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piedro footwear stiffeners

adamlathamsmithadamlathamsmith Posts: 40Member Connected
whats the differences with extended stiffeners and corset stiffener

Replies

  • StayceStayce Posts: 275Member Pioneering
    I believe the extended stiffners both provide medial and lateral support and the corset stiffner additionally holds the subtalar joint in a fixed stable position. But do talk to your orthotist about the options available. Hope this helps.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    Can piedro footwear be used with flat feet with both of the stiffners
  • StayceStayce Posts: 275Member Pioneering
    I would talk to your Orthotist (,if you have one, if not get your GP to refer you to one). Or contact Gilbert & Mellish and see which products they would advise for your foot condition. The stiffners are built into the piedro boots, so its about selecting the right ones for you. Piedro boots will help with stability, but I suspect that if you have flat feet you may also need additional arch support in the shoe, this is why you need to speak with an orthotist or Gilbert & Mellish http://www.gilbert-mellish.co.uk/Shop/Products/biogel-arch-support/606.aspx
    Hope that helps.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    Will the nhs give me some piedro footwear for flat feet
  • NoahNoah Posts: 430Member Pioneering
    edited November 2015
    After a full assessment by a trained orthodist, the NHS will provide what they feel is most appropriate for your individual needs, and within their local policy for supplying orthotics. Piedro boots are only one option, there are lots of other very exciting orthotics that are being developed and are coming to market. My advice would be the same as Stayce, get yourself an appointment with an Orthodist, go with an open mind. Fully explain to them what you are trying to achieve and work with them for the best possible outcome.

    I wish you all the best,

    Please let us know how you get on, I would be most interested.

    Thanks for your question.

    Noah
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    please can you tell me company that the NHS use to order piedro footwear from
  • NoahNoah Posts: 430Member Pioneering
    This depends on the NHS trust, yet I know quite a few use http://www.gilbert-mellish.co.uk
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    i have had my appointment about flat feet but they will not give my any boots but i have 2nd appointment to see how i am doing will try again then to get the boots if no i will go privet
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    also in the piedro footwear how strong is Rehabilitation Stiffener to other footwear in the stops and on line
  • StayceStayce Posts: 275Member Pioneering
    What were the recommendations given to you at your appointment? Did you see an orthotist or a podiatrist? Were you prescribed any different orthotics?

    Piedro boots are orthopaedic footwear so I would have thought the stiffners would be stronger than your average footwear in shops or online. The stiffner are also in places of need for unstable ankles. Why don't you give Gilbert and Mellish a call and talk to them about your foot problem, I am sure they would be happy to advise you, if you think these look the best option for you.. This link will take you to their contact page http://www.gilbert-mellish.co.uk/Contact-Us.aspx.
    Bear in mind though, that there are many types of orthotics that can often achieve similar goals. I would be interested what was recommended at your appointment and what was the reason given to you for not ordering the piedro boots?

    Hope this helps

    Best wishes



  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    all there give me was some new insoles but trainers are not give me the support that i need and boots do for 1 or 2 till they have been broken in
  • StayceStayce Posts: 275Member Pioneering
    What are the insoles like? Do they help at all?

    What was the orthotist/ podiatrist view on the piedro boots for you?

    Have you tried trainer boots?


  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited December 2015
    the insole work but not 100% even with my trainers witch has anke support in them
    and the orthotist/ podiatrist don't thick they will make much differnts. but i thick they will even if i have to privately.
    i problems haven try them in the past
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited December 2015
    i have 2nd appointment soon so i could ask them then and see what they say
  • StayceStayce Posts: 275Member Pioneering
    edited December 2015
    Is the person you have seen an orthotist or a podiatrist?

    If the insoles work ( in part) I would talk to them about a number of things

    A. Would you benefit from increased lateral wedging in the insole (this would tip your foot inwards further to attempt to limit you going over on your ankle)

    B Whether shoe adaptations might be another option Wedging could be added to your own shoes at the heel.

    C. Whether it would be suitable to wear an ankle brace with your insoles (aircast do some good off the shelf ankle braces). I used to do this after injury).

    C. If your foot problems are a result of a neurological condition (is Cerebral Palsy, Stroke, MS) then a lycra splints could be suitable which could be worn with the insoles. if not then an AFO maybe an option ( Noah has written some interesting posts on hinged AFOs on this forum check them out)

    If you still feel that piedro boots could be the answer after asking some of the questions above at your next appointment, I guess if they won't supply them and you think they will work the only thing to do is to try them yourself as it maybe the on!y way you find out. I understand your frustration to have to pay out for something that may not work, but it may be the only way to find out for sure.

