Orthotics include any appliance needed by a patient because of any disability, weakness or loss of function. Another name for them is "durable medical equipment." Common orthotics include splints and braces for the arms or legs, canes or crutches, special shoes, back braces and neck braces. Many insurance companies provide little or no coverage for orthotics even though they can be very expensive.
In a spine practice cervical collars (soft and hard), lumbar braces (corset or molded), wrist splints, AFO braces (for the ankle) and shoes are the most commonly used devices.
Hard cervical collars
Hard cervical collars include Philadelphia collars, Aspen collars and Miami-J Collars (shown in the image on the left) among others. The Hard collars restrict range of motion by about 90%. Philadelphia collars are the least expensive and Aspen collars fold flat for convenient storage. Of the available types the Miami-J is probably the most comfortable. These collars are in the event of trauma and are also used following neck fusion surgery. They are preferred in our practice.
Soft collars (like the one on the right) do not significantly reduce motion but do provide some comfort. They are a reasonable compromise in the event of neck pain which is the result of a spraining or straining injury.
Lumbar braces include corset type braces like the camp corset to the left or the more modern Cybertech brace to the right. The brace is adjustable and quite comfortable. Both can be used following lumbar fusion surgery. They decrease movement and remind one to limit activity. They vary in price from a few hundred to about one thousand dollars.
AFO braces or "ankle foot orthoses" are used in cases of weakness due to a peroneal nerve palsy or an L5 radiculopathy. They correct a "foot drop" and prevent falls. They need to be custom made. They are covered by insurance when their use prevents falls.
The commonest types of shoes used for medical purposes are for diabetics. These prevent pressure sores. Others include supportive shoes for weaker ankles and other types of shoes that decrease the stress on the back by cushioning each step.
What are z-coil shoes?
Z-coil shoes provide relief from a number of conditions due to one simple principle. Simple walking puts enormous impacts on the human body. Each step you take while merely walking has an impact pressure of 2-3 times your normal weight. The stress of this impact is transmitted through your knees, your back, and can exacerbate existing conditions. Z-coil shoes remove much of that strain by absorbing the impact of each step you take.
What problems can z-coil shoes help with?
Though even z-coil cannot help with every possible condition, they have been know to help people suffering from:
Are z-coils stable?
Yes, z-coil' s are exceptionally stable. The flexible spring can absorb surface deviations without forcing your ankle to turn.
Does insurance cover the cost of z-coil shoes?
Orthotic shoes and other medical devices are known as "durable medical goods." They may be covered by your insurance but in California are not tax free. For more information see the company web site at http://zcoil.com/. The nearest dealer is César Snee in San Jose. His web site is http://www.ez-shoes.com/. He will come to the Fremont office to assist our practice's patients with fittings.