Ankle Braces Custom and Custom Fit

Ankle braces are beneficial for treatment of many medical conditions and injuries.

These conditions can be (but not are limited to):

Ankle instability
Ankle sprains
Drop foot/ dorsiflexion weakness
Post operative
Return to sport
Tibialis posterior dysfunction
Osteoarthritis
Prophylactic (preventative)

Anatomy and Biomechanics of the Foot and Ankle	There are two bones in the lower leg and 26 bones in the foot that create many joints. There are many muscles, tendons, ligaments and nerves in the foot and ankle. There are two ankle joints: Talocrural joint Subtalar joint The foot can be broken into three parts: Rearfoot/hindfoot Midfoot Forefoot Arches of the foot: Medial longitudinal arch Lateral longitudinal arch Transverse metatarsal arch
Goals of Ankle Braces	Provide ankle and foot stability in stance Provide knee stability, prevent knee hyperextension Provide foot clearance in swing phase of gait (walking) Control biomechanical alignment of the foot and ankle in locomotion (pronation, supination) Aid in adaption to surfaces Redistribute pressures on the foot Resist external forces on the foot and ankle Limit excessive movements in the foot and ankle Protect the foot and ankle Provide shock absorption Produce a more energy efficient gait pattern
Design of Ankle Braces	A Certified Orthotist will assess the foot and ankle. This can be performed with the patient in a prone position or in a seated position. The Certified Orthotist will ensure the foot and ankle are in an optimal position with the chosen ankle brace. The Certified Orthotist can customize the ankle brace by adding accommodative padding. There are a variety of ankle brace designs. The Certified Orthotist will determine which design is best for treatment based on individuals’ needs and goals.
Ankle Brace Application	Ankle braces work best when used within a neutral shoe with an appropriate heel counter. Ankle braces can be switched between shoes.
Living with Ankle Braces (follow up)	Ankle braces may take some time to get used to. The ankle brace should not be painful; however, it is not uncommon to feel some initial discomfort. The break-in period should not last more than two weeks. If you experience rubbing or blisters, please book an appointment with your Certified Orthotist for immediate attention. If you are experiencing pain after two weeks please book a follow up appointment with your Certified Orthotist. It is always a recommend to book a follow up appointment with your Certified Orthotist if you experience any changes in condition (pain, growth). The Certified Orthotist can determine what changes need to be made or make recommendations for alternative treatment. Ankle braces can often be modified or refurbished. The Certified Orthotist can reassess to determine the future course of treatment with you.
Funding for Ankle Braces Orthotics	Alberta Aids to Daily Living (AADL) does not provide funding for OTS ankle braces. WCB may provide coverage with a copy of a prescription from a physician. NIHB may provide coverage with a copy of a prescription from a physician. Private insurance may pay for a portion of the cost of your ankle brace. It is important to consult your insurance company to determine the coverage that they provide. Many insurance companies require a physician's prescription for ankle brace benefits. Some insurance companies may request a biomechanical analysis from the Certified Orthotist. There may be an added cost for the Certified Orthotist to provide this report.