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Quadrastep E Orthosis


Supplier: NOLARO24


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The E QUAD foot-Type is one of the most unique looking feet, often with a reverse-lasted foot shape. This foot-type is the result of a co...


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Product Overview

The E QUAD foot-Type is one of the most unique looking feet, often with a reverse-lasted foot shape. This foot-type is the result of a combined Uncompensated Rearfoot Varus, coupled with a large Rigid Forefoot Varus.


The E QUAD foot-type is one of the most destructive foot-types of all. The combined uncompensated rearfoot and forefoot varus deformities in this foot-type create a very rigid foot that is unable to provide the motions necessary to load the medial aspect of the foot during stance phase of gait. It is for this reason that, when an individual with this foot-type is standing still, they will tend to stand on the outer borders of their feet with the inner side of the foot elevated from the ground. These people hate to stand still because the only way to ever really load the inner side of the foot is to get the heel off the ground! Once in propulsion, the medial heel pivot will allow the medial column of the foot to eventually load. But all this compensation gets tiring after a while, and causes repetitive torque about the midtarsal joint! Even as a youth, and certainly by the time this person is in their teens, they are already showing signs of midtarsal joint breakdown and the acquisition of a reverse last foot shape. The key note feature of this foot-type is by far the ballistic heel whip that is evident at heel rise. The larger the forefoot varus deformity the bigger the heel whip, the larger the toe sign, and the greater the chance of kicking themselves in the opposite leg.



The E orthotic does a great job at controlling this foot, but mostly for the lower arch variants. The E+ orthotic has all of the benefits of the E orthotic, but with a more aggressive arch to control those feet with a higher arch.


The E+ orthotic offers more arch support, more forefoot equinus correction, and increased rearfoot posting over the existing E orthotic. The E+ orthotic will not replace the E orthotic, but will allow practitioners to treat virtually every variety of the highly common E QUAD foot-type. The new E+ orthotic offers these alternative design features to more effectively treat the higher arched E’s.


Features and Benefits for Quad E:

  • 5th MTH cut-out
  • 1st ray recess
  • Mild Medial Flare
  • Medial rearfoot and forefoot posting


Features and Benefits for Quad E+:

  • Increased arch support
  • 2 degrees increased rearfoot posting
  • Forefoot equinus correction


Quad E/E+ Possible Clinical Symptoms:

  • Shin Splints
  • Plantar Fasciitis
  • Tailor's Bunionette
  • Cuboid Syndrome
  • Medial Knee Pain


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