease progresses, the patient frequently will report a progressive loss of sensation in the feet associated with increasingly severe pains in the legs that are worse during the night. These symptoms may be partially relieved by arising and walking around. Patients may describe a feeling of walking on air or pillows or experience a sensation of false edema of the feet, “My feet feel swollen but when I look at them, they’re not.”

With progression of the polyneuropathy, pain in the lower limbs becomes the predominant feature. Pain becomes so exquisite that any material in contact with the skin cannot be tolerated. While major symptoms in the legs are sensory, motor muscle weakness also accompanies sensory loss. This weakness is limited to the interosseous muscles of the feet. This loss of motor power disrupts the balance between flexor and extensor tone in the foot which leads to the classic claw foot (extension of the toes at the MPJ and flexion of the toe at the IPJ).

The metatarsal heads shift posteriorly from the plantar metatarsal fat pad and direct more pressure on the plantar skin. The first metatarsal head, being the most prominent point of weight bearing, is the usual area where ulceration develops, when there is no pain sensation and where stress and trauma go unnoticed. Because of the claw foot, shoes that used to fit now rub on the extensor surface of the toes causing ulceration. As the foot widens (diabetic neurarthropathy), ulceration of margins of the foot also occurs. Rarely, muscular weakness involves the flexors of the foot, causing footdrop. Different from sensory loss, motor weakness may begin unilaterally.

Pedorthic management of “End Stage” Diabetes mellitus continued from page 18


With severe and diffuse sensory deficits, loss of proprioception occurs and sensory ataxia develops. Romberg’s sign is positive, and a wide based-gait is noted. Patients testify to difficulty in descending steps and standing with their feet together in a dark room or with their eyes closed.

The stage of diabetic polyneuropathy is the development of Charcot’s joints (diabetic neuroarthropathy). Repeated trauma to the joints of the foot and ankle results in joint destruction and the development of a rocker foot type that is broadened and has a loss of the medial longitudinal arch.

When an ulcer develops, the avoidance of weight bearing or off-loading is the most important factor for wound healing. Prolonged bed rest, prophylactic subcutaneous administration of Heparin by their physician on a twice-daily basis is advisable. Podiatrist’s debridement of necrotic tissue and application of local antiseptics and systemic antibiotic are usually needed. When a clean, granulating wound is achieved, pedorthist’s recommend partial weight bearing can be resumed with the use of an Unna boot, cane and/or crutches or Orthowedge shoe. Appropriate foot gear to avoid repeated trauma is a necessity in prevention of re-ulceration.

Relief of pain of diabetic polyneuropathy can be a complex problem. A logical approach to the treatment of painful diabetic polyneuropathy would be to begin Fluphenazine (Prolixin) in a dosage of 1mg. three times a day for a week. If relief of pain is not observed, amitriptyline (Elavil), 75 mg. at bedtime for an additional week. Carbamazepine (Tegretol) 200 mg. three times a day has been shown in controlled trials to provide symptomatic relief.3 A lower dose of Tegretol should be used initially since ataxia is likely to occur if therapy is started with the full dose.

With the advent of the TENS unit, a new dimension has been added for the management of painful diabetic neuropathy.4 Studies substantiate that stimulation is more effective than would be predicted for placebo and that the effect is maintained for a long period of treatment, at least one year. Occasionally exposure of the lower extremities to either heat or cold has been effective.

Diabetic Autonomic NeuropathySymptoms and signs of diabetic autonomic neuropathy never exist without the associated features of diabetic distal symmetrical polyneuropathy. No organ system is immune to this process; in some organs (heart, bladder, penis) the manifestations are irreversible, while in other organs (blood vessels, stomach) they are episodic.5

Lower LimbsWhen autonomic neuropathy affects the sympathetic fibers to the sweat glands of the lower limbs, anhidrosis occurs. This can result in an increase in sweating over the trunk and cause the patient to complain of heat intolerance and sweating attacks.6 Involvement of the autonomics to the blood vessels



of the lower limbs results in an inadequate response to the ambient temperature. Vasoconstriction manifested by cold and painful toes and feet occurs in a warm environment, where vasodialtion in a cold environment shows itself as burning feet.

SummaryThe incidence and prevalence of diabetic neuropathy increases with age and the duration of diabetes. There is no evidence to support an ischemic cause for mononeuropathies, but the pathogenesis of polyneuropathy is still uncertain.5

Mononeuropathies involving the cranial or peripheral nerves usually resolve spontaneously or respond to therapy.

Distal Symmetical Polyneuropathy – the most common form of diabetic neuropathy – tends to be progressive and difficult to treat. The role of a pedorthist is integral to the success of the patient.

Autonomic Neuropathy – occurs as an extension of polyneuropathy in up to 70 percent of diabetics, since no organ system innervated by the autonomic nervous system is immune.

The guide to thorough management of the diabetic must include thorough histories and lower extremity examinations.

Pedorthists and podiatrists, as part of the medical team will continue to play an integral part in the management of diabetic neuropathy.

Paul A. Chromey, B.S., D.P.M., C. Ped, is an active member of PFA and certified (BCP and ABC) pedorthist. He is the CEO and owner of Wyoming Valley Pedorthic as well as pedorthic lecturer and author. All questions regarding his articles can be sent to [email protected].

References1. El-Khoury G.Y., Kathol, M.H.: Neuropathic fractures in patients with diabetis

mellitus; Radiology 134: 313-316, Feb. 1980.

2. Greyson, N.D.; Radionuclide Bone and Joint Imaging in Rheumatology; Bulletin on the Rheumatic Disease Vol. 30, No. 7.

3. Goundos, B; Roentgen observations in diabetic osteopathy; Radiology 91: 6-13, July 1988.

4. Pogonowskia, M.J.: Collins, L.C., Dobson, H.L.: Diabetic Osteopathy Radiology eg: 265-271, August 1986.

5. Schwartz, G.S., Bereuyi, M.R., Seigel, M.W. American Journal Roentgenal., Radiation therapy and nuclear therapy Vol. 106, No. 3 July 1999.

Pedorthic management of “End Stage” Diabetes mellitus continued from page 21

www.sroufe.com

healthcareproducts, LLC.

Since 1975

Sroufe Healthcare Products is your new source for Sher Handcrafted Orthotics. Sher has been a leading brand of orthotics for over 50 years. The finest quality materials combined with hand craftsmanship not found at competitiveoperations. Made by hand at our plant in Indiana. A completerange of standard product also in stock.

Find out more about Sher orthotics. Visit our website today at shercoinc.com

Sher Handcrafted Orthotics. Only from Sroufe Healthcare Products.Orthopedics softgoods innovators since 1975.

601 Sroufe St., P.O. Box 347Ligonier, IN 46767Phone: 260-894-4171Fax: 260-894-4092

Sher™ Brand Handcrafted OrthoticsNow Sroufe puts its best foot forward...

New From KLM Labs:SUPERSTEP Orthotic Insoles.New From KLM Labs:SUPERSTEP Orthotic Insoles.

Based on KLM’s System Rx technology (US Patent No. 5,746,952), SUPERSTEP Orthotic Insoles come in three flexibilities:

SUPERSTEP MAX: semi-rigid poly shell provides firm arch support and maximum pronation control.

SUPERSTEP MEDIUM: semi-flexible poly shell provides intermediate arch control and medium pronation control.

SUPERSTEP MILD: Forgiving poly shell provides flexible arch support and mild pronation control.

Four color clamshell packaging has professional, medical appeal.Priced to sell: $10.25 per unit. Volume discounts available. Suggested retail price: $50.

Once again, KLM applies research to create technology that adds Quality In Every Step!

SUPERSTEP Orthotic Insoles come in Men’s sizes 4-14.5 and Women’s sizes 6-16.5. Ordering is easy. Cut out this page, fill in your account info, place quantities with the flexibility, and fax to: 800-556-3338.

Account No: ________________________ Name: ___________________________________Street Address: _____________________________________ City: ___________________ State: ____ Zip: ______

800-556-3668 • www.klmlabs.com • 661-295-2600

MILD MEDIUM MAXM 4-4.5 / W 6-6.5 _________ _________ _________M 5-5.5 / W 7-7.5 _________ _________ _________M 6-6.5 / W 8-8.5 _________ _________ _________M 7-7.5 / W 9-9.5 _________ _________ _________M 8-8.5 / W 10-10.5 _________ _________ _________M 9-9.5 / W 11-11.5 _________ _________ _________

MILD MEDIUM MAXM 10-10.5 / W 12-12.5 _________ _________ _________M 11-11.5 / W 13-13.5 _________ _________ _________M 12-12.5 / W 14-14.5 _________ _________ _________M 13-13.5 / W 15-15.5 _________ _________ _________M 14-14.5 / W 16- 16.5 _________ _________ _________

superstep Ad full page.indd 1 8/15/07 2:16:27 PM


Opening Remarks: Randy Stevens, C. Ped., BOC Ped., CFO, President


5

Saturday, November 10, 2007

7:00 am – 5:30 pm Registration Open

8:15 am – 9:15 am Keynote Speaker: Sheldon Lin, MD Preclinical and Clinical FDA Trials of RHDGF In Foot Ankle Fusion

9: 00 am – 5:30 pm Exhibit Hall Open

� 1. Unraveling theMysteries of HindfootPathology (Series Part 2)

Erick Janisse, CO, C.Ped.;Alan Darby, C.Ped.

� 2. Ultimate Pedorthics:The Art and Science ofCustom Shoe Therapy

Arnie Davis, C. Ped. Meant to be viewed withFitting in 3D

� 3. Improving theRange of Motion, withFunctional Orthoses, ofthe First MP Joint

Paul Scherer, DPM

� 4. Specialty Day:Athletic Injuries

John Hooper, C.Ped.(C) 2:30 pm – 3:20 pm

Breakout Session #2

� 1. Patient Assessment:Understanding theAnatomy Involved in PTTDIncluding BoneIdentification, Muscle, andAbnormal Bone StructureBill Meanwell, C. Ped.

� 2. Fitting in 3DHoward Schaeffer

� 3. MaterialIdentification (How toIdentify Materials)Jim McFaland, C.Ped,Heinz Bucholz, C.Ped.

� 4. RecognizingSymptomatic ProgressiveFlatfoot Deformities UsingGrading SystemNancy Naftalin, C.Ped,Surgical Assistant

4:30 pm – 5:30 pm

Breakout Session #3

� 1. Common LowerExtremity ReconstructiveSurgical Procedures

Janet Simon, DPM,C.Ped. (C)

� 2. A History ofShoemaking

Rick Ravel, C.Ped.

� 3. Casting for a SCFODevice

Alan Darby, C.Ped.

� 4. General Principles of Joint Stability and How the Mechanics of the Foot Produce Stability and Instability in Gait

Roy Lidtke, DPM

10:30 am – 11:30 am

Breakout Session #1

Sunday, November 11, 2007 – Optional Program

Advanced Pedorthic Shoe Fitting Presenter: Chris Costantini, C.Ped. Compression Hosiery: A Certificate CoursePresenter: TBD

8:00 am – 12:30 pm

Sunday Courses — Marriott Riverwalk Hotel

� 1. Effects of TotalContact Sandal and LowEnergy Laser on PlantarUlcer in Leprosy Patients

Simon F.T. Tang, MD

� 2. FacilityAccreditation, MarketingPublic Relations, andProduct Mix

Jamie Heath, C.Ped.

� 3. AnatomicalConsiderations of theFoot and Ankle Joint

Paul Chromey, DPM,C.Ped.

� 4. Casting for a SCFO Device

Alan Darby, C.Ped.(Repeat)

1:30 pm – 2:20 pm

Breakout Session #2

� 1. Is Money Lurking inyour Orthotic andProsthetic (O&P) Closet?

Joe Sansone

� 2. Current Choicesand Technology inAthletic Footwear

William J. Noonan

� 3. Understanding theMechanical andNeuromuscular Functionsof a Foot Orthosis

Roy Lidtke, DPM

� 4. The Relationship ofthe Foot to the Body

Douglas Bertman, LAC 2:30 pm – 3:20 pm

Breakout Session #3

7:30 pm – 9:30 pm Special Event: The Pedorthic Hoedown (see page 3)

11:30 am – 1:15 pm Lunch

3:30 pm – 4:30 pm Featured Closing Speaker: David Levine, DPM, C. Ped, PFA Medical Advisor

5:30 pm – 9:30 pm Exhibit Hall Breakdown

5:45 pm – 7:00 pm ABCOPP Annual Certificant Meeting

8:00 am – 9:00 am Continental Breakfast

8:00 am – 6:00 pmMaintaining Your State Pedorthic LicensePresenter: TBD

Friday, November 9, 2007 (continued)


Pedorthics on the other side of the world, down under in Australia, is an emerging allied health care profession. You read about it in your pedorthic magazine, now hear about

it live at your symposium in Texas. The presentation will give you an overview of pedorthics in Australia. The national effort of the competency standards defining what we do. Interesting concepts, a three-tier delivery model and educational system are discussed.

This is followed by a short tour about pedorthics in Japan, Korea and Europe to give you a global perspective on our exiting field of enjoyment. At the end, several cases are discussed. See what a difference pedorthics can make for a 63-year-old person who had a brain tumor removed. See the 83-year-old, which could barely walk three steps barefoot, take big strides in his pedorthic footwear. Hear the story of a child burn victim and how her live improved.

People have had foot problems for as long as they existed. For a long time, footwear was only available custom made and every pair was therefore very individual. Footwear was, at that time, also an item of value. Industrialization introduced footwear at a much more affordable price to the point of today were for a lot of people think it is an item of almost no value with little importance and it is often treated like that.

For those with foot health issues, footwear, however, remains an issue of at times vital importance. Their perception of value, though, is influenced by general market trends.

Different countries have come to different systems on how to care for people with footwear problems and use different terminology

at times due to different language but also out of different perspectives of the same issue or historical developments.

Australia is our first and key reference point for this article and the presentation at the PFA symposium. Other countries mentioned are Germany and Japan.

Medical Grade Footwear (MGF) is the term that so far is used in Australia to describe what is called pedorthic footwear. Recently, the term pedorthics is gaining momentum in Australia and our Association has included the term into our name.

Australia has a national public health system and everyone is covered for medical treatment in public hospitals and at the general practitioners office (medical doctor who practices general medicine). Orthotic and medical grade footwear (MGF) services where historically provided to a large extend in public hospitals or similar facilities and used to be mostly custom made. The general universal health system is still in place but for MGF over the last 20 years that has shifted so that they are now almost completely provided by the private sector with an increasing number of prefabricated MGF being used. There is still public funding available for MGF and depending for who it is for the application process varies but the provider is no longer an employee of the hospital. However, as the provider left the hospital payroll and direct sphere of influence, there was no regulation in place in the private sector as to the qualification neither of anyone providing those services nor to the quality or functional description of MGF.

