Orthotic Insoles are aimed at:
Custom Orthotic insoles are often needed if patients suffer from foot problems including calluses, diabetic ulcers, arthritis, or sports injuries that affect their ability to walk. Foot Orthotics can help patients avoid surgery by creating or modifying footwear as part of an overall treatment plan.
Revere sandals provide all day comfort and support by enhancing foot health for those experiencing heel pain, tired aching feet, sore knees and lower back pain.
Revere sandals have been designed in collaboration with leading footwear experts to provide maximum adjustability to support many foot types. Revere sandals provide a removable footbed for those required to wear custom made orthotic devices. The extra depth unit allows for a wide variety of custom orthotics to be inserted with out taking away from the styling of look of our shoes.
Dr Comfort Shoes
Dr. Comfort shoes are designed and manufactured to the highest standards of foot wellness, especially for people living with diabetes and other health conditions that affect their feet — including swelling, bunions, hammertoes and more.
Based on more than 25 years of footwear design experience and with input from board-certified podiatrists, our shoes are made using only the finest quality materials — so they’re as fashionable as they are comfortable and healthy for your feet. Most styles are available in a full range of sizes and difficult-to-fit widths.
DROP FOOT SPLINTING
What is Foot Drop?
Foot drop describes the inability to raise the front part of the foot due to weakness or paralysis of the muscles that lift the foot. As a result, individuals with foot drop scuff their toes along the ground or bend their knees to lift their foot higher than usual to avoid the scuffing, which causes what is called a “steppage” gait.
Foot drop can be unilateral (affecting one foot) or bilateral (affecting both feet). Foot drop is a symptom of an underlying problem and is either temporary or permanent, depending on the cause. Causes include: neurodegenerative disorders of the brain that cause muscular problems, such as multiple sclerosis, stroke, and cerebral palsy; motor neuron disorders such as polio, some forms of spinal muscular atrophy and amyotrophic lateral sclerosis (commonly known as Lou Gehrig’s disease); injury to the nerve roots, such as in spinal stenosis; peripheral nerve disorders such as Charcot-Marie-Tooth disease or acquired peripheral neuropathy; local compression or damage to the peroneal nerve as it passes across the fibular bone below the knee; and muscle disorders, such as muscular dystrophy or myositis.
Is there any treatment?
Treatment depends on the specific cause of foot drop. The most common treatment is to support the foot with light-weight leg braces and shoe inserts, called ankle-foot orthotics. Exercise therapy to strengthen the muscles and maintain joint motion also helps to improve gait. Devices that electrically stimulate the peroneal nerve during footfall are appropriate for a small number of individuals with foot drop. In cases with permanent loss of movement, surgery that fuses the foot and ankle joint or that transfers tendons from stronger leg muscles is occasionally performed.
There are five basic types of AFOs that we can choose for our patients with drop foot:
Supports and braces provide protection, reassurance and soothing heat therapy following an injury. Kryska Schilling Orthopedics supplies a complete range for the ankle, knee, calf, thigh, wrist, thumb, elbow, back, shoulder and groin. We utalize specialised materials and intelligent designs for targeted support, comfort and reinforcement where it is needed most.
Neoprene supports lend themself to the shape of the wearer with Velcro straps and lace up systems for a customised fit. The next stages of braces and supports have advanced fabric such as Mueller’s Hg80 Hydracinn fabric which wicks away moisture to control temperature inside the brace, making this style of brace extremely comfortable to wear. Out of the entire range, knee braces are the most technologically advanced. Specialist types include arthritis knee braces, anterior cruciate ligament (ACL) knee braces, sports knee braces and knee straps.
We aim to guide you to choose the best brace for your personal environment. See some of the braces we offer below.
PRE- OR POST-SURGICAL BRACING
Using orthoses in the management of fractures has evolved from a “last-resort” treatment to common practice. Acceptance of functional fracture bracing as a routine treatment has not been without controversy. Using an orthosis for acute tibial fractures- and thus allowing joint motion-was a 180degree reversal from the accepted methods of the times, rigid immobilization with no weightbearing
Skilled application is important, and numerous articles, videos and brochures describe and illustrate procedures. However, several critical points are often missed and! or diluted when discussing how to brace tibial fractures. Several successful clinically proven prefabricated fracture braces are available. However, without an understanding of the philosophy, indications and contraindications, clinical practice, patient instructions, skin care, etc., these prefabricated fracture braces will lead the inexperienced to unsatisfactory results and an incorrect condemnation of the method.
