Vasyli Custom Medium Density - Full length Designed for the "average" patient with general orthotic needs, blue density orthotics provide excellent biomechanical contro Vasyli Easy Fit This model features a lateral cut-away providing an easy fit into hard-to-fit footwear, including men's loafers & ladies (low-heeled) dress shoes and cleats. Ideal for both narrow and wide fitting footwear. Vasyli Rearfoot Posting When a 'Rearfoot Varus' is present, then occasionally extra wedging is needed to enhance the controlling aspect of the device you are using. A 'Rearfoot Varus' is defined as the combination of the Subtalar Neutral and Tibial Varum components which is the Neutral Calcaneal Stance Position. VASYLI Rearfoot wedges have a 2 degree or a 4 degree inclination and are made from firm (red) density EVA for maximum effect and long-term wear. Wedging becomes important when dealing with any pronatory condition. Rearfoot wedging itself is necessary to change the timing of the pronatory phases and to help control the level of excessive pronation present in most of these conditions. Most wedging occurs on the medial aspect of the calcaneus to increase inversion at the Subtalar Joint, and reinstate the structural integrity of the foot and alignment of the lower limb. Although the device helps to relieve the stress that pronatory disorders tend to cause, we have found that patients benefit greatly from having the orthotic device wedged at an appropriate angle to increase the level of effect.
Metatarsal Raise (Met Dome): Some patients suffer from forefoot problems such as Metatarsalgia, Interdigital Neuritis or Neuromas etc, although some of these problems are controllable with the use of foot devices, occasionally the metatarsal area needs extra lift to further support the structure. The metatarsal raise is placed on top of the device and its front lip fits flush on the end of the orthotic, it is usually placed in the centre of the device, to lift the middle 3 metatarsals, but can be shifted slightly to the lateral or medial side of the device midline for extra support of the 4th Metatarsal or 2nd metatarsal. |