Many former hospital staff opened their business providing custom MGF the same way as they did before in the public

Pedorthics Down Under and Around the WorldPedorthics Down Under and Around the WorldBy Karl-Heinz Schott OSM, Podologe, C. Ped., CM Au; and Casper Ozinga BA, C. Ped., C. Ped. Au

An unstable ankle can often be difficult to treat. The above ankle is of an 80-year-old male after a number of surgical interventions. Presenters Karl-Heinz Schott and Casper Ozinga will show a video of the male walking barefoot and then a video of him walking with pedorthic boots.


hospital joining the few custom makers that where in the private market. As there was no regulation in place, it was also easy for a person without any prior knowledge or skill in that field to open a shop and sell prefabricated MGF. That is what a number of entrepreneurs did. Most of these shops sold only prefabricated MGF and where offering their product in competition to custom makers as most custom makers initially shunned the prefabricated footwear and therefore unwittingly helped the development of the establishment of those shops. The customer as well as the public funding agency was typically not aware if the product that was at the end received was custom made or not.

While I emphasis the need to provide a transparent service neither the customer nor the funding agency may care if a custom made or prefabricated product is used as long as it works, but I am sure they have a right to know. The whole system developed in a non-transparent process where training, education, quality etc. where no longer clear to anyone.

Parallel to that development in the late 1980th the Australian Government started a process where educational processes where changed from curriculum based to competency based. This is a significant shift in training provision away from colleges deciding what the curriculum should be to a greater emphasis on the requirements of the workplace and the required competencies.

A key aspect of that was a national consultation process to establish the competency standards. That process was employed across the entire vocational education sector and in MGF it was a watershed experience that lead to a major shakeup on where we are actually at and who we are. The national consultation process took several years and hundreds of hours in meetings and at times heated discussions. At the end, a consensus was reached that is now supported across the MGF sector. Based on the competency standard a government approved national training package and qualifications where developed. Those qualifications fit within the Australian Qualification Framework (AQF). See Table 1 outlining the AQF.

For MGF, the outcome was that there were three levels of service and consequently three levels of qualifications.

An AQF 4 Medical Grade Footwear retail level;• An AQF 5 Diploma in Medical Grade Footwear; and• An AQF 6 Advanced Diploma in Medical Grade Footwear.•

One other key outcome was a clear understanding that the services are provided with or without a detailed prescription and the national training package clearly includes the responsibility to conduct an appropriate assessment independent of a referral which may or may not exist. This gives us a greater level of accountability and responsibility similar to that of other healthcare service providers like physiotherapists, podiatrists or prosthetists and orthotists.

That was followed by the development of a certification system for MGF as we now like to call it certification in pedorthics again in three levels:

Pedorthic Retailer CRet. Ped Au• Pedorthist C. Ped. Au• Pedorthist Custom Maker C. Ped. CM Au•

The more detailed description of the competencies are:

The CRetPed. is a retailer of pedorthic footwear and prefab-• ricated orthotic appliances, including assessment, follow up and minor modification of existing footwear (modifications and repair on the footwear that does not alter the principal function or construction of the footwear). The C. Ped. provides services including assessment, fol-• low up and the major alteration, repair of existing footwear medical grade and non-medical grade and the provision of orthotic services prefabricated or custom made.The C. Ped. CM. is actively engaged in the clinical practice • of assessing and treating and providing information based services on all aspects in medical footwear both custom and prefabricated and orthotic appliances and orthoses specific to the foot/ankle in all their forms and procedures including assessing, manufacturing, dispensing, modifying, repairing and other significant aspects such as research and development.

The Australian Pedorthic Medical Grade Footwear Association is developing the process further and provides continuous education in pedorthics in Australia. In 2006, we had a two-week pedorthic course presented by Dennis Janisse, which was very well received by the attendees.

Other aspects of the presentation will introduce the systems in place in other countries and cultures.

Karl-Heinz Schott worked in Japan for an importer of prefabricated medi-cal grade footwear in 1984 before opening his orthopaedic footwear business in Sydney, Australia, in 1988. In Australia, he joined the then Australian Surgical Footwear Association in 1992 and became its president in 1997.

Casper Ozinga began his pedorthic career by purchasing P W Minor Company, an existing orthopeadic shoe business, in 1989. He became the first C. Ped. (USA) in Australia in 1995. Ozinga is the secretary of the Australian Pedorthic Medical Grade Footwear Association and he is now a C. Ped (Au).

Table 1


What Caused this Deformity; How Would You Treat It?

I f you recognize the deformity (pictured bottom right) and know how to treat it, then maybe you can skip the opening lecture on the first day of the upcoming PFA

national symposium in San Antonio, Texas.

However, the Acquired Adult Flatfoot Deformity continues to be a challenging disorder to understand and treat whether using operative or non-operative methods.

Dr. Jeffrey E. Johnson, associate professor of Orthopaedic Surgery at Washington University and Chief of the Foot and Ankle Service at Barnes-Jewish Hospital in St. Louis, Mo., will present the current thoughts and his experience on the disorder as the keynote speaker at PFA’s annual symposium.

The most common etiology of the “acquired adult flatfoot deformity” is insufficiency of the posterior tibial tendon. The disorder is classified into four stages depending on the

magnitude of the deformity, flexibility and involvement of the ankle. Treatment options are dictated by using the history, physical examination, standing foot and ankle radiographs, and if needed, MRI scans to determine which stage of the disorder the patient exhibits. Then, based on the stage of involvement there are numerous non-operative and operative treatment options available.

Following the session, attendees will better understand the multiple factors involved in the development, evaluation, diagnosis and treatment of the acquired adult flatfoot deformity. Johnson will focus on the current understanding of this disorder, methods of surgical correction of the deformity and the decision making in non-operative treatment. This presentation will also serve as a foundation for many of the lectures and discussions to follow during the symposium.

Dr. Jeffrey E. Johnson is an associate professor of Orthopaedic Surgery and Chief of the Foot and Ankle Service for Washington University School of Medicine in St. Louis, Mo. Before joining the Orthopaedic Department at Washington University, he taught at the Medical College of Wisconsin Department of Orthopaedic Surgery from 1988 until 1996. From 1994 to 1996, Johnson was the Program Director for the MCW Orthopaedic Foot and Ankle Fellowship. Johnson’s orthopaedic practice is located at Barnes-Jewish Hospital at Washington University Medical Center and Shriners Hospital for Children in St. Louis and is limited to treatment of foot and ankle disorders.

What Caused this Deformity; How Would You Treat It?PFA Keynote Speaker Dr. Jeffrey Johnson Will Address Acquired Adult Flatfoot Deformity

Dr. Jeffrey Johnson is the scheduled keynote speaker at PFA’s 49th Annual Symposium and Exhibition, Nov. 8-11, at San Antonio, Texas. Johnson says attendees that cannot identify the deformity pictured above need to attend his presentation.


The PFA Symposium session, “Current Choices and Technology in Athletic Footwear,” is designed to give the attendee an overview of the technologies and key

styles currently available in the athletic footwear market. The presentation will focus on running and walking shoes for two reasons: 1) these categories typically have the most technolo-gy in them and 2) these categories have the greatest relevance to Pedorthics and common foot problems.

The session will focus on the technologies and styles available from six of the most frequently purchased and technically innovative athletic brands in the specialty athletic market.

The presentation will seek to establish a foundation of basic knowledge regarding manufacturer technologies, review key styles in the running and walking categories and discuss their pedorthic relevance.

The presentation will lead off with an overview of the technologies that affect fit, cushioning, stability and midfoot support. Fit technology will focus mostly on widths; cushioning technologies will focus on concepts such as Abzorb, Gel, VS-1 and other materials; stability technologies will focus on concepts such as TS2, PDRB, DuoMax and 3dEVA medial posts; midfoot technologies will focus on concepts including the Stability Web, Trusstic System and Midfoot Support Bridge.

Following the technology review, the presentation will discuss

key styles in running and walking categories and explain different sub-groups within those categories. This portion of the presentation will focus on the neutral, stability and motion control segments of the running category and the stability segment of the walking category. Furthermore, the presentation will review pedorthic applications where relevant.

The session is recommended for a wide-variety of attendees, including:

Those who want to possess a better understanding of the • key technologies and styles in the athletic footwear busi-ness and their relevance to pedorthics;Those who may operate shoe stores that currently carry • little or no inventory in athletic footwear, but may be look-ing to expand into the athletic footwear business;Those who have recently passed the Pedorthic Certification • exam and are interested to learn about the fit options avail-able in the athletic footwear marketplace; and Those who may have their Pedorthic Certification, but may • be relatively new to the footwear industry and/or the ath-letic footwear market.

This is an excellent opportunity for symposium attendees to learn new information and/or refresh their knowledge in the area of athletic footwear and how it can benefit their patients and customers. This is especially true if you fall into one of the four groups mentioned above. Even if you do not feel that you are described in one of the groups above, I believe you may still find the session beneficial. Additionally, this presentation provides an overview of some of the key models in the athletic footwear market and stands to be a good business planning tool in terms of what you may want to buy for your store(s).

I will do my best to answer questions following the presentation, but it will be difficult to answer case specific questions in a larger group session.

Bill Noonan is the senior medical technical representative for New Balance Athletic Shoe, Inc. He has a combined 16 years experience between work-ing for retailers and as a vendor representative. Noonan spent the past nine years training and teaching retailers in the Mid-Atlantic states, as well as other New Balance associates, about the features and benefits of New Balance family of products.

Current Choices and Technology in Athletic FootwearCurrent Choices and Technology in Athletic FootwearBy Bill Noonan

This is an excellent opportunity for symposium attendees to learn new information and/or refresh their knowledge in the area of athletic footwear and how it can benefit their patients and customers.


Acor Orthopaedic, Inc.Aetrex Worldwide, Inc.AGS Footwear GroupAlden Shoe CompanyAllied Plastic SupplyAmerican Shoe CorporationAmfit, Inc.Apis Footwear CompanyArchmolds LLCArizona AFO, Inc.Atlantic FootcareAtlas InternationalBauerfeind USABintz Company, Inc.Biocorrect Orthotics LabBiomechanical Services, Inc.Birko-OrthoBranier Custom Molded InsertsBranier Custom Molded ShoesBrooks Sports, Inc.C.N. Waterhouse Leather Co, Inc.CARFCrocs RXDanskoDB Shoes, Ltd.Diacare CorporationDr. 2 Shoes, Inc.Dr. ComfortDr. Zen TherapeuticDrew ShoeEdserEngwer and AssociatesEuro International, Inc.Feels Good FootwearFinn Comfort USAFLA Orthopedics, Inc.Foot Dynamics, Inc. Solidus USAFoot Solution, Inc.Frankford Leather Co. Inc.Gateway Shoe Machine, Inc.Guard IndustriesHaflinger/Theresia M.Hapad, Inc.Instride Shoes, LLCJerry Miller ID Shoes

JMS Plastics SupplyJoseph Deacon CompanyJustin Blair & CompanyKLM Laboratories, Inc.Klogs-USAKumfs Shoes NZ LimitedLangerLL CustomMJ Markell Shoe CompanyMMAR Medical Group, Inc.Natural Step New Balance Athletic Shoe Orthofeet, Inc.OTABO Partner Ship LLC Pedifx, Inc. Pedors Shoes Pedorthic Technology, Ltd PEL Supply Company PG Lite Pilgrim Shoes Pine Tree Orthopedics Lab Prizm Medical Inc. ProLab Orthotics USA Propet USA PW Minor RENIA-Gesellschaft Riecken’s Orthotic Laboratory Ruby Leather & Orthopedic Co./Miami Leather Co. SafeStep SAS ShoemakersSchein Orthopaedie Service KG Sequoia Footwear Shoe Systems Plus, Inc. Soletech, Inc./Advanced Footwear Southern Leather CompanySpenco Medical GroupSroufe Healthcare Products, LLCSTS Company Sunrise ShoesSuperfeet Worldwide, Inc.Tekscan, Inc.Therafirm, A Division on Knit-Rite, Inc.Thorlo, Inc.

Tidwells OrthoticsTrulifeTru-Mold Shoes, Inc.UCO InternationalVibram/Quabaug Corp.Wolky North America Wrymark, Inc.Xsensible Footwear

The Pedorthic Footwear Association’s 2006 Annual Symposium & Exhibition was the association’s most attended event ever. This year’s symposium and exhibition, held in San Antonia, Texas, Nov. 8-11, is well on its way to similar success.

Exhibition registration is open and many vendors have already committed to PFA’s 49th Annual Symposium & Exhibition. There is still space available in the exhibit hall. If-your company is interested in exhibiting or in corporate sponsorship opportunities, please contact Monica Kurlemann at [email protected].

The Pedorthic Footwear Association’s 2006 Annual Symposium &

Pedorthic Vendors Find Value in PFA’s 2007 Symposium & Exhibition

Exhibiting companies as of Aug. 6, 2007:

Valued Sponsors Show their Support of PFA, Annual Symposium

PFA would also like to thank its sponsors – Aetiex Worldwide,

Dansko, Branier Orthpedic Custom Molded Shoes and SAS Shoemakers.


ASSOCIATION NEWS

50 th Annual Symposium and Exhibition The Golden Age: Foot Health and Wellness for Life

Thursday, Nov. 6 through Sunday, Nov. 9, 2008 • Gaylord Opryland Resort and Convention Center • Nashville, Tenn.

Deadline: Nov. 1. Help PFA celebrate its 50th year of high-quality pedorthic health care education. Share your knowledge and expertise with pedorthic professionals attending the PFA Symposium & Exhibition in Nashville, Tenn.

Pedorthic Footwear Association’s 2008 Call for Presentations

What is the PFA Symposium? PFA’s annual symposium features educational sessions that focus on strengthening critical pedorthic, allied health and patient/consumer relationships, building knowledge and skills and developing expertise to meet the challenges of long-term pedorthic footwear care. PFA’s symposium sessions help attendees to:

Position themselves for success;• Become informed and aware practitioners in • the rapidly changing world of health care; Develop new strategies to stay competitive • in the market and prepared for future challenges; and Introduce innovative and practical solutions • to daily pedorthic operations.