Simply stated, knowing who to brace is as important as knowing how to brace.
Compression garments, such as a sleeve for an arm or a stocking for a leg, are an important way of controlling lymphoedema. They put pressure on tissues to stop fluid build-up and encourage fluid to drain.
Your compression garment should be fitted by a specialist to make sure it’s effective. If it’s too loose, it won’t help with drainage. If it’s too tight, it’ll restrict blood flow. Your lymphoedema specialist will select the type of garment and the grade of pressure appropriate for you. They will also explain how to put on and remove the garment.
At first, wear your garment for a few hours a day. Then increase this gradually until you can wear it for most of the day. You shouldn’t use a garment if your limb is very swollen or an irregular shape, or if the skin is damaged.
If you can’t wear compression garments because your limb is too swollen, your lymphoedema specialist may suggest using special, multi-layer bandages (compression bandages). These are used with other techniques to reduce swelling so you can use compression garments.
They work by:
Have you ever met anyone who has an artificial limb? Chances are you have—without even knowing it. Modern prostheses (as artificial limbs are properly known) work so effectively and look so convincing that you wouldn’t even know someone was wearing one. People with prosthetic legs can often climb stairs, walk, swim, and run as well as though they were using natural limbs. You might think they’re boring or mundane, but prosthetic limbs are among the world’s truly great inventions: by boosting independence they boost optimism and both these things dramatically improve people’s lives.
How well a prosthesis works is a combination of many things. For most people, the top three are:
As you work with Kryska she will guide you through decisions about product and fit. Knowing more about how a prosthesis works will help ensure we get the best fit for you.
After amputation, you want a prosthetic leg system that allows you to resume the activities that are important to you as an individual. The more active you want to be, the more attention you should give to suspension, the method of connecting a prosthesis to your residual limb.
You want your suspension system to:
Together we can decide on the best setup and design to fit your day to day life.
We also supply prosthetics to Road Accident fund and 3rd party claims.
Feel free to contact us for an obligation free consultation and quote. (no prosthetics prices can be given over the phone as every prosthesis is unique to that individual)
Upper limb prosthetics outcomes differ form lower limb prosthetics. Most of the time our need is just to create a cosmetic prosthesis to replace the lost limb. This we do by matching the skin tone and the size of the had as best as possible. Also creating a comfortable fitting arm to use as a lever while doing everyday tasks. While bionic prosthetics are available in south Africa the technology is still being perfected and if not setup perfectly the limb is more of a burden than an attribution. For this reason we only do Semi functional and cosmetic Upper limb prosthetics
For some women, wearing a prosthesis may be a temporary choice prior to reconstruction (creation of a new breast shape using surgery). Other women may choose not (or be unable) to have breast reconstruction and find wearing a prosthesis an effective and suitable long-term choice. Some women choose not to have a reconstruction or use a prosthesis.
We offer the full Silima range of breast forms as well as post mastectomy bras.
Partial or shaped prosthesis
A partial prosthesis is for women who have had part of their breast removed. It’s worn inside a bra and is shaped to fill out the breast outline. It’s made of the same silicone material as most full breast prostheses.
A stick-on prosthesis (full or partial) sticks directly onto the skin. These can suit women who are active, or who want to wear a less supportive bra as not all of the weight is taken by the bra. They can also be worn with strapless dresses and tops if the clothing is supportive enough. Most women will be advised not to wear a stick-on prosthesis for the first few months after surgery or during (and sometimes after) radiotherapy as it may damage the skin. Most have a sticky surface as part of the prosthesis itself that can be worn attached directly to the chest wall or as a regular prosthesis with a protective backing in place.
This is a type of partial prosthesis which may be used if your breasts are different in size from each other. It’s a soft ‘shell’ of silicone that fits over your smaller breast so that it matches the larger one. This type of prosthesis can also be useful for women who have had breast reconstruction surgery where symmetry has not been achieved, or if an implant is in the process of being expanded.
Full or standard prosthesis
This prosthesis is designed to go straight against the chest wall where all breast tissue has been removed so the back of it is flat. It’s matched in size and shape to your remaining breast. If you’ve had both breasts removed you can select the size you feel most comfortable with.
At Kryska Schilling Orthopedics we offer a unique opportunity for our across the border patients. At your request we will handle: