Unread 08-23-2006, 10:04 PM #1 (permalink)
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Default Leg Brace

I was measured today for bilateral ankle foot orthodics (leg braces) which will counteract the foot drop I'm experiencing due to ALS. Is anyone using these -- and what ae your opinions of them?

I won't have the braces for another week, but the models I was shown today seemed bulkier and covered more of the leg than I had anticipated. There will not be a joint in the ankle, so I'm envisioning a clomping, Frankenstein-like walk -- charming, I'm sure.

I'd love to hear from someone who has these and has discovered that they are helpful and valuable -- and that they prolonged the time during which walking was possible. (Actually, I'd love to hear from anyone about these, even if your experience wasn't positive.)

Thanks!
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Unread 08-23-2006, 11:58 PM #2 (permalink)
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Hello-my husband picked up his AFO's a couple of weeks ago. His most severe foot drop is on his left side but was starting to feel a little of the other side too. His do have a hinge at the ankle to give him a little more movement. Yes his are also bigger than he had expected. He is just using them when he feels he needs them right now depending on what he is doing each day and getting used to them a little at a time. He mainly uses them right now when he was out in the pasture (helps keep him from stubbing toe on grass clumps, etc) or on un-even terrain. He did admit they helped him to have a more normal gait and I think that benefits your muscles/joints by working them the correct way. He didn't seem to kick out so bad since he wasn't having to lift his leg higher each step to compensate for the footdrop. Hope this helps and that you have good results with yours. Boots
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Unread 08-24-2006, 01:13 AM #3 (permalink)
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Good and timely question as I was given a prescription on Tues for the same thing. Welcome KJRS to the forum. I haven't got mine yet either but was told that it would be a little thinner at the ankle to allow some movement. I was also told not to use it all the time because of the use it or lose it theory. The doc recommended it for uneven ground walking and for going longer distances. It'll take about 10 days to 2 weeks to get mine and "ll let you know how it goes. AL.
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Unread 08-25-2006, 08:51 PM #4 (permalink)
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I may have mentioned before that I've been using an AFO on my right leg since last
September. I've found it to be very helpful and not uncomfortable. I never leave the house without wearing it. I do take it off when I get home, which helps to stretch out the calf.

Mine is not hinged at the ankle. It is constructed of white milky looking plastic. There is a ball on the heel and the portion under the foot goes up to the ball of my foot. The front is basically open. The back is curved around my calf. It extends up to a few inches below the knee and is secured with a velcro strap across the front at the top.

I don't think the bilateral braces should cause a "Frankenstein" kind of walking feeling.
The AFO gives a lot of support, even to the back of the calf, and actually improves the gait. It imparts a sense of security, at least for me.

One of my concerns at the outset was the type of shoe into which the AFO would fit.
I didn't want to be in a position to wear tennis shoes or big clodhopper looking things with my business suits. ("Vanity, thy name is woman.") Happily, I've found several flat shoes that work and don't look too bad with dresses or skirts.

They come in black and brown, are very light, and stay on the foot really well, even with the AFO. I bought them in wide instead of medium, just in case the brace took up
too much room, and they're perfect.

Perhaps this find will help someone else.

Last edited by David : 09-03-2009 at 08:29 PM
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Unread 08-28-2006, 08:21 AM #5 (permalink)
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I just received one of these braces for my right foot drop. It was custom molded to fit my calf and foot. But to me it is too big. Expecially around the ankle area. You can almost stick your finger between the brace and my ankle on both sides. Is this a normal fit? I assumed a "custom molded" brace would fit like a glove. This extra width makes it hard to find a shoe to fit. I wear a size 11. But it takes a size 14 to fit the brace! How can my good leg/foot which is a size 11 handle the size of a size 14 shoe? You cannot buy mixed shoe sizes at the shoe store. So how do you handle the difference in the shoe size to address the needs for the brace to fit? Any help will be appreciated. Hope you have a great day. Rick
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Unread 08-28-2006, 10:20 AM #6 (permalink)
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Rick, if the brace doesn't fit properly, you should go back to the orthotist.
They can be reshaped.
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Unread 08-29-2006, 05:27 AM #7 (permalink)
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Mom got her brace a few months ago.. At first she didn't want to wear it, cuz it was obvious she was wearing it.. and then she started to wear it..and it bothered her to wear it.. I would take her to doctor's appointments, and she would stop.. take it out of a bag.. and put it on.. But she is wearing it alot more often now.. They are now talking about measuring her up for a full leg brace.. Everything helps in braces.. The hard part is.. It took her awhile to get over her pride to use it.. But now that she is over it.. she walks a little easier..
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Unread 08-29-2006, 07:36 PM #8 (permalink)
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I've had one for severe left foot drop for a couple of years. I've tried it twice and within hours lost all strength in that ankle absolutely and completely. so I won't use it. I fall more but am able to retain that 3% of the strength I have in that ankle. Just me...don't follow my lead, try it and see what you think.
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Unread 09-03-2006, 03:25 PM #9 (permalink)
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Default LOVE the braces

Hi, all --

About two weeks ago I asked about AFOs. I got them last week and want to report that (so far, anyway) I love them. I've been able to do two 1-mile walks and a couple hours of gardening -- two things that had become too difficult and tiring for me, even with a walker.