Who Attends the Symposium?Our attendees are a diverse group of individuals who comprise the pedorthic industry. The symposium brings together presidents, owners, administrators, directors of pedorthics, educators, and pedorthic practitioners providing quality services in:

Pedorthic footwear facilities; • Pedorthic clinics; • Hospitals; • O&P facilities; • Sports training facilities; • Comfort footwear stores; and • Shoe repair. •

Presentation Categories PFA’s Council on Pedorthic Education is seeking presentations for “The Golden Age: Foot Health and Wellness for Life,” that address topics in the categories below: a. Diabetes;b. Sports Medicine;c. General Pedorthics; andd. Geriatrics.

PFA Continuing Professional EducationPresentations at the Annual Symposium are an integral component of PFA’s Continuing Education Program. The Symposium is designed to enhance and expand the knowledge, skill and ability of certified pedorthists and allied health professionals. These learning experiences help keep

pedorthic professionals current, allowing them to render top-notch professional service to clients, the profession and the public. The PFA/COPE Continuing Professional Education Program objectives for the Symposium are:1. To provide regular, systematic continuing

professional education for C.Peds.; 2. To advance the profession by enabling

individual C.Peds to achieve personal and professional development objectives; and

3. To fulfill PFA’s role as a continuing education provider.

PFA’s symposium is a gathering of pedorthic footwear professionals and C. Peds at various stages of their careers. Many attendees are also experienced allied health practitioners seeking opportunities for professional dialogue. COPE gives priority to presentations that encourage and support substantial interaction between participants.

Evaluation CriteriaAll proposals are reviewed by PFA’s Council on Pedorthic Education on the following criteria:

Overall quality, originality, timeliness and • pertinence to pedorthics;Relevance to pedorthic footwear and • pedorthic foot health care;Well-defined focus that can be presented • within a 50-minute timeframe (excluding 5 Minute Mini-Session Proposals);Practical application of ideas presented; • Organization and usefulness of session • materials; Abstracts should exemplify and articulate • a specific skill, innovation or approach. Presenters must refrain from marketing particular products or services; andAll abstracts are reviewed by COPE. • Accepted abstracts may be combined with related ones to form panels. PFA member-ship is not a pre-requisite for submissions. Incomplete proposals that do not follow • the guidelines will not be reviewed. One individual or group of presenters (limit two presenters per group) may submit a maximum of three different presentations.

Deadline for submissions: on or before Nov. 1.

Notification of ResultsYou will be notified by Feb. 28, 2008 if your presentation has been accepted.

PresentationsPFA will copy and make available the presentations to session attendees. PFA will also post presentations on its website for attendee download after the Symposium. Presenters are required to provide an electronic copy (limited to a maximum of 10 pages) of their handout materials no later than Aug. 15, 2008.

Submission Checklist 1. Completed Submission Form for each

presentation. Completed submission forms should be returned to PFA electronically to Al Baggett at [email protected];

2. Three learning objectives that will be met through the course of your presentation;

3. Detailed presentation abstract that explains in 75 to 100 words what the attendees will learn or “take away” from your presentation;

4. Include a 50- to 75-word biography or summary about each presenter that explains qualifications for presenting this program; and

5. Speaking references with telephone numbers.

Expanded Article OptionPFA reserves the right to publish accepted presentations in Current Pedorthics. If your presentation is selected, Current Pedorthic’s Editor will contact you as needed to transition your presentation into an article for the publication.

Benefits of Presenting1. Share specific and/or unique knowledge to

the pedorthic community;2. Interact with other top-notch educators in

the pedorthic field;3. Give “back” to the profession; and4. Networking and expanding your horizons.


Recommend a SpeakerPFA is always looking for high quality presentations. If you have seen one, or you know someone whose expertise in a subject you feel is exceptional, please send us what ever contact information you can. With your help, other pedorthists can benefit from their knowledge at a future symposium.

Name ______________________________________________________________________________________________________________

Contact Information ____________________________________________________________________________________________________

Abstract # (to be filled in by PFA) __________________________________________________________________________________________

All submissions must be typed and submitted electronically to [email protected].

2008 Symposium Call for Presentation Abstracts FormName: ________________________________________________________________________(Please check all that apply.) ■ C. Ped. ■ C. Ped(C) ■ CP ■ CPO ■ BOC/O ■ RN ■ Other■ BOC/P ■ DPM ■ MD/DO ■ PT ■ CO ■ ATC

Company ________________________________ Address _______________________________ City,State,Zip _________________________

Phone __________________________________ Fax __________________________________ Email _______________________________

Abstract Category: (check all that apply) Abstract Focus: (check one)■ Diabetes ■ Geriatrics ■ Patient Care ■ Business Development■ Sports Medicine ■ Government/Legislation ■ Practice Management ■ Other_____________■ General Pedorthics ■ Other_______________ ■ Research ■ Technology Presentation Format: ■ Lecture ■ Hands-on Demonstration ■ Panel Discussion ■ 5-Minute Mini-Sessions

Presentation Content Level■ Entry Level (audience with less than two years experience) ■ All Levels (multiple levels) ■ Advanced/CEO/Practice Owner Level

Expanded Article Option: ■ Yes. I am interested in submitting an expanded article if my Call for Presentation Abstract is accepted by the PFA for the 2008 Symposium.

List Three Learning Objectives

1. _______________________________________________________________________________________________________________

2. _______________________________________________________________________________________________________________

3. _______________________________________________________________________________________________________________

Lead Presenter Short Biography (75 – 100 words) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Co-Presenter, if applicable:Name, Company/Facility, Address:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Detailed Presentation Abstract:In no more than 100 – 150 words, please include a brief overview, along with a brief bulleted outline of your presentation. The overview should be written in such a manner as to “market” your session to the attendees. Please use full sentences, correct punctuation, and clear and concise verbiage._______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PLEASE NOTE: Presentations are scheduled in 55 minute increments - 45 minutes for the actual presentation, and 10 minutes for questions and answers. n I have read and understand the requirements and benefits to become a Presenter at the 2007 PFA Symposium, and I agree to follow the guidelines set by PFA, the Council on Pedorthic Education, and the Symposium Events Planning Team.

Name (please print) _____________________________________ Signature ______________________________________ Date _____________

Return completed submission forms NO LATER THAN Nov. 1 to:Attention: Al Baggett, Director of Education

Via e-mail to [email protected].


ASSOCIATION NEWS

The Pedorthic Footwear Association’s Board of Directors is proposing to the association’s voting membership the following three changes to PFA’s By-Laws.

PFA’s eligible voting members will cast their ballots on these proposed changes at PFA’s Annual Membership Meeting on Thursday, Nov. 8. The meeting is being held during PFA’s 2007 Symposium in San Antonio, Texas. Note that PFA’s By-Laws do not allow for proxy voting; therefore, PFA urges you to attend this important membership meeting.

To view the complete text of PFA’s current By-Laws, visit PFA’s Web site at www.pedorthics.org. Go to PFA’s “about” section and then click the By-Laws tab. To view the proposed changes within the text of the existing by-laws, click on “2007 Proposed By-laws Changes” link.

New membership CategoryPFA established a new category of membership (Education Providers) to recognize the importance that pre- and post-certification pedorthic education providers have within the pedorthic community. Much as it has done to provide the vendor/manufacturer members of the association with a voice on the Board of Directors and their own standing committee, PFA wishes to offer the same level of representation and participation to the Education Providers category of members. Members will be asked to vote on the following changes, including reformatting and renumbering the by-laws as appropriate:

Under Article II, Membership, Section • 1. Categories of Membership – add-ing new category Pedorthic education provider members.Under Article II, Membership, adding • new Section 3 to read:

Section 3. Pedorthic Education Provider MemberBusinesses, schools, universities and other similar organizations whose primary purpose is providing, or which has an active program for the provision

of, pedorthic education and who are interested in the aims and principles of the Association and who wish to support its activities shall be entitled to membership upon payment of the required fee. Except as otherwise provided, they shall neither have the right to vote nor to hold office. Any person who is a regular member may also qualify as a pedorthic education provider member.

Under Article IV, Board of Directors, • Section 1. Membership, adding new subsection (ii) to read:

(ii) There shall be a representative of the pedorthic education provider members of the Association selected by said members who shall serve as a member of the Board with full voice and voting power. The pedorthic education provider representative shall serve a three year term, but may not serve for more than two consecutive terms of three years each. Such representative need not be a Certified or Licensed Pedorthist to serve in this capacity.

Revising Article IV, Board of Directors, • Section 3. Vacancy, with the following underlined additions:

Section 3. VacancyIn the event of any vacancy on the Board of Directors, that unexpired term shall be filled by nomination by the President with the approval by a majority of the elected Officers and of the remaining Directors; provided, however, the President may nominate only a person representing either the vendor/manufacturer members or the pedorthic education provider members, as the case may be, to fill any vacancy in the representative to the Board of the particular membership class.

Revising Article IV, Board of Directors, • Section 6. Qualifications, with the following underline additions:

Section 6. QualificationsElected directors shall be and remain qualified for so long as they are practicing Certified or Licensed Pedorthists who are regular members

or serve as official representatives of such members in good standing. Other directors shall be selected as official representatives of their particular membership class and shall remain qualified until they are removed by their particular membership class or as otherwise provided in these Bylaws.

Modifying Article VII NOMINATION • AND ELECTION OF DIRECTORS, Section 1. Nominating Committee and Section 2. Procedures for Nominations, to clarify that these procedures apply to “elected” members of the board.

Establishing an Audit Committee PFA is proposing adding, under Article 5 (Committees), new Section 2 Audit Committee to create a standing audit committee, reporting to the board of directors, charged with recommending the selection of CPAs to audit the accounting records, accounting practices and procedures, and financial statements of PFA; review the accounting practices and procedures and the internal controls of the association; meet annually with PFA’s CPAs to review practices, procedures and control relative to lobbying and/or political activity of the association; and, review any possible employee conflict of interest issues. Members will be asked to vote on adding the following Section 2 to Article V COMMITTEES of PFA’s by-laws, and reformatting and renumbering the by-laws as appropriate:

Section 2. Audit CommitteeThere shall be a standing audit committee of the Board whose membership shall be appointed by the President with the consent of the Board. It shall be the duty of the audit committee: to recommend the selection of certified public accountants to audit the accounting records, accounting practices and procedures, and financial statements of the Association; review or cause to be reviewed, from time to time, the accounting practices and procedures

PFA Proposes Changes to the Association’s By-Laws


PFA’s members Enjoy FedEx Kinko’s Discount ProgramPFA added a new enhancement to the free money-saving PFA Discount Shipping Program. If you are already enrolled in the Shipping Program, you are automatically enrolled in the Kinko’s portion of the program, too, and should be receiving your Kinko’s discount card in the mail soon.

The Kinko’s discounts include 20 percent off select color and black/white print and copy services, and 10 percent off select finishing services such as signs and graphics.

FedEx Kinko’s discount applies to color and black & white copies and printing, signs, graphics and finishing services. Discount does not apply to outsourced products or services, office supplies, shipping services, inkjet cartridges, videoconferencing services, equipment rental, conference room rental, Sony(r) PictureStation, gift certificates, custom calendars, holiday promotion greeting cards or postage. This discount cannot be used in combination with volume pricing, custom-bid orders, sale items, coupons or other discount offers. Discounts and availability are subject to change. Not valid for services provided at FedEx Kinko’s Office and Print Center locations in hotels, convention centers and other non-retail locations.

If you are not enrolled in the PFA Discount Shipping Program and would like to participate in the free money-saving program that includes substantial discounts on select FedEx services and Yellow Transportation, simply log on to www.partnership.com/11PFA or call 800-599-2902.

and the internal controls of the Association; and meet at least annually with the Association’s certified public accountants to review and receive reports with respect to such practices, procedures and controls; to conduct or cause to be conducted an annual audit to determine the adequacy of the compliance with the procedures relating to lobbying or political campaign activity of the Association and possible employee conflict of interest. The audit committee shall report the results of these audits to the Board of Directors.

Recognizing Licensed PedorthistsPFA’s by-laws, written prior to states implementing licensure requirements for pedorthists, currently only recognize Certified Pedorthists when stating requirements of membership, participation on the board, etc. Members will be asked to vote on modifying each existing instance of “Certified Pedorthist” or “Certified Pedorthists” to “certified or licensed pedorthist” or “certified or licensed pedorthists” throughout the by-laws as appropriate.

PFA’s 2007 Nomination Committee for the Board Class of 2010 is pleased to announce an outstanding group of nominees for PFA’s Class of 2010 Board positions. This year’s Nomination Committee included Scott Alexander, C. Ped., Elizabeth McGraw, C. Ped., Bill Meanwell, C. Ped., and Art Smuckler, C. Ped. Jamie Dick, C. Ped., chaired the committee.

Every attempt was made to provide a balance of representations by selecting pedorthic professionals who represent a variety of pedorthic affiliations, differing geographic locations, cross credentials and strong depths of experience in the various activities of PFA.

Following is a brief profile of each candidate on this year’s ballot. See also the related article on proposed bylaws changes that the Board is presenting to the membership for a vote at this year’s annual membership meeting on Thursday, Nov. 8, in San Antonio, Texas.

Antonio Davila, C. Ped, RN, BSN RN PLUS Medical Supplies San Antonio, Texas

Antonio (Tony) Davila was born in 1958 and attended the University of Texas at Austin where he earned a BSN in 1985. Antonio earned his C. Ped. credential in 2003. He is the owner of RN PLUS Medical Supplies in San

Antonio, TX, where his philosophy is “Their foot, their leg, their life…every diabetic should have an annual pedograph of their feet” and his passion is caring for at-risk diabetic patients.

Jamie Dick, C. Ped., PT, SCS Abingdon Therapy Services Abingdon, Va.

Jamie Dick has served on PFA’s Board of Directors since 2005. He blends pedorthics, retail footwear sales and physical therapy in his Abingdon, Virginia-based practice Abingdon Therapy Services. He has been hard at work in the physical therapy field (PT) for the past 21 years and is board certified as a specialist in sports physical therapy. As a part of his PT practice he has fabricated custom foot orthotics for his patients for the last 20 years. In 2001 he also opened Foot Rx, a retail running specialty/comfort footwear store which also provides internet sales and online help for people suffering from foot problems through FootRx.com. It was this focus on foot care that led him to become a C. Ped. in 2003, attending OSU’s program. He has recently opened two additional Foot Rx locations, Johnson City, TN, and Asheville, NC, which are both staffed by C. Peds. and are complete running specialty retail and pedorthic facilities. He has co-authored

PFA’s Board of Directors Election for the Class of 2010



ASSOCIATION NEWS

published articles on athletic footwear with Mel Cheskin for Podiatry Management Journal. He is very active in teaching/training in the pedorthic field providing frequent lectures on foot and ankle/orthotic topics to PTs, physical therapy students, and many other healthcare workers. He also is very active online answering questions from runners with foot problems from around the world through his website as well as through Runner’s World magazine’s online discussion forums where he is known as their “shoe guy”.

