Each patient referred to Cornell O&P undergoes a thorough initial assessment of their particular deficits. We schedule ample time to listen and understand each patient’s needs and condition. We closely consider their concerns along with those of their referring physician, therapists and family. Together, we formulate a program of custom orthotic management. Highly trained technicians fabricate our patients’ orthoses in a timely fashion with the most advanced materials, components and techniques. Ample time is scheduled for fitting and training our patients to ensure that our mutual goals are achieved.
An almost unlimited number of muscular, neurological and post surgical conditions lend themselves to proper orthotic management, thus achieving relief of pain and reducing disability for the patient. Proper design and fabrication of these orthotic systems, coupled with creative practitioners and optimum fit are the key to a successful patient outcome. The dedicated orthotists at Cornell O&P never lose sight of their objectives: to return the patient to comfort and independence.
The majority of conditions requiring orthotic management fall into three categories:
- Post Surgical
Musculoskeletal conditions affect muscles, the bony skeleton, ligaments or tendons. Common conditions that fall into this category include (but are not limited to):arthritis, trauma, cancer, scoliosis, abnormalities of the spine, fractures, plantar fasciitis, congenital abnormalities, tendon rupture.
Neuromuscular conditions affect the brain, spinal cord and peripheral nerves and, thereby, directly affect muscles. Common conditions include (but are not limited to): cerebral palsy, stroke (CVA), traumatic brain injury, polio, Charcot Marie Tooth Disease, Lou Gehrig Disease (ALS), multiple sclerosis (MS), diabetes, spina bifida, trauma, congenital anomalies.
Often following surgery, support and/or immobilization is required for several weeks. Conditions include (but are not limited to): spinal fusion, delayed non-unions, repairs of fractures and ligaments, knee replacement, club foot release and trauma.
Goals of Lower Extremity Orthotics
Orthotic management of the lower extremities is primarily targeted at restoring normal biomechanics through bracing. This is achieved by aligning each bony segment from the toes to the hip and then restoring normal gait sequencing. Balance, is possible only when these segments are properly aligned with the mass over the base. Balance problems from loss of sensation or movement disorders can be improved with proper bracing.
Goals of Upper Extremity Management
We treat upper extremities in much the same manner as lower. Contracture management, fractures and reducing pain are successfully managed with custom orthoses. Custom orthoses with spring loaded joints, are a very successful way to gain range of motion in contracted joints. Strong, light-weight plastic materials are less bulky and lower profile.
Goals of Spinal Orthotic Management
Many new bracing systems are available and we strive to offer the most appropriate system from this great array of new and standard choices. Custom nocturnal scoliosis systems; soft-sided, more comfortable TLSOs (full -torso, spinal braces) and new more effective prefabricated LSOs (low profile shorter spinal braces) are but a few. We have always found that the best way to determine which device will be most successful is always to present the patient with as many appropriate options as possible.