I found some shoes that fit, but I'm also going to check out MaggyQ's Naturalizer shoes -- they look like a better option for work than the ones I found (which will be fine with trousers but less good with skirts).

I leave tomorrow for a week-long trip to Glacier National Park. Before the AFOs, I was planning to be content to view the grandeur from a car or a lodge porch -- now I have some hope of doing a few of the shorter trails. I'll let you know how it goes.

Sincere and heartfelt thanks to all of you who shared your stories on AFOs.

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Unread 09-03-2006, 07:15 PM #10 (permalink)
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Quote:
Originally Posted by rickmcmahan
I just received one of these braces for my right foot drop. It was custom molded to fit my calf and foot. But to me it is too big. Expecially around the ankle area. You can almost stick your finger between the brace and my ankle on both sides. Is this a normal fit? I assumed a "custom molded" brace would fit like a glove. This extra width makes it hard to find a shoe to fit. I wear a size 11. But it takes a size 14 to fit the brace! How can my good leg/foot which is a size 11 handle the size of a size 14 shoe? You cannot buy mixed shoe sizes at the shoe store. So how do you handle the difference in the shoe size to address the needs for the brace to fit? Any help will be appreciated. Hope you have a great day. Rick

Rick, today I was talking with a guy who is a shoe sales department manager at Macy's.
He's been selling shoes for several decades and used to work for Nordstrom as well as the Walking Shoes store and similar outlets. He told me that Nordstrom has a policy whereby they would sell to a person with a handicap two different size shoes. Basically,
they make 100 % on each pair of shoes. Selling one of two different sizes just means they break even on the transaction with the odd mismatched pair being essentially tossed. So you might check a Nordstrom to see whether this would help. Beats buying 2 pairs of the same shoes. The only drawback is that Nordstrom carries higher end products in the first place so your net savings might not be so great, depending upon what kind of shoes you were contemplating.
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Unread 09-04-2006, 03:07 PM #11 (permalink)
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I haven't posted for a while, but HAD to tell all of you how much my sister, Kathy, loves her leg braces! I talked to her on the phone the other day and I hadn't heard her sound that happy in a very long time! I could picture her beautiful face just beaming on the other end of the line as she told me about the braces! She was all set to hate them before she actually had them. But now that she has them, she's been able to take long walks that she couldn't take before. She didn't even have to use her walker (just a cane) when on these walks! Before the braces, it was a huge struggle for her to walk a distance even with her walker...but now...just try and stop her! The only gripe she's told me is that they're sort of hot. Evidently she needs to wear longer socks with them (I suppose so that the plastic doesn't irritate her legs) plus the plastic itself is hot. Any suggestions or things that any of you have tried that help with this?

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Unread 09-05-2006, 02:49 PM #12 (permalink)
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When I wore my leg brace I bought mole skin in the foot section of the drug store. and lined the back of my brace with it. I took an exacto knife and cut out the vent holes to match my ones in the brace. This allowed me to wear my brace without long socks. I just used the no show socks with my tennis shoes and didn't wear any with my sandles. It did start to wear a blister on my ankle once so I just used large bandaids on that spot. We went to Thialand in May and the last thing I wanted to wear was a long sock. I hope this helps.
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Unread 10-13-2008, 02:36 PM #13 (permalink)
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Unhappy leg brace

I got a prescription for a leg brace. I went to the orthotist last week and he had one that fit me, but it didn't seem to make any difference in the way I walked.
He said he didn't think I had "drop foot", cuz I can move my foot up and down.
He thought the problem was in my hip. (I swing out my hip, so I won't trip over my toes.)
He said he would do more research on ALS. I gave him my neuro's phone #.
Has anyone had similar responses with their orthotist?
I am falling more frequently. I wonder if a custom made AFO would work any better than the one he had me try.

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Unread 10-13-2008, 08:33 PM #14 (permalink)
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Ron Schaffer (North Carolina I think), a pALS, has designed a leg brace. He is an engineer with ALS. You can look it up on ALSTDF forum for more info and the write up in the paper.

I can't get the link to work right now. Maybe that will be helpful. It seems someone with the disease would know more about it I suppose.
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Unread 10-13-2008, 09:47 PM #15 (permalink)
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Hi Judith - I got my AFO's (carbon fiber) at Coachella Valley Orthopedic in Palm Desert. I LOVE THEM! They are like second skin to me. Walked great with them right away and drove with them for 8 months. Of course, I had to wears socks and tennis shoes through the summer but didn't fall much. I wear them with Simple brand tennis shoes. Of course I never wore tennis shoes or anything except sandals in the desert heat and even in the winter. Oh well. Better clunky shoes than a clunk in the face. My brand of AFOs is Toe-Off - you can google it to get a picture.
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