John Shero, C. Ped. Medical Dynamics, LLC Granbury, Texas

John Shero is 46 years old, married with five children ranging in age from 4 to 20 years old. He graduated from The University of Oklahoma in 1985 with a BBA in Accounting and began his career in public accounting. In 1995, he made a career change into healthcare as a BOC/ABC COF representing products in the orthopedic market. In 2004, he became a Certified Pedorthist through The Oklahoma State University Pedorthic Program and joined the PFA. John is the Vice President of Sales for Langer/Silipos which manufactures products for podiatry and O&P and services the long-term care market. John currently serves on the Medicare Advisory Council for Region “C”.

Art Smuckler, C. Ped. General Orthopedic, Inc. Albany, N.Y.

Art Smuckler is a certified pedorthist who has been working in the field since the late 1960s. He started his education early working as an apprentice while in high school in his fathers orthopedic shoe store and continued to gain knowledge later training as an adjunct student at NYU and Wagner College. He has used his tremendous knowledge of biomechanics, dynamic foot function, anatomy, foot orthotics and footwear to help develop many processes used today in both the manufacturing of custom foot orthotics and off the shelf footwear. Besides inventing a fasciitis bar and a heel

seat called Heel That Pain (HTP), Art has several other developments to his credit within his field. For over twenty years Art has seen patients from all over the world with a variety of lower extremity modalities. His patients include many professional athletes whom he has seen for biomechanical assessment, treatment and orthotic development, such as NBA, NFL and MLB stars as well as those at the collegiate level and competing in the Olympics. He has used his experience to speak to groups on the benefits of better balance and the prevention of falls among the geriatric community. He has championed a program, Falls: Intervention and Strategies, which has led to the largest reduction in falls in over 40 years within specific nursing home communities. In addition Art has hosted his own live, call-in radio show, Foot Talk Live, which received rave reviews from both radio personalities and audiences alike. Currently, Art maintains General Orthopedic, a private pedorthic practice in Colonie, NY. Additionally Art owns the Sport Specific Orthotic Lab manufacturing company, which primarily manufacturers foot orthotics individually designed by Art and then custom made for active patients with biomechanical compensations.

Michael D. Veder, C. Ped., B.O.C.O., C.O. Gaitwell O & P, LLC Fairfield, Ohio

Michael D. Veder, C. Ped., B.O.C.O., C.O. completed his pedorthic studies at Ball State University and is certified in both pedorthics and orthotics by the Board for Certification of Pedorthics, the Board for Orthotic Certification and the American Board for Certification. He has 17 years of vast experience in the management of diabetic, arthritic and various trauma conditions as well as a special interest in orthotic assistance to runners and athletes. In general, his area of specialization is in the lower extremities.

Veder’s practice, Gaitwell O & P LLC, operates in offices in the Foot and

Ankle Division of Commonwealth Orthopedics in Northern Kentucky, Western Ohio Podiatric Medical Center, Inc., in Greenville, Ohio and in their own offices in Fairfield, Ohio and Eaton, Ohio. Veder is a partner in the central fabrication company, Gaitwell Labs, LLC located in Fairfield, Ohio.

Veder has made a commitment to patient and community education. He has donated his time teaching classes at the University of Cincinnati such as “Walking Can Be Painfree” as well as presentations to diabetics at St. Luke hospital and St. Elizabeth hospital. In addition, he has dedicated his time to bringing orthotic and footwear education to area general practice interns through local speaking engagements.

PFA’s Board of Directors Election for the Class of 2010 continued from page 35

PFA’s members Benefit From Credit Card Processing ProgramThe Pedorthic Footwear Association and Chase Paymentech Solutions can now offer PFA members a comprehensive credit card processing solution.

Through this program, users will be aware of all fees that are assessed through the Bankcard Interchange Pass-Thru Pricing structure (“cost plus”). The program will charge the member the Visa/MasterCard interchange rate, interchange fee and assessment fee that is charged to Chase Paymentech for each card transaction type without any markup.

The PFA program rates with NPC/Bank of American will expire January 2008. They will no longer be offering the current rates you are receiving. For more information, please contact Eric Mock at 214-849-3603.


INDUSTRy NEWS

Safko Becomes BOC ExecutiveFormer Maryland government official Gregory M. Safko became president of The Board for Orthotist/Prosthestist Certification, where he will oversee daily operations of a national organization that offers

certifications in five allied health fields, plus accredits facilities as suppliers who meet federal/CMS standards.

Before accepting the BOC position, Safko served as deputy secretary of Maryland’s Department of Labor, Licensing and Regulation (DLLR), where he was responsible for administration of all licensing, and related regulatory and enforcement activity, for the state, reporting directly to the DLLR secretary and the governor. Earlier, Safko was commissioner of the DLLR’s Division of Occupational and Professional Licensing, where he held regulatory authority over more than 220,000 individuals and businesses in 23 professions and occupations.

He also has 15 years of experience in the non-profit sector, serving with the American Machine Tool Distributors’ Association, first as member services manager, then education manager, education director and finally seven years in an executive capacity as senior director for member resources. Notably, Safko led the association’s research, development and introduction of a nationally recognized certification program for sales professionals in this highly-technical industry. Safko began his career as a program director and public relations exec for the Somerset County (New Jersey) Regional Library System, where he created a series of public outreach initiatives that engaged thousands of individuals in library programs throughout the metropolitan New York City region. Programs included educational offerings, art exhibits, book discussion series, music programs and other focused efforts to help communities take advantage of library resources.

After receiving his bachelor’s degree in communication arts at James Madison University, Safko earned a master’s degree in association management within the public administration department at George Washington University. Safko’s professional development is also reflected in his earning the association industry-respected, Certified Association Executive (CAE) designation awarded by the American Society of Association Executives and held by fewer than 25 percent of its national membership.

BOC, formed in 1984, has certified more than 5,500 individuals who provide services to patients in the fields of orthotics, prosthetics, mastectomy fitting, orthotic fitting and pedorthics. BOC is also one of 10 accreditation institutions nationwide that have deemed status from CMS. As a credentialing institution, BOC assures that practitioners meet national standards in their professions and that they meet continuing education requirements to retain their certifications.

Safko was hired after a nearly year-long search for an executive to succeed Dr. Don Fedder, who had served as BOC’s executive director for some 20 years until his retirement in 2006.

As deputy secretary of DLLR, Safko led an intensive legislative and executive branch initiative to migrate licensing programs from “general” funding to establish continuous, non-lapsing “special” funds supported entirely by license origination, renewal and ancillary fees of regulated professions and occupations. The special funding initiative required lobbying among the respective agency boards and commissions, the professional associations, internal staff and the Maryland legislature. The initiative was enacted despite budgetary pressures, and Safko then focused on the human relations aspects that would lead to success: adding staff and training programs to handle licensing, continuing education, complaints from the public about licensees, panels and services reviewers, and communications efforts to promote licensing safeguards for the public and services to licensees.

Sevier, mcLeod Appointed to BOC Board

Rick Sevier, BS Ed., ROPA, C.Ped., L. Ped.-Oklahoma, BOC Pedorthist, and Theresa McLeod, BA Ed., CMF, COF, have been appointed to the Board of Directors of The Board for Orthotist/Prosthetist Certification (BOC). Both are serving one-year terms.

Sevier, who joined the OP&P field in 2003, is an educator as well as a practitioner. He is owner and chief instructor of CFS Allied Health Education, which specializes in providing innovative distance learning programs to the healthcare community through both pre-certification and continuing education opportunities. He serves as chair of BOC’s Education Committee, which evaluates educational programs and determines whether they meet BOC standards.

McLeod, a former elementary school teacher, began her career working part-time at a pharmacy/DME while she put herself through college. She became a certified orthotic fitter, then also a certified mastectomy fitter, during the mid-1980s. Now she serves on BOC’s mastectomy fitter test-writing committee, and also is on the Board’s By-Laws Committee.

Sevier and his wife Yolanda, who is a licensed practical nurse/certified pedorthist, own The Comfort Foot Store in Catoosa, Oklahoma, where they provide assessments, measurements and fabrication of pedorthic devices, including shoe modifications. He is also an adjunct instructor in the OP&P associate degree program at Oklahoma State University at Okmulgee. Before entering healthcare and education, Sevier worked as a computer technician, web designer and CAD instructor, first at Des Moines Community College, later for firms in


Xtra Depth® U n i v e r s i t y

Denver, CO: March 1 -2, 2007 Embassy Suites Denver Tech Center 10250 East Costilla Avenue Centennial, CO 80012 303-792-0433

Danbury, CT: April 15 - 16, 2007 Holiday Inn - Danbury80 Newtown Road Danbury, CT 06810 203-792-4000

Raleigh, NC: May 5 - 6, 2007 Marriott Raleigh Crabtree Valley4500 Marriott DriveRaleigh, NC 27612 919-781-7000

Detroit, MI: May 20 - 21, 2007 Embassy Suites Hotel Detroit - Livonia/Novi 19525 Victor ParkwayLivonia, MI 40152 734-462-6000

2007 Seminar Dates & Locations

“Making Shoes Work for you and your Clients”A Hands-on Approach to Footwear and Modifications!

Presented by Dennis Janisse, C. Ped & Jeremy Janisse, C. Ped

from p.w. minor

LEARN NETWORK HAVE FUN

p.w. minor1-800-796-4667 • www.pwminor.com

The most highly recognized Certified Pedorthic Training in the world

JUST GOT BETTER!

Toronto, Ontario: June 10 - 11, 2007 Park Plaza - Toronto Airport33 Carlson CourtToronto, Ontario M9W 6H5 416-675-1234

Batavia, NY: August 26 - 27, 2007Holiday Inn - Batavia 8250 Park Road Batavia, NY 14020 585-344-2100

Baltimore, MD: September 9 - 10, 2007 Burkshire Marriott Conference Hotel 10 West Burke Avenue Towson, MD 21204 410-324-8100

Nashville, TN: October 20 - 21, 2007 Franklin Marriott Cool Springs 700 Cool Springs Blvd.Franklin, TN 37067 615-261-6100

Tuition $300.00 (US dollars). Registration received 30 days prior to the course you choose is eligible for a savingsof $50.00. Only credit card payments may be accepted via fax. Space is limited and tuition payment must accompany registration to reserve a spot in the course. A confirmation letter containing additional information will be sent priorto the course date. For more information or to register, contact Cyndee Fitzsimmons at 1-800-796-4667 Ext. 659 orby email [email protected]. CEP’s Pending - This course has been submitted for 12 continuing educationpoints from the BCP, ABC, BOC, and 10 CEP's from the College of Pedorthics, Canada.


INDUSTRy NEWS

Nebraska and Oklahoma, and then at OSU-Okmulgee

McLeod, who works at the Memorial Sloan-Kettering Cancer Center in New York City, entered the health care field, which she calls the “people care field,” when the pharmacy for which she worked asked her to become the “female fitter” for its female customers. That involved training and hands-on experience which eventually led her to certification.

During 14 years in pharmacy work, she was promoted to department manager and joined Amoena Corp. as territory manager, training new employees and fitters and presenting

product information to the professional community. Later she became product manager for Amoena., working in strategic planning, product development and market analysis.

In her current position, McLeod fits more than one thousand mastectomy prostheses and 3,000 bras per year to patients who have undergone surgery and treatment. She is also responsible for training employees in fitting; handling all purchasing and budgeting; and providing management reports on prosthetic operations, sales, inventory and purchases.

Both practitioners were appointed to the Board to fill unexpired terms

by BOC chairwoman Teresa Alpert Leibman, BOCO, C. Ped., CO, who is also a BOC pedorthist and certified mastectomy fitter.

The Board of Directors plans to meet next month to review BOC’s mission and goals as a step in strategic planning. The meeting, scheduled for August 10-12, will take place at BOC headquarters in Columbia, Maryland, according to BOC president Greg Safko. “Our Board brings tremendous energy and enthusiasm to their work,” he says. “It’s a pleasure to work with them as they start to analyze and address future needs and initiatives within the field.”

Sevier, mcLeod Appointed to BOC Board continued from page 38

3535 Route 66, Bldg. #4 Neptune, NJ 07753-2625800-342-2602 (732) 918-8115 Fax: (732) 918-1131www.jmsplastics.com

Bambootecc is a registered trademark of GelSmart, LLC PORON® is a registered trademark of Rogers Corporation

Choice Material For Covering Orthotics Now Available!

JMS Plastics has laminated PORON®

medical cellular urethane with BAMBOOTECC™ fabric cover made from activated bamboo charcoal. This gives your orthotics the superior cushioningof Poron medical urethane and a top cover that is:• Ecological• Anti-bacterial• Anti-fungal and • Deodorizing

It is the first application of bamboo cloth in the orthotics industry.

Embedded with nano-particles of naturally grown bamboo charcoal,Bambootecc is: • Made without allergy-inducing

chemicals• Highly porous & breathable• Incredibly durable

This revolutionary material is available bonded to Black, firm Poron or Blue Medical grade Poron. Order today!

For pricing and shipping information,call JMS at 800-342-2602 or visit usonline at www.jmsplastics.com.

Through partnership with GelSmart, LLC.

Black and whiteBambootecc laminated to Black Firm Poron and J-Glas

Grey Bambootecc laminated to Blue Medical Grade Poron and J-Glas

Orthotics Materials Don't Grow On Trees - Until Now!

Choice Material For Covering Orthotics Now Available!


gOVERNmENT AFFAIRS

CMS Announces Large-Scale Demonstration Project The Centers for Medicare & Medicaid Services (CMS) announced plans to implement a two-year demonstration project involving the enrollment of suppliers of durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) into Medicare. The goal of this project is to strengthen CMS’s ability to detect and prevent fraudulent activity and will focus specifically on DMEPOS suppliers in South Florida and the Los Angeles metropolitan area.

The fraudulent business practices of unscrupulous DMEPOS suppliers continue to cost the Medicare program millions of dollars nationally. Within the last 18 months, CMS and the Office of Inspector General (OIG) have identified and documented a significant amount of fraud being committed by DMEPOS suppliers in South Florida and the Los Angeles metropolitan area. South Florida and Southern California have a high number of Medicare beneficiaries. Growth of DMEPOS providers has nearly doubled over the past two years in those locations. In addition, Medicare billing from suppliers in those regions is disproportionately high.

