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  1. How long does it take to make an orthotic?
    This depends on the type of bracing needed. Custom orthotics made in our facility usually take 2 to 3 weeks. But each case is different and can be better answered in conversation with our staff.


  2. What happens on the first visit?
    The initial evaluation will include an assessment by a certified orthotist followed by an explanation of what to expect. Then a casting impression is taken and then removed and used to make the custom brace. In some cases, only measurements are needed.


  3. What happens on the second visit?

    The fitting appointment is when your custom made orthotics are fitted to the patient. The orthotist may make adjustments to the brace and then explain the wearing schedule.


  4. What is serial casting?
    It is a series of casts that are applied to stretch out a tight muscle or tendon. The first cast is applied for one week. Then it is removed and another cast is reapplied with an optimal stretch position. The orthotist will determine the number of casts needed to obtain a proper angle for function but usually there is a series of at least three casts.


  5. What happens after a serial cast is removed?

    Your physician will determine if orthotics are needed. If your physician has written a prescription for orthotics, they will be ready when the last cast is removed and fit on the patient for immediate use.


  6. How often will my child need new orthotics?

    This depends on growth of the child. If their toes have grown past the edge of the brace or if their skin has red marks that last longer than 20 minutes after removing the brace, it is time to make an appointment to be evaluated for new orthotics.


  7. Do I need a prescription for orthotics?

    Yes. Your physician must write a prescription for the type of orthotics needed.


  8. To what type of doctor should I go?

    You may see your pediatrician but some insurances (for example, Medicaid PSN’s) require that you see a specialist. Either a pediatric physiatrist or a pediatric orthopedic can specify the type of brace your child needs.



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