    Has anyone else here found it difficult to obtain piedro boots on the NHS as I am sure Adam would like to hear from you.

    Hope this helps

    Best wishes

  • NoahNoah Posts: 430Member Pioneering
    All excellent advice Stayce, thank you.

    It's about working with your orthodist - for the very best possible outcome.

    I had Pedro boots for many years with various adaptations, different types of stiffners etc.

    Yet I used to literally destroy the boots in about 2 weeks - so when my orthodist and I finally got a hinged afo to work - it was amazing, being able to buy my own chosen design of shoes for the very first time felt incredible.

    It takes a lots of time effort and patience to find the right individual solution - don't give up on the new setup you have been prescribed, and try your best to provide as much feedback as possible to your orthodist so you can both work at finding the right solution for you.

    Keep us posted


    All the very best


    Noah
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    Me insole will work 100% for my flat feet if I can get footwear with more support etc as I need ankle support for my insoles to work
  • NoahNoah Posts: 430Member Pioneering
    edited December 2015
    Its the January sales maybe it's time to go to the highstreet and see what is available, a good walking boot might give you what you need.

    At least then you can demonstrate to your orthodist that you have tried to find suitable footware - you might even find something that you like and works with your feet.

    Try sports and outdoor clothing shops.

    Most shoe outlets have good return policy's, so you maybe able to take home and try out indoors and then return if not any good. Worth looking into.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited December 2015
    thank you for all you help so far.
    noah please can you tell how much more stiffeners are in piedro boots then other boots and trainers like how strong the stiffeners are etc
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited January 2016
    i be ordering the piedro Rehabilitation Stiffener boots soon if there are no good i send them back and get the Stability footwear from outside the uk
  • NoahNoah Posts: 430Member Pioneering
    Sounds a good plan - glad to hear you are making progress with this.

    Thanks for the update


    Noah
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited January 2016
    i have thought could the reason why i may need footwear with more support be i have hyper mobility in feet etc but very very mild so the hospail did pick any thing up how can i found this myself before i go back
    i know test is for you touches the forearm when bent backwards i only do this on side
  • StayceStayce Posts: 275Member Pioneering
    edited January 2016
    I should think so, yes.
    See link
    http://hypermobility.org/help-advice/physio-and-occupational-therapy/supports-orthotics/

    Your podiatrist/ orthotist will be able to test for hypermobility of ankle joint etc if you talk to them about either your suspicion that you have it or indeed if you have previously been diagnosed with a mild form you should talk to your podiatrist/orthotist about it. A physiotherapist can also test for hypermobility. It would also show up in blood work, so you could ask your GP to get a blood test.

  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited January 2016
    no one has ever said if i have hyper mobility and have not been tested
  • StayceStayce Posts: 275Member Pioneering
    edited January 2016
    Okay - its just in your previous post it reads as if you are saying that you have very mild hypermobility but hospital did/didn't (?) pick anything up . In that case you should perhaps follow the advice in my previous post - talk to podiatrist/ orthotist or physio about your concerns/ suspicion or ask for GP to run some blood work.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    can hypermobility have problems in one put of the body in my case just knees and legs if do have it but i ask them when i go also can it come on at any time
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    can you have hypermobility in just low body in my case ankle with out pain as i thick my bed bored line if i do have it
  • StayceStayce Posts: 275Member Pioneering
    According to the link I sent before. Hypermobile individuals will commonly present with flat foot. Take a look at this http://hypermobility.org/help-advice/physio-and-occupational-therapy/supports-orthotics/

    Would be best to talk to your orthotist or physio to get assessment or go to GP and ask for a blood test for it, as if you have hypermobility certain markers will be present in your blood work

    Hope that helps. Let us know how you get on.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    edited April 2016
    i have try stander piedro Rehabilitation boots but were there there are to low on the ankle line to give me the full support that i need also i feeling even more support is need then Rehabilitation stiffens so i am now going to get the high stability boots
    i am going on holiday soon to disney world florida and will order them then as i can't get them in uk will there be to ok in the hot heat etc 
  • StayceStayce Posts: 275Member Pioneering
    I should think they will be fine in the heat. I have worn trainer boots and lycra splints in the Florida sun, so I should think high stability piedro boots will be fine in the heat however reinforced they are.
  • adamlathamsmithadamlathamsmith Posts: 40Member Connected
    i have order some piedro boots from USA and will pick them up when out but how stiff are the 100% stability  boots 
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