During FY 2006, the National Supplier Clearinghouse (NSC), the national enrollment contractor for DMEPOS suppliers, conducted 1,472 inspections of South Florida DMEPOS suppliers. As of October 2006, the billing numbers of 634 DMEPOS suppliers had been revoked, including 143 suppliers that had been enrolled within the previous twelve months. This effort, which is still ongoing, resulted in a projected savings of $317 million. The NSC spent approximately $3 million on all enrollment efforts in South Florida, resulting in a Return on Investment (ROI) of greater than 100:1 ($100 in savings for each dollar spent to conduct the project).

The aforementioned inspections included, but were not limited to, the following sub-initiatives:

In January 2006, the NSC conducted ad hoc site visits of • 480 DMEPOS suppliers in Miami-Dade and Broward counties in a one-week period. At the conclusion of the project, 191 DMEPOS suppliers had their billing privileges revoked. In June 2006, the NSC initiated inspections of DMEPOS • suppliers that had billed in excess of $200,000 in any one month over a six-month period. Cases were opened on 18 DMEPOS suppliers, of which 15 were in Miami-Dade County. Of these 15 suppliers, 12 were revoked and two voluntarily deactivated their numbers.

Table 2: As of April 2, 2007

Table 1: As of April 2, 2007, there were 8,017 DMEPOS suppliers in the State of Florida;


In May and August of 2006, the NSC examined a number • of recently enrolled DMEPOS suppliers in Miami-Dade County. Of the 35 suppliers reviewed, 28 have had their billing privileges revoked as of mid-April 2007. Also in 2006, a separate project was undertaken in which 70 enrolled DMEPOS suppliers received site visits. It was discovered that 51 of these suppliers were not open for business. As such, these suppliers had their billing privileges revoked on Jan. 3, 2007, even though the suppliers - prior to their enrollment - received site visits and were found to be in compliance with the DMEPOS standards.

The following charts show, for each of the last five fiscal years: (1) the number of DMEPOS suppliers in each of the three South Florida counties (as of the beginning of the denoted fiscal year); (2) the amount of billings by DMEPOS suppliers in these counties and in the State of Florida as a whole; and (3) the number of DMEPOS revocations in these counties, in Florida, and nationwide:

Several disturbing trends are evident. First, between 21 percent (FY 2002) and 78 percent (FY 2007) of all revocations nationwide occurred in South Florida. Second, while the number of DMEPOS suppliers has risen moderately since FY 2002, the amount of monies billed to Medicare by

DMEPOS suppliers in Miami-Dade and Broward counties has risen by well over 200 percent during this same period.

A number of inspections of DMEPOS suppliers in the Los Angeles metropolitan area have uncovered the following:

In August 2006, a special project focused on the performance • of site visits for highly suspicious DMEPOS suppliers sus-pected of committing Medicare fraud. The NSC conducted 401 site visit inspections, with 95 DMEPOS suppliers having their billing privileges revoked as of mid-April 2007. In February 2006, the NSC joined with several agencies - • including CMS and the State of California Food and Drug Branch (CFDB) - in conducting site visits of 34 DMEPOS suppliers; of this figure, 12 were revoked. In February and March 2005, the NSC - in coordination • with CFDB and MediCal - conducted inspections of 138 DMEPOS suppliers. Of this total, 31 had their billing privileges revoked.

The following charts show, for each of the last five fiscal years: (1) the number of DMEPOS suppliers in each of the four California counties (as of the beginning of the denoted fiscal year); (2) the amount of billings by DMEPOS suppliers in these counties and in California as a whole; and (3) the number of DMEPOS revocations in these counties and in California.



Table 4: As of April 2, 2007, there were 10,012 DMEPOS suppliers in the State of California.


gOVERNmENT AFFAIRS

In looking at all of the above charts, there has been – with a few exceptions – a steady increase in the number of DMEPOS suppliers in the demonstration locales, as well as in the amount of dollars billed in these areas.

Naturally, this places more Medicare dollars at risk. Perhaps the most disconcerting statistic involves the aforementioned inspections. Of the nearly 2,000 DMEPOS suppliers that were the subjects of these initiatives, approximately 770 - or about 37 percent - had their billing privileges revoked. This is a staggering figure that highlights two things. First, South Florida and the Los Angeles area are major hotbeds for fraudulent activity involving DMEPOS suppliers. Second, it is imperative that CMS do everything in its power to ensure that such suppliers never enter the Medicare program in the first place. Indeed, using administrative means for rooting out potentially fraudulent suppliers at the time of enrollment can help preserve the important investigative resources of the Office of Inspector General (OIG) and the prosecutorial resources of the Department of Justice (DOJ).

The types of fraud committed by the DMEPOS suppliers in South Florida and the Los Angeles metropolitan area

included: (1) billing for services not rendered, which involved claims for power wheelchairs, scooters, nutritional products (i.e., Ensure), orthotics, prosthesis, hospital beds, etc., and (2) billing for services not “medically necessary.” CMS and its contractors have identified thousands of Medicare beneficiaries living in California and Florida who are receiving DMEPOS items that they did not require based upon their medical history and/or are receiving Medicare EOBs for items that are not only unnecessary, but never ordered by their physician and never received by the beneficiary. CMS staff in Los Angeles and Miami has interviewed multiple physicians who have provided attestations that they never saw the patients for which DME was ordered and correspondingly never ordered the suspect DME.

Section 402(a)(1)(J), 42 U.S.C. § 1395b-1(a)(1)(J), of the Social Security Amendments of 1967 permits the Secretary to “develop or demonstrate improved methods for the investigation and prosecution of fraud in the provision of care or services under the health programs established by the Social Security Act.” Pursuant to this authority, therefore, CMS seeks to implement this demonstration to improve CMS’s ability to detect potential fraudulent behavior at both the pre-enrollment

CmS Announces Large-Scale Demonstration Project continued from page 43

Table 5: As of March 31, 2007



stage as well as after suppliers are enrolled in Medicare. CMS believes that the results of this demonstration will provide CMS with additional tools to address, combat, and prosecute similar fraud and abuse by DMEPOS suppliers across the country.

There are three major components to this demonstration:

1. Immediate submission of CMS-855S application - Each DMEPOS supplier in the demonstration locales will be required to submit a CMS-855S Medicare enrollment application to the NSC within 30 days after the NSC requests such data.

2. Revocation of billing privileges - Under this demonstration, a DMEPOS supplier’s Medicare billing privileges will be revoked in the following circumstances:

The DMEPOS supplier failed to submit a CMS-855B • application within the aforementioned 30-day timeframe; The DMEPOS supplier failed to report a change in own-• ership or address at least 30 days prior to the effective date of the change; The DMEPOS supplier failed to obtain accreditation from • an approved DMEPOS accrediting organization within 90 days of notification from the NSC to do so; The DMEPOS supplier has an owner or managing • employee that has had a felony conviction within the last 10 years; andThe DMEPOS supplier no longer meets each and every • requirement necessary for enrollment as a DMEPOS supplier.

If the supplier’s billing privileges are revoked, CMS will implement re-coupment measures when appropriate.

3. Enhanced review of “remaining” DMEPOS suppliers - DMEPOS suppliers that do not have their Medicare billing privileges revoked based on the information contained in the CMS-855S application they submitted will be subject to an enhanced review. Under this process, the NSC will use a fraud level indicator for each DMEPOS supplier. In assessing a fraud level indicator, the NSC will consider such factors as:

Experience as a DMEPOS supplier with other payers; • Prior Medicare experience; • Specific supplier location; • Fraud potential of products and services listed; • Site visit results; • Inventory observed and contracted; and • Accreditation of the supplier•

EvaluationCMS will evaluate the effectiveness of this demonstration project by utilizing certain criteria, including, but not limited to:

Comparing the revocations made during the demonstra-• tion period with the revocations made in the demonstration locales during the 12 months prior to the demonstration period. Sub-criteria will include the total number of revoca-tions, the reason(s) for each revocation, and the applicable risk category. The average length of time it takes for the NSC to review • the enrollment applications in question. The overall effectiveness of the enhanced review process.•

Moreover, CMS will determine if the processes and procedures used in this demonstration can and should be implemented in other parts of the country as a means of deterring fraudulent conduct.

Common Errors that May Result in Claim RejectionsErrors in Employer Identification Number (EIN), or Tax ID (TIN). As a reminder, providers that are organizations are required to report the EIN when they apply for an NPI (on-line, paper, and EFI). That EIN might or might not also be the TIN. With the revised CMS-10114 (to be used beginning July 10, for on-line, paper, and EFI), organizations that are subparts will be required to report the LBN of their “parent” and the “parent’s” TIN. The applicant will continue to be required to report its EIN. If the EIN error is on the Medicare record, the provider should submit a CMS-855 to correct.

Invalid or incomplete data within the ‘Other Provider Identifiers’ section of the NPPES online application, such as:

The absence of the Medicare Identification Number/• Provider Number, Not having the ‘Type’ listed as Medicare for a Medicare • Identification Number/Provider Number, and orHaving extra Medicare Identification Numbers/Provider num-• bers that shouldn’t be linked to the NPI of the applicant.

Delays in reporting Change of Ownership. Whenever there is a change of ownership, the provider is responsible for reporting that change to the appropriate Medicare contractor within 30 days. Providers are supposed to report that change on the CMS-855.

The Centers for Medicare and Medicaid Services (CMS) is currently working on a special edition MLN Matters article regarding verifying NPPES data and correct billing for Medicare claims. This article will be announced as soon as it is available.


gOVERNmENT AFFAIRS

DMECS – Online Coding Assistance from the SADMERCThe DMECS (Durable Medical Equipment Coding System) is an online application that provides Healthcare Common Procedure Coding System (HCPCS) coding assistance and national pricing information 24 hours a day. DMECS is designed to help Medicare providers and suppliers quickly classify durable medical equipment, prosthetics/orthotics, and supplies (DMEPOS) by combining information from a variety of sources to make HCPCS coding determinations for claim submission to the DME MACs easier. The first phase of DMECS will include a HCPCS and fee schedule look-up with capabilities to print or download information. Future enhancements will include SADMERC Classification Lists, sample product pictures, and a coding navigator tool that categorizes and combines HCPCS codes in a format that allows you to easily determine how to code your product.

DMECS is available on the SADMERC Web site at www3.palmettogba.com/dmecs.

Testing Your NPI on Medicare ClaimsTo date, Medicare has encouraged providers to submit both an NPI and a legacy identifier on claims.

At this time, only Fiscal Intermediaries and the CIGNA Idaho and Tennessee carrier are editing the NPI against the Medicare NPI Crosswalk file when the NPI/legacy identifier is submitted. If you are billing these contractors and claims are not rejecting, your reporting of the NPI is successful.

Other carriers (including CIGNA North Carolina) and DME MACs are not validating the NPI/legacy pair against the Medicare Crosswalk. If a provider is submitting claims to these contractors your claims have not, and will not, reject because the system is bypassing the NPI Crosswalk validation and simply processing on the legacy provider number. Although carrier submitters may be receiving informational edits when the problem occurs, DME MAC submitters are not.

To fully understand, if your provider information is valid on both the Crosswalk and the Contractors provider file, Medicare is now asking providers who submit claims to the other carriers and DME MACs to send a small number of claims using only the NPI. If no claims are rejected, the submitter can gradually increase the volume. If any claim is rejected due to provider identifier issues, first verify your NPI to make sure it was entered correctly. If the NPI is correct, then data in either NPPES or Medicare provider files is incorrect. You must check the accuracy of the following fields in your NPPES record and/or 855 provider enrollment record:

EIN (for organization providers), SSN (for individual pro-• viders);Other Provider Identification Numbers (in NPPES where • type = Medicare. This is where providers, when they apply for their NPIs, may, as an option, list the Medicare legacy identifier(s) that needs to be linked to the NPI.);Business Location (Practice Location) Address (from NPPES • and provider enrollment records);Master Address (from provider enrollment records);• Other Address (from provider enrollment records); and• Legal Name or Legal Business Name.•

Once data is corrected, wait a few days for the systems to update, and test again with a small number of claims. This process will help establish confidence that your claims will be paid. It is critical that you start testing with your NPI now.

Note that for claims submitted with the NPI only (no legacy identifier) to any contractor (carrier, FI, DME MAC); the NPI has been and will be edited against the NPI crosswalk.

While Medicare FFS has announced its contingency plan, it is committed to ending the contingency plan as soon as possible.

High Medial/Lateral Flanges

Medial arch support

Mild Metatarsal Support

• Birkenstock® cork with perforated leather• Excellent for flexible, flat feet

•Modifies easily by trimming or posting•Works well for pediatric patients

•Fits in most shoes• Metric Sizes: 24-47

•Product #: 22/1000-size

TKFPremolded Balanced

Foot Orthotic


RESOURCE CENTER

The Foot and Ankle in Rheumatoid ArthritisThis publication emphasizes a practical and evidence-based approach to the foot and ankle in rheumatoid arthritis in a concise, up-to-date and well illustrated book. The team of authors consists of rheumatologists and podiatrists based at the highly respected Foot and Ankle Studies in Rheumatology (FASTER) program. Contributors included both surgeons and orthotists. A companion DVD contains many video clips of examination and injection techniques and gait analyses, additional downloadable images, assessment tools and an interactive injection resource.

By Philip Helliwell, PhD., James Woodburn, PhD., MPhil., BSc., MRC; Anthony Redmond, PhD., MSc., Deborah Turner, BSc, SRCh., and Heidi Davys, MSc, BSc.

The hard cover book is 180 pages. Cost is $75 for PFA members and $125 for nonmembers.

HCPCS 2007 Spiral BindingMaximize your Medicare reimbursement by using the most current HCPCS Level II codes. These codes must be used to bill Medicare for supplies, materials, DME and other services. This edition includes thumb indexing, lay-flat spiral binding and color coding to make coding faster and easier.

Cost is $70 for PFA members and $90 for nonmembers.

Reimbursement Manual for the Medical OfficeThis is the fifth edition guide to coding, billing and fee schedule management. From terminology, coding and E/M documentation to fee schedule review, superbill design and HIPAA, this book covers every step of the reimbursement process.


Medicare Rules and Regulations 2007This comprehensive annual compilation of Medicare rules and regulations will help you manage your practice. Material from the official Medicare Carriers Manual is reviewed, revised and supplemented by coding and reimbursement experts.


Medical Practice Forms – Every Form You Need to-SucceedGood records help protect your practice from audit liability. Keeping good records requires well-designed forms. The completely revised third edition of this publication includes over 130 ready-to-use forms for your practice. Forms cover all areas of medical practice, including clinical, administrative, financial, managed care, insurance, marketing, personnel and systems. Blank forms are easily removed for copying. The book also includes a CD so users can customize any form to meet specific needs.


From coding and billing to Medicare compliance to the art of patient management, PFA has your interests covered. To order any-of the new titles or the many classic publications already offered through the Resource Center, visit PFA’s Web site, www.pedorthics.org, and click on the Resource Center button. Alternatively, you may request a 2007 catalogue and order form by calling PFA Headquarters at 202-367-1145.


Medicare Compliance Manual 2007This 900-page manual is packed with the information you need to maximize your Medicare reimbursement and protect yourself from audit liability. Formatted in a ring-binder with tabbed indexes, this edition is divided into four sections – Medicare Rules and Regulations 2007, Medicare Fee Schedule 2007, Medicare Coverage Issues Manual and Medicare E/M Documentation Guidelines.


Getting Paid for What You Do – Coding for Optimal ReimbursementThis is a completely revised fourth edition of this best-selling guide to reimbursement by Gary Knaus. Knaus is known as the father of the coding and reimbursement publishing industry and knows more about coding, billing and reimbursement than anyone else in the country. Tens of thousands of copies of this book have been used to code more accurately, file claims properly, and get paid faster. It is a must have for your practice management library.


Accounts Receivable Management for the Medical PracticeDo you do a great job of coding and billing for your services, only to have a significant portion of your revenues leak away during the collection process? Maybe it’s time to take a hard look at your accounts receivable management. This comprehensive guide takes you step-by-step through the process of analyzing your current receivables and then teaches you how to improve and maintain you’re A/R management.


HIPAA Compliance Manual (2nd Ed.)This popular reference book brings all of the HIPAA rules, regulations, policies and procedures completely up to date. Includes an extensive glossary, introduction and detailed information regarding all of the HIPAA regulations.


Behavioral Types and the Art of Patient ManagementThe physician-patient relationship can have a great impact on the quality of medical care. Every patient encounter is affected by the personality characteristics of the patient, the physician and even the practice itself. This book teaches a new and innovative approach to medical excellence, quality assurance and risk management. It will helps readers develop skills to create high levels of trust with even the most difficult of patients.



VENDOR NEWS

Acor Offers New Therapeutic Comfort Footwear and Accessories CatalogAcor Orthopaedic, the company that has brought many innovative technologies to the Pedorthic industry, introduces a new 28-page catalog featuring Comfort shoes and a select offering of Pre-molded and Custom orthotics.

Acor has expanded their comfort footwear products to twenty-eight styles with the addition of Drew Shoes. This added line of footwear offers athletic shoes, casual walking shoes, and the popular Mary Jane styles. Widths vary from Narrow to 6E Extra Wide.

Acor also offers the industry’s largest selection of HCPCS Code A5512 and A5513 foot orthotics. Acor president, Jeff Alaimo explains, “We realized that each person’s foot is not the same, so we have designed our custom and pre-fabricated orthotics based on the needs, weight, and activity levels of our customers.”

Following the use of X-Static, the silver fiber found in Acor’s shoes and insoles, this catalog also boasts a line of seamless, silver socks. These socks are comfortable and do not bind the legs – perfect for the diabetic end user.

The Acor Therapeutic Comfort Catalog is available now through Acor Orthopaedic (To order use # LITR-00050).

For more information or to request a catalog, please contact Acor Orthopaedic. E-mail [email protected] or call 800-237-2267.

Acor Consolidates Shipping to Cleveland WarehouseGood news for Acor customers and distributors! Acor Orthopaedic, the company that has brought innovative technologies to the Pedorthic industry, has recently finished consolidating their warehouse and shipping departments back to our corporate headquarters in Cleveland, Ohio.

Acor has formed an excellent management team led by Matt Pinardo, formally of DHL Worldwide Express, to create more flexibility and control over customer shipping. “Our customers are going to see a faster turnaround on their products, combined with reduced shipping costs from our centralized warehouse”, says Pinardo. “That’s good for us, great for our customers, and ultimately, best for the people who use our products.”

The new warehouse is currently fully operational and working hand-in-hand with Acor’s customer service team.

For more information or to request a catalog, please contact Acor Orthopaedic. E-mail [email protected] or call 800-237-2267.

PEDORTHIC mARKETPLACE

PEDORTHIC BILLINg SPECIALISTS AVAILABLEThe ProBill, Inc. medical billing staff includes a trained pedorthist who specializes in pedorthic billing nationwide! For more information, call Susan Mills at 704-636-8668, ext. 224 or e-mail at [email protected].

CERTIFIED PEDORTHIST WANTEDThe Sports Medicine Store/Metro Walk and Run is seeking a Board Certified Pedorthist for our Scottsdale, AZ location. This unique store provides sports medicine and orthopedic products as well as custom orthotics, running and walking shoes. Experience in utilizing the AmFit Digitizer and milling unit and retail sales experience a plus. Training in the utilization of our “stride analysis system” as well as training in the sports medicine product division is provided. This individual must be capable of working well with the general public and health care professionals. Please e-mail resume to [email protected] or fax to 913-385-5634. Position available immediately.

CERTIFIED PEDORTHIST WANTED: PITTSBURgH, PA.Trying to move back to Pittsburgh? Please visit www.delatorreop.com for opportunities at the region’s most experienced and established private O&P practice.

C. PED WANTEDStepRite, LLC is a progressive pedorthic company providing services throughout CT. We are seeking highly motivated individuals to join our traveling team. Flexible hours, part-time to full-time positions available. If you are interested in joining our dedicated team, fax resume to StepRite, LLC at 860-284-9738 or [email protected].

C. PEDS WANTED Here we grow again – C. Peds. Earn Extra Money Working Part Time. Seeking C. Peds. for Wellness Life Systems, a national Medicare diabetic supply company, to provide in-home shoe fittings for our diabetic patients. Patient contact, flexible hours, you set your own schedule; you determine how far you want to travel. We are currently looking for professionals in Denver, Louisiana, Las Vegas, Richmond, Little Rock, Iowa, and other areas. Learn why our C. Peds. love working for Wellness Life Systems. Please e-mail resume to [email protected] or call Penny at 816-268-6868 for more information about this great opportunity.

Classified Rates

Words PFA Member

PFA Non-Member

50 or fewer words $25 $45

51-75 words $45 $65

76-150 words $65 $125


PEDORTHIC INDUSTRy EVENTS

monthlyRiecken’s Orthotic Labs, 5115 Oak Grove Rd., Evansville, Ind.SAFIO Class, Second Friday of every month. Four castingstands provided, limited to eight students. For moreinformation, contact Darlene at 800-331-8040.

SeptemberSept. 28- Oct. 1Pedorthic Association of CanadaComprehensive Hands-on Pedorthic CourseToronto, Ontario, Canada

866-994-9925

NovemberNov. 8-11Pedorthic Footwear Association

49th Annual Symposium and Exposition at Henry B. Gonzales Convention Center, San Antonio, Texas.

The American Board for Certification in Orthotics, Prostheticsand Pedorthics (ABC) awarded the 2007 Symposium 11.5Scientific and 6 Business CEPs. CEP awards for the optionalSunday programs are as follows: Advanced Shoe Fitting -4.75 Scientific; Compression Hosiery - 4.75 Scientific; andState Licensure - 5.75 Scientific and 4.0 Business.

The Board for Orthotist/Prosthetist Certification (BOC)awarded the 2007 Symposium up to 16.65 credits (three-day)and up to 10 credits for the optional post-symposium courses. The credits are distributed as follows: Thursday -7.33 credits (1.33 CPE Category 1 and 6 CPE Category 2); Friday - 4.66 CPE Category 1; Saturday - 4.66 CPE Category1. Sunday (optional): Advanced Shoe Fitting Course - 4.75 CPE Category 1; Compression Hosiery - 4.75 CPE Category1; and State Licensure - 6 CPE Category 1 and 4 CPE Category 2.

For more information, call 202-367-1145 or e-mail [email protected].

W e k e e p t h i n g s s i m p l e ,

like overnight delivery billed to you at ground

rates* and a 10% discount to new accounts

for the fi rst six months. Call 800-888-0865

or visit us online at www.cascade-usa.com.

Shoe.

Fly.

Shoe.

*Restrictions apply. ©2006 Cascade Orthopedic Supply, Inc.

AC

OR

|

A

DV

AN

CE

|

A

ET

RE

X

|

DA

RC

O

|

KE

EP

IN

GP

AC

E

|

PE

DO

RS

Advance E3110

Aetrex E361

SFS01.indd 1 6/21/07 2:53:37 PM

Footwear Co.

Infant's Shoe Size & WidthM (B) (medium) -----4,4.5 - 11.5

W (E) (wide) ---------4,4.5 - 11.5

222-3 White / Pink Infant Girls

225-3 White / Navy Infant Boys

223-3 White / Navy

Youth Boys

Adolescent 226 -3 White / Silver

Youth Unisex

Youth's Shoe Size & WidthM (B) (medium) ------11,11.5 - 5.5,6

W (E) (wide) ----------11,11.5 - 5.5,6

Children's Inserts

Style No.: 306 (Infant)Style No.: 307 (Youth)

224-3 White / Pink

Youth Girls

Straight back heel accommodates AFO's & KAFO's

Two widths available

Symmetrical Straight Last

Contemporary styling children will love to wear

Outsoles have a symmetrical cut line for easy modification

Extended heel counters provide support and stability

Wide low Blucher opening assures no pressure points

Extra length Velcro straps easily trimmedTM

Triple layered insoles for flexible fitting

Elongated medial counter offers medial support

Note: symmetrical straight last shoes are avilable in half pairs or mis-mated sizes.

Added depth(8mm) deeper than conventional depth-in-lay shoes

TM

kids series

A True Orthopedic Sneaker for Children.

OUR SNEAKERS ACCOMMODATE ORTHOTICS, BRACES, AFO'S KAFO'S etc

2239 Tyler Ave. S. El Monte CA 91733 Tel: 888-937-2747 Fax:888-990-2245 www.bignwideshoes.com


NEW PFA mEmBERS

Advertiser IndexACOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Aetrex Worldwide . . . . . . . . . . . . . . . . . . . . . . .Back CoverAGS Footwear Group . . . . . . . . . . . . . . . . . . . . . . . . . . 21Amfit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46, 51Apis Footwear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Aravon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Brooks Sports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Cascade Orthopedic Supply . . . . . . . . . . . . . . . . . . . . . 52Euro International . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9JMS Plastics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41KLM Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . 23Knit-Rite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19MMAR Medical . . . . . . . . . . . . . . . . . . . Inside Front Cover

XNatural Step . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55Orthofeet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13, 19Pedors Shoes . . . . . . . . . . . . . . . . . . . . . Inside Back CoverPedorthic Newswire (Aetrex). . . . . . . . . . . . . . . . . . . . . 15PEL Supply Company . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Procare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5PW Minor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Rogers Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56Sroufe Healthcare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Sugarfree Sox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Therafirm/Knit-Rite . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19UCO International . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47Verne Bintz Co. . . . . . . . . . . . . . . . . . . . . . . . . . 20, 28, 40

If you have any questions regarding display advertising or classified ads, please e-mail [email protected].

Please send all press releases to [email protected].

DomesticFlorida Madeline Cirno, Foot Solutions, Dania

Ceilan Rodriguez, Foot Solutions, Dania

Lindsay P. P. Stouffer, C. Ped., ???COMPANY NAME???, Sanford

New JerseyJoseph P. Waston, Schuster’s Shoes, Berlin

OhioEric Bower, Circleville

TexasSarah L. Christopher, Specialty Shoes and Diabetic Supplies, Beaumont

Cindy Mitchell, Spenco Medical Corporation, Waco

Amanthia P Williams, HCS Diabetic, Beaumont

Virginia Rich Plourde, Jr., Richey, Charlottesville

Skip Smith, Richey, Inc., Newport News

InternationalChinaBertrand Poon, Hong Kong Ski Federation, Central, Hong Kong, Hong Kong

Elaine Yin Ling Ng, PEDORTHIC TECHNOLOGY LTD., Causeway Bay, Hong Kong

PFA extends a warm welcome to the following individuals and companies who joined the association from June 1 to Aug. 19.

AD PageName: Natural StepLocation: Page 55

Pickup: May/June IBC


PRODUCT REFERENCE gUIDE

AGS Footwear Group (1995)Shoe store supplies, fabricating materials, prefabricated orthotics, heel cups and forefoot supports.

Ashland, VA . . . . . . . . . . . . . . . . . . . . . . . 800-446-3820Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-822-0180E-mail . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . www.agsfootweargroup.com

Acor (1979)Custom and comfort footwear, inserts and materials. Originator of Tri-Lam and P-Cell.

Cleveland, OH . . . . . . . . . . . . . . . . . . . . . 800-237-2267Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 216-662-4547E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . . www.acor.com

Aetrex Worldwide, Inc. (formerly Apex Foot Health Industries, Inc.) (1973)Ready-made triple-density orthotics offering rearfoot posting & metatarsal support options.

Teaneck, NJ . . . . . . . . . . . . . . . . . . . . . . . 800-526-2739Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201-833-1485E-mail . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . www.aetrex.com

Affinity Insurance Services, Inc. (1998)Affinity Insurance Services administers the PFA product and malpractice liability insurance program. Designed for pedorthists, insurance protection can be customized for each-PFA member.

Chicago, IL . . . . . . . . . . . . . . . . . . . . . . . . 800-544-2672Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 312-922-9321

Alden Shoe Company (1969)Goodyear welt construction footwear for men.

Middleborough, MA . . . . . . . . . . . . . . . . . 508-947-3926Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 508-947-7753

AliMed, Inc. (2004)Orthopedic products including orthoses and orthotic materials, orthopedic supports, walkers and shoes, therapeutic modalities, diabetic footwear and more.

Dedham, MA . . . . . . . . . . . . . . . . . . . . . . 800-225-2610Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-437-2966E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.alimed.com

Allied OSI Labs (2005)Products include: Talar Made - Customizable, prescription, pre-fabricated foot orthoses; Richie Brace - Comprehensive line of custom, articulated AFO’s; Footlights - economy line of flat priced custom foot orthoses; Plus Line – comprehensive line of custom foot orthoses.

Indianapolis, IN . . . . . . . . . . . . . . . . . . . . 888-264-3338Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317-299-1367E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . .www.aolabs.com

American Shoe Corporation (2003)Custom shoe company. Complete lines for diabetic, arthritic and geriatric patients. 15-day manufacturing time and fully guaranteed fit and finish on each pair.

Bedford Hill, NY . . . . . . . . . . . . . . . . . . . . 914-241-0422Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 914-241-1974E-mail . . . . . . . . . . . . . . . . . [email protected]

Amfit Inc. (1996)Footfax-SL 3D Contact Digitizer, Footprinter Foam Casting System, precision CAD/CAM Carving Mill, accommodative and functional custom foot orthoses and orthotic sandals.

Vancouver, WA . . . . . . . . . . . . . . . . . . . . . 800-356-3668Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360-566-1380E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . .www.amfit.com

Apis Footwear Company (2000)Women’s footwear, 103 sizes; men’s footwear, 98 sizes. Open stock for immediate delivery.

S. El Monte, CA . . . . . . . . . . . . . . . . . . . . 888-937-2747Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 626-448-8783E-mail . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.bignwideshoes.com

Arizona AFO, Inc. (2003)Central fabrication facility specializing in custom-made leather ankle gauntlets.

Mesa, AZ . . . . . . . . . . . . . . . . . . . . . . . . . 480-461-1940Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480-461-5187E-mail . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . .www.arizonaafo.com

Atlantic Footcare (2007)N. Smithfield, RI . . . . . . . . . . . . . . . . . . . 401-765-8600Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401-766-5327E-mail . . . . . . . . . . . . . [email protected]

Atlas International (1994)For pedorthic needs. Complete range of materials, prefabs and tools.

Rancho Cordova, CA . . . . . . . . . . . . . . . . 800-545-6287Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 916-858-3320E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.atlasortho.com

Bintz Company, Inc. (1991)Sheet goods, inlays, and related products.

Wheaton, IL . . . . . . . . . . . . . . . . . . . . . . . 800-235-8458Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 630-653-5077E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.bintzco.com

Biomechanical Services Inc. (2004)Custom foot orthotics as well as lower extremity evaluation systems, custom sandals, prefabs, balance therapy tools and educational courses. Technical support services.

Brea, CA . . . . . . . . . . . . . . . . . . . . . . . . . . 800-942-2272Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 714-990-4060E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.biomechanical.com

Birkenstock Distribution USA, Inc. (1981)Birkenstock Distribution USA, Inc. is the exclusive U.S. importer, distributor and marketer of Birkenstock brand footwear. We believe that comfortable, supportive footwear leads to personal happiness and overall wellbeing. This belief is why our products are designed around the concept that the shape of the shoe should follow the shape of the foot.

Novato, CA . . . . . . . . . . . . . . . . . . . . . . . 800-949-7301Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415-209-4955 E-mail . . . . . . . . . . . . . . . . . [email protected] Web site . . . . . . . . . . . . . . . . . . www.birkenstockusa.com

BITE, LLC Footwear (2005)Redmond, WA . . . . . . . . . . . . . . . . . . . . . 206-957-7900Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206-957-7901

Branier Orthopedic Custom Molded Shoes (2004)Catalogue contains over 40 styles. Can duplicate any shoe on the market. 12-day turnaround, great fit!

Sunrise, FL . . . . . . . . . . . . . . . . . . . . . . . . 877-524-0639Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .954-727-2688E-mail . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.branier.com

Brooks Sports, Inc. (2001)Walking/athletic shoes in women’s and men’s styles. Delivery includes special orders.

Bothell, WA . . . . . . . . . . . . . . . . . . . . . . 800-2-BROOKSFax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 425-483-8181E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.brooksrunning.com

Cascade Orthopedic Supply, Inc. (2000)Foot care products, including shoes, inserts, foot orthotics, socks, tools and supplies. All in-stock items ship same day with overnight delivery.

Chico, CA . . . . . . . . . . . . . . . . . . . . . . . . 800-888-0865Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-847-9180E-mai . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . www.cascade-usa.com

Chaco, Inc. (2004)Paonia, CO . . . . . . . . . . . . . . . . . . . . . . . . 970-527-4990Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 970-527-4997

C.N. Waterhouse Leather Co., Inc. (1998)Manufacturer and distributor of fine leathers, woolskins, suede pig-skins, sheet goods and adhesives for use in the pedorthic footwear and orthopedic industries.

Bedford, MA . . . . . . . . . . . . . . . . . . . . . . . 800-322-1177Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 781-271-0499E-mail . . . . . . . . . . . . . . . [email protected]

Colonial Shoe Company, Inc. (2003)Atlanta, GA . . . . . . . . . . . . . . . . . . . . . . . 800-678-7463Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 404-691-7663

Dansko, Inc. (2007)Every day we strive to make your world a little easier by providing state of the art comfort footwear. From innovative designs to retailer training, your comfort is our first concern. We realize you lead an active life, and Dansko shoes are constructed with that thought in mind. Our footwear is an investment in your well-being. Styles may change, but our philosophy remains the same.

West Grove, PA . . . . . . . . . . . . . . . . . . . . 610-869-8335Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 610-869-5764E-mail . . . . . . . . . . . . . . . . [email protected]

DB Shoes Ltd. (2003)Manufacturers of PU direct injection moulded footwear in EE, 4E and 6E fittings, all with removable socks.

Rushden, Norhamptonshire, England 00 44 1933 359217Fax . . . . . . . . . . . . . . . . . . . . . . . . . . 00 44 1933 410218E-mail . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.dbshoes.co.uk

This reference guide is intended solely to make it easier for individuals, facilities and companies to locate pedorthic products. Companies listed in the guide are PFA vendor/manufacturer members. Companies may produce additional products beyond those listed, and most companies are pleased to provide additional information on request. As a courtesy to our readers, CP has noted the year the company joined PFA in parentheses after the company’s name. Inclusion in this list does not suggest or imply PFA endorsement of companies or products. For space reasons, company product descriptions are limited to 20 words or less. To-arrange changes in your company’s listing, e-mail [email protected].



Dr. 2 Shoes, Inc. (2006)Dr. 2 Shoes manufactures, warehouses and distributes the finest quality extra-depth shoes for diabetics or patients who-need quality comfort shoes. Dr. 2 Shoes has one of the largest selections given A5500 for Medicare’s Therapeutic Diabetic Shoe Bill. Also offers insoles, gel silicone footcare products, ankle support products and diabetic inserts.Hillsborough, NC . . . . . . . . . . . . . . . . . . . 919-644-2288Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 919-644-2289

Dr. Comfort (2004)Dr. Comfort manufactures, warehouses and distributes the finest quality extra-depth shoes for diabetics or patients who need quality comfort shoes.

Mequon, WI . . . . . . . . . . . . . . . . . . . . . . . .262-242-5300Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 262-242-9300E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.drcomfortdpm.com

Dr. Kong Footcare Limited (2005)Manufacturer of children’s, men’s and women’s healthy shoes, insoles, footcare accessories and computerized assessment software. 33 chain shoe shops in Hong Kong. Provides check and fit services and healthy products for everybody.

Kwai Chung, N.T., Hong Kong . . . . . . . 852-2744-2638Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .852-2744-8845E-mail . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . www.dr-kong.footcare.com.hk

Dr. Zen, Inc. (2002)Manufacturer of therapeutic shoes made in leather, suede and lycra

Sanford, FL . . . . . . . . . . . . . . . . . . . . . . . 407-688-2860Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 407-688-2864E-mail . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . . www.drzen.net

Drew Shoe Corporation (1968)Men’s and women’s depth and comfort footwear in over 150 sizes.

Lancaster, OH . . . . . . . . . . . . . . . . . . . . . 800-837-3739Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740-654-4979E-mail . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.drewshoe.com

DUREA (2007)Woman’s comfort footwear, multiple widths. Simply the best walking shoes in the world.

Ridgefield, NJ . . . . . . . . . . . . . . . . . . . . . . 201-522-9791Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201-840-6742E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected]

ESKO Orthopedic Specialties (1986)Distributor for major manufacturers of pedorthic & shoe store supplies.

Austin, TX . . . . . . . . . . . . . . . . . . 800-252-2739, ext. 18Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 512-837-3597E-mail . . . . . . . . . . . . . . . . . . . . . . [email protected]

Euro International, Inc. (1997)Preformed insoles, diabetic shoes and materials in different hardnesses, especially for diabetics.

Tampa, FL . . . . . . . . . . . . . . . . . . . . . . . . 800-378-2480Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 813-246-5998E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . www.eurointl.com

Feels Good Footwear (2006)Brookfield, CT . . . . . . . . . . . . . . . . . . . . . 203-740-8504Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203-740-8503Email . . . . . . . . . . . . . . . . . [email protected]

Finn Comfort (1993)Luxury comfort footwear. Men’s and women’s walking shoes, sandals and boots featuring removable/modifiable orthopedic footbeds. Hand-crafted in Germany.

Thousand Oaks, CA . . . . . . . . . . . . . . . . . .805-375-0038Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 805-375-0848E-mail . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.finncomfort.de

Foot Efx Wholesale Foot Care Products-LLC-(2003)Arch support, diabetic inserts, diabetic shoes and comfort shoes.

Las Vegas, NV . . . . . . . . . . . . . . . . . . . . . . 702-259-0955Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 702-258-6544E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.footefx.com

Foot Fitting LLC (2005)Health Care = Custom Orthotics; Retail = Custom Performance Footbeds; TruCapture/3D laser scanning.

Scottsdale, AZ . . . . . . . . . . . . . . . . . . . . . 480-222-7333Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480-315-1790E-mail . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.footfitting.com

Foot Management, Inc. (1984)Manufacturer of custom orthotics. Also carries foam impression trays, footpads, insoles, felt, foam and mole skin.

Pittsville, MD . . . . . . . . . . . . . . . . . . . . . . 410-835-3668Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410-835-8966E-mail . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . .www.footmanagement.com

Foot Solutions, Inc. (2004)Marietta, GA . . . . . . . . . . . . . . . . . . . . . . . 770-955-0099Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 770-953-6270

Frankford Leather Company, Inc. (1997)Diabetic seamfree socks, foot comfort products, shoes, shoe modification/shoe repair supplies, foam impression kits, specialty adhesives and more. Same-day shipping. Products from Apex, Soletech, Vibram, EVA, Sher, Dryz, etc. Catalogs available.

Bensalem, PA . . . . . . . . . . . . . . . . . . . . . . 800-245-5555Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215-244-4411E-mail . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . www.frankfordleather.com

Gateway Shoe Machine, Inc. (2003)Lebanon, IL . . . . . . . . . . . . . . . . . . . . . . . 800-752-7897Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 618-537-4131E-mail . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . .www.orthopedicmachines.com

Gerda Hoehm/Haflinger (2006)New York, NY . . . . . . . . . . . . . . . . . . . . . 212-949-6767Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212-949-8833

Guard Industries, Inc. (1996)Components for shoe care, foot comfort, orthotics and prosthetics. Complete listing of available products will be sent upon request.

St. Louis, MO . . . . . . . . . . . . . . . . . . . . . . 800-535-3508Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 314-534-0035E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . www.guardmfg.com

Hapad, Inc. (1988)Wool felt foot products and sports replacement insoles.

Bethel Park, PA . . . . . . . . . . . . . . . . . . . . . 800-544-2723Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-232-9427E-mai . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . www.hapad.com

The Home Foot Care Company (2005)Hot and cold rolling foot massage device for the treatment of foot pain. Dr. Scholl didn’t invent this, but his nephew did.

Mt. Vernon, IN . . . . . . . . . . . . . . . . . . . . . 877-765-3338Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 812-254-0523E-mail . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . www.thatfootthing.com

InStride Shoes (2003)InStride is a manufacturer of Medicare reimbursable, multiple width footwear for diabetics that features the three layer Custom Fit System.

Hillsborough, NJ . . . . . . . . . . . . . . . . . ..866-9-MY-FEETFax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 908-359-7434E-mail . . . . . . . . . . . . . . . . . . . [email protected] Web site . . . . . . . . . . . . . . . . . . . www.instrideshoes.com

J.H. Cook & Sons, Inc. (2004)Shoe Modification Components, Foot Comfort Products and Shoe Repair Supplies. Products from Aetrex, Spenco, Vibram and Soletech.

Granite Quarry, NC . . . . . . . . . . . . . . . . . 704-279-5568Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .704-279-5261

JMS Plastics Supply, Inc. (1990)Plastic sheet materials for fabricating and cushioning foot orthotics.

Neptune, NJ . . . . . . . . . . . . . . . . . . . . . . . 800-342-2602Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 732-918-8499E-mail . . . . . . . . . . . . . . . . . . . . . . [email protected] . . . . . . . . . . . . . . . . . . . . . . . . www.jmsplastics.com

Jerry Miller I.D. Shoes, Inc. (1977)Orthopedic, custom molded footwear.

Buffalo, NY . . . . . . . . . . . . . . . . . . . . . . . . 800-435-0065Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 716-881-0349

Joseph H. Deacon Company (2000)Shoe modification and lab supplies. Same-day shipping.

Cherry Hill, NJ . . . . . . . . . . . . . . . . . . . . . 800-355-7463Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 856-667-0665E-mail . . . . . . . . . . . . . [email protected]

Justin Blair & Company (2001)Quality foot and shoe care products. A U.S. licensee for Tarrago of Spain shoe care products.

Chicago, IL . . . . . . . . . . . . . . . . . . . . . . . . 800-566-0664Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 773-523-3639E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected]

KLM Laboratories (2006)Valencia, CA . . . . . . . . . . . . . . . . . . . . . . . 800-556-3668Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-556-3338Email . . . . . . . . . . . . . . . . . . . . . . [email protected]

Klogs-USA (2007)Sullivan, MO . . . . . . . . . . . . . . . . . . . . . . 573-468-5564Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573-468-5560E-mail . . . . . . . . . . . . . . . . . . [email protected]



Kumfs Shoes N.Z. Ltd. (1998)Quality thoughtfully-designed shoes and sandals. Orthotics-friendly with specialist-designed removable contoured footbeds.

El Dorado Hills, CA . . . . . . . . . . . . . . . . . 530-676-9960Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 530-676-9965E-mail . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . .www.kumfs.com

L’s Wear NY, Inc. (2005)European comfort socks and hosiery.

Commack, NY . . . . . . . . . . . . . . . . . . . . . 631-858-9500Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 631-858-9449E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.kunertusa.com

Landesman Bros., Inc. (2003)Distributors of foot comfort products, pedorthic, orthopedic and wound care supplies. Same day shipping.

Island Park, NY . . . . . . . . . . . . . . . . . . . . 800-852-8855Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516-889-1253E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.landesmanbros.com

Langer Inc. (2006)Deer Park, NY . . . . . . . . . . . . . . . . . . . . . .800-233-2687Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 631-667-1203Email . . . . . . . . . . . . . . . . . . [email protected]

LaZerFit (2006)Cranberry Township, PA . . . . . . . . . . . . . .724-779-3893Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .724-779-3895Email . . . . . . . . . . . . . . . . . . . . . . [email protected]

Lord Custom Molded Shoes, Inc. (1994)Fashionable custom-molded shoes for men, women, and children. Guaranteed fit and service.

Bohemia, NY . . . . . . . . . . . . . . . . . . . . . . 800-SHOES11Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 516-471-3090

MMAR Medical Group, Inc. (2003)Distributor of multiple diabetic shoe brands at manufacturer-direct wholesale pricing. Other products include AFO’s, ankle braces and cam walkers.

Houston, TX. . . . . . . . . . . . . . . . . . . . . . . 800-662-7633Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 713-465-2818E-mail . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . www.mmarmedical.com

MacPherson Leather Company (2005)Seattle, WA . . . . . . . . . . . . . . . . . . . . . . . . 206-328-0855Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 206-328-0859E-mail . . . . . . . . . . . . . . . . [email protected]

Miami Leather Company (2001)Wholesaler to the orthopedic, prosthetic, retail shoe and shoe repair trades. Wide variety of products.

Miami, FL. . . . . . . . . . . . . . . . . . . . . . . . . 305-266-8328Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 305-266-8728E-mail . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . .www.miamileather.com

M. J. Markell Shoe Company, Inc. (1973)Men’s, women’s and children’s comfort and orthopedic footwear.

Yonkers, NY . . . . . . . . . . . . . . . . . . . . . . . 914-963-2258Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 914-963-9293E-mail . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . ..www.markellshoe.com

Mobils by Mephisto (1998)Extra-depth footwear with a removable footbed and natural orthopedic support.

Franklin, TN . . . . . . . . . . . . . . . . . . . . . . 800-775-7852Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 615-771-5935Email . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.mephisto.com

Munro & Company, Inc. (2000)Hot Springs, AR . . . . . . . . . . . . . . . . . . . . 501-262-6156Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 501-262-6165

National Foot Specialties (2005)Custom orthotic manufacturing and continuing education courses.

North Ft. Myers, FL . . . . . . . . . . . . . . . . . 239-707-0279Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239-543-1890Email . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . www.nationalfoot.com

Natural Step (2004)Manufacturer of men’s and ladies’ handsewn moccasin extra-depth shoes. Available in a large selection of sizes and widths.

Jupiter, FL . . . . . . . . . . . . . . . . . . . . . . . . 866-500-7463Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 866-540-7463E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . .www.naturalstepshoes.com

N.E.O.D.S. (2006)Wilton, ME . . . . . . . . . . . . . . . . . . . . . . . 207-645-3200Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 207-645-3292E-mail . . . . . . . . . . . . . . [email protected]

New Balance Athletic Shoe/Aravon (1990) A leading manufacturer of technologically innovative athlet-ic products. Recently debuted Aravon comfort performance footwear for women. Boston, MA . . . . . . . . . . . . . . . . . . . . . . . 617-746-2303Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 617-746-6303E-mail . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . www.newbalance.com

Orthofeet, Inc. (1999)Manufacturer and distributor of high quality depth-shoes and orthotics.

Northvale, NJ . . . . . . . . . . . . . . . . . . . . . . 800-524-2845Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 201-767-6748E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . .www.orthofeet.com

PAL Health Technologies, Inc. (2003)Custom lab for prefabricated and custom ankle braces and-orthoses.

Pekin, IL. . . . . . . . . . . . . . . . . . . . . . . . . . 800-447-0151Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 877-957-5647E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . .www.palhealth.com

PartnerShip (2000)PartnerShip, in cooperation with PFA, offers members-only discounts and savings on small package shipping with FedEx Ground, and on large freight shipments with Yellow Freight.

Oberlin, OH . . . . . . . . . . . . . . . . . . . . . . . 800-599-2902Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 440-774-2823

PediFix, Inc. (2001)High quality pressure relief footcare products.

Brewster, NY . . . . . . . . . . . . . . . . . . . . . . 800-424-5561Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 845-277-2851E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.pedifix.com

Pedors Shoes (1999)Orthopedic shoes with a neoprene forefoot.

Marietta, GA . . . . . . . . . . . . . . . . . . . . . . . 800-750-6729Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-446-3101Email . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . www.pedors.com

Pedorthic Technology Ltd. (2007)Causeway Bay, Hong Kong . . . . . . . . . . . . 522-332-9375Email . . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.ezped.com

PEL Supply Company (1995)Wholesale distributor stocks broad selection of finished foot and arch products, materials and tools for fabricating foot orthotics.

Cleveland, OH . . . . . . . . . . . . . . . . . . . . . 800-321-1264Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-222-6176E-mail . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . www.pelsupply.com

Pepper Gate Footwear, Inc. (2006)Pomona, CA . . . . . . . . . . . . . . . . . . . . . . . 909-865-2171Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 909-868-7252Email . . . . . . . . . . . . . . . . . . . . . . [email protected]

Pro Custom Labs (2005)Custom ankle-foot orthoses, custom foot prosthesis and foot orthoses.

Chimacum, WA . . . . . . . . . . . . . . . . . . . .866-PRO-LABSFax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360-437-9319E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . www.procustomlabs.com

Propet USA, Inc. (2000)Leading manufacturer in men’s and women’s comfort walking shoes. Available in up to 5 widths, sizes 5-13 in women’s, 7-17 in men’s. Propet features a vast selection of Medicare A5500 coded footwear with removable orthotics, secure closure and maximum customization.

Kent, WA . . . . . . . . . . . . . . . . . . . . . . . . . 800-877-6738Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-597-8668E-mail . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . .www.propetusa.com

P.W. Minor & Son, Inc. (1968)Footwear products for foothealth.

Batavia, NY . . . . . . . . . . . . . . . . . . . . . . . . 585-343-1500Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 585-343-1514Web site . . . . . . . . . . . . . . . . . . . . . . .www.pwminor.com

Remington Products (2000)Insoles and sheet packages, rigid arch supports, viscoelastic heel cups, 3/4 and full insoles. Wadsworth, OH . . . . . . .330-335-1571Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 330-336-9462Email Adress . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . www.remprod.com

Renia GmbH (2001)Specially-designed adhesives and components for the shoe industry, shoe repair trade, and O & P industry.

Cologne, Germany . . . . . . . . . . . . . . . . 49-221-6307990Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . 49-221-63079950E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . .www.renia.com



Riecken’s Orthotic Laboratory (1985)Foot comfort products and custom orthotics from patient’s casts. Also, pedorthic education classes on second Friday of each month.

Evansville, IN . . . . . . . . . . . . . . . . . . . . . 812-476-8006Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 812-476-4271E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . www.footcomfortworld.com

Rocket7 (2005)Custom cycling shoes, orthotics and added depth cycling shoes (35-53 in AA, A, B, C, D, EE, EEE, 6E).

Puyallup, WA . . . . . . . . . . . . . . . . . . . . . . 253-848-3242Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253-830-0162

E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . .www.rocket7.com

Rogers Corporation (1995)Offers a wide selection of specialty materials for-the healthcare industry, including PORON Medical urethanes, Bisco silicone materials and Polyolefin foams .

Woodstock, CT . . . . . . . . . . . . . . . . . . . . 860-928-3622Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 860-928-7843E-mail . . . . . . . . . . . . . . . . . . . . . . www.litporonhc.comWeb site . . . . . . . . . . . . . . . .www.rogerscorporation.com

Ruby Leather & Orthopedic Company Inc. (1998)Milwaukee, WI . . . . . . . . . . . . . . . . . . . . . 414-778-2288Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414-778-2047

SAS Shoemakers (1992)SAS makes comfortable shoes that care for all-feet.

San Antonio, TX . . . . . . . . . . . . . . . . . . . . 210-921-7455Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210-921-7460E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . www.sasshoes.com

STS Company (1997)Resin-impregnated tubular and fitted socks made to take foot and ankle impressions for custom shoes and foot/ankle orthotic devices.

Mill Valley, CA . . . . . . . . . . . . . . . . . . . . . 800-787-9097Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 415-381-4610E-mail. . . . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . . www.stssox.com

Saderma – North (2005)Yuba City, CA . . . . . . . . . . . . . . . . . . . . . . 530-674-5230Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 530-674-5238

SafeStep (2004)Factory direct prices of various footwear brands.

Milford, CT . . . . . . . . . . . . . . . . . . . . . . . 203-874-7722Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203-723-0091E-mail . . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . . www.safestep.net

Saucony/Spot Bilt (2001)Peabody, MA . . . . . . . . . . . . . . . . . . . . . . 978-532-5222Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 978-532-9000

Sequoia/Comfort Rite (1998)Quality comfort footwear in a variety of sizes and widths.

New Holstein, WI . . . . . . . . . . . . . . . . . . .800-898-5556Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 920-898-4605

Shoe Innovations (1998)Distributers euro-comfort with style, available in different widths for women and men.

Woodlands, TX . . . . . . . . . . . . . . . . . . . . .877-FIT-FEET Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 281-465-8822E-mail . . . . . . . . . . . . . . . . . . [email protected] site. . . . . . . . . . . . . . . . . www.shoeinnovations.com

Shoe Systems Plus, Inc. (2003)Complete line of orthotic and prosthetic equipment including finishers/grinders, vacuum pans, pumps, presses, industrial sewing machines, fume busters and more.

Goshen, NY . . . . . . . . . . . . . . . . . . . . . . . .800-354-6278Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 845-291-7097E-mail . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . .www.shoesystemsplus.com

Silipos, Inc. (1991)Skin protection devices using an advanced polymer technology incorporated into an entire orthotics/footcare product line.

Niagara Falls, NY . . . . . . . . . . . . . . . . . . . 800-229-4404Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 716-283-0600E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected] site: . . . . . . . . . . . . . . . . . . . . . . . .www.silipos.com

Soletech (1995)Salem, MA . . . . . . . . . . . . . . . . . . . . . . . . 800-225-2192Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 978-741-2091

Solidschuhwerk GMBH (2006)Tuttlingen, Germany . . . . . . . . . . . . . . . . . 074-619-6120Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 746-196-1270

Southern Leather Company (1996)7 locations nationwide. The most extensive pedorthic and shoe care/repair inventory in the industry. Inventory includes Apex, Soletech, Eva, Vibram and Acor.

Memphis, TN . . . . . . . . . . . . . . . . . . . . . . .800-844-6767Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 901-946-1059E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected]

Spira (2004)El Paso, TX . . . . . . . . . . . . . . . . . . . . . . . . 866-838-8640Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .915-838-8641

Sroufe Healthcare (2006)Ligonier, IN . . . . . . . . . . . . . . . . . . . . . . . 260-894-4171Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260-894-4092E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected]

Sugar Free Sox (2006)Escpmdodp. CA . . . . . . . . . . . . . . . . . . . . 760-739-9003Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 760-739-9682E-mail . . . . . . . . . . . . . . . . . . . . [email protected]

Superfeet Worldwide LLP (2003)Ferndale, WA . . . . . . . . . . . . . . . . . . . . . . 360-384-1820Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 360-384-2724E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected]

Tauer and Johnson (2006)Mt. Prospect, IL . . . . . . . . . . . . . . . . . . . . 847-631-7440Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 847-956-5870E-mail . . . . . . . . . . . . . . . . [email protected]

Tekscan, Inc. (1994)Broad range of pressure assessment and clinical/research evaluation tools for use in orthotics, brace evaluations, joint biomechanics, and gait analysis.

Boston, MA . . . . . . . . . . . . . . . . . . . . . . . .617-464-4500Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 617-464-4266E-mail . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . .www.tekscan.com

Therafirm (A Division of Knit-Rite, Inc.) (1999)Quality medical-grade compression hosiery and diabetic socks.

Ellerbe, NC . . . . . . . . . . . . . . . . . . . . . . . 800-562-2701Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 910-652-2438Web site . . . . . . . . . . . . . . . . . . . . . . .www.therafirm.com

Thor-Lo, Inc. (2001)Statesville, NC . . . . . . . . . . . . . . . . . . . . . 704-872-6522Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 704-838-6323

Trulife (2006)Jackson, MI. . . . . . . . . . . . . . . . . . . . . . . . 800-788-2267Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800-245-3765E-mail . . . . . . . . . . . . . . . . . . . . . . . [email protected]

Tru-Mold Shoes, Inc. (1980)Custom-molded shoes made in America

Buffalo, NY . . . . . . . . . . . . . . . . . . . . . . . . 800-843-6653Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 716-881-0406E-mail . . . . . . . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . . . . . . . www.trumold.com

UCO International (1987)Materials, tools, and lab equipment for production of custom orthotics. Comprehensive line of pre-molded foot orthosis and Quick-Sil silicone system.

Wheeling, IL . . . . . . . . . . . . . . . . . . . . . . .800-541-4030Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 847-541-4144E-mail . . . . . . . . . . . . . . . . . . [email protected] site . . . . . . . . . . . . . . . . . www.ucointernational.com

USA Orthopedic Manufacturer Shoes & Braces (2005)Manufacturer of high quality custom made orthopedic footwear, orthotics & braces.

Gilbert, AZ . . . . . . . . . . . . . . . . . . . . . . . . 480-855-1287E-mail . . . . . . . . . . . . . [email protected]

9

9

1

1

55

3 3

2

2

6

6

7

7

8

8

10

10

4

4

Stretch Vamp - Allows for edema and forefoot ailments such as bunions, corns, hammertoes and joint pain associated with arthritis.

Vibram® Outsole - Durable and lightweight with great traction for outdoor walking.

Extra-Depth Toe Box - Accommodates custom orthotics & swelling accociated with diabetes.

Padded Tongue & Heel Cup - Reduces friction and adds comfort to a sensitive foot.

Air Holes - Helps air circulate throughout the shoe to keep the foot dry.

Reinforced Heel Counter - Offers lateral stability and keeps the heel centered over the midsole.

Available in speed lacing for a superior fi t or touch closure for ease of use.

Achilles Notch - Prevents irritation of the Achilles Tendon during fl exion.

EVA Midsole - Provides maximum cushioning and shock absorbtion.

5/16” Removable Layers - Adds additonal depth for custom orthotics or diabetic inserts.

1

6

78

Pedors Stretch Walker | $48 per pair | $36 single

1-800-750-6729

New Pedors Stretch WalkerAvailable Now!

Full and Half SizesWide, X-Wide, XX-Wide

Pedors® and Pedors Stretch Walker™ are trademarks of OMI Corporation, Marietta, Georgia.

No Obligation Sample Size Run

Order any six pairs or more and receive FREE shipping, FREE returns and FREE exchanges on your fi rst order!

TSDCompliant

A5500

800 801 900 901

™

®

Current Pedorthics Ad.indd 1 8/8/2007 4:48:20 PM

inside look · 2018. 3. 31. · please contact us if you would like to write for the publication....

Documents