“A journey of a thousand miles
begins with a single step”
- Lao Tzu
Orthotics and Bracing
Your feet are pretty amazing structures that we often take for granted until there is a problem. Our feet do change over time with exposure to injuries, excessive loading, aging and everything in between. I always start with a good assessment. We discuss your history, then I look at your posture, foot type, joint range of motion and do a video gait analysis. From all of this information, I try and put together your best options for management, given all factors. I refer out with regularity for soft tissue therapies like massage and physiotherapy if your feet don't seem to be the main contributor to your issues.
There are a variety of ways to cast and I use all of them. I mostly cast in semi-weightbearing foam box, but can use plaster cast method if needed. For casting a custom ankle brace I use plaster only. For custom knee braces I casts with specialized measuring devices or smart measure apps to get the 3D measurements.
Custom and off the shelf bracing
Because there are so many bracing products available on the market, I have made it easy by carefully selecting the products I feel are the best and ones that the majority of people have success with. I carry both Donjoy and Ossur products with the majority of bracing products being from Donjoy.
Custom Foot Orthotics
I build whatever type of orthotic your injury, joint range of motion and foot architecture dictates. For that reason I don't just build one type of orthotic. I use a couple different labs for manufacturing the product that should best suit your biomechanics and injury needs.
The US lab that I use most often has the ability to calibrate their plastics. Most labs use your bodyweight only as the deciding factor how thick to make the plastic. This lab uses bodyweight and your joint mobility. If your joint range is stiffer, you will get a more flexible material. If your joint range is excessive and your foot posture poor, your orthotic will have more supportive features.
Regardless of the lab that I use to manufacture the end product, I always "finish" the orthotic myself. Any pads or extension needed to accommodate your foot alignment, I add myself. It is completely my choice to complete certain orthotics on my own but I find I prefer the end result.
For structural leg length to keep the pelvis more level and to offset asymmetry. I make mown lifts so I can make any lift height needed. Typically we can't accommodate more than a 1cm tapered lift inside a shoe. If more height is required, the sole of the shoe itself needs to be modified to accommodate.
The love and interest in assessing movement began with a love for ballet. As a child I got into dance and it progressed into being in and out of professional schools for dance as I got older. I even spent a couple years at the National Ballet School in Toronto. When considering University, I still needed to have dance in my life, so the Applied Health Sciences Department at the University of Waterloo suited me as they also had a dance department. Ballet class in the morning and cadaver lab in the afternoon. It was prefect. After graduating from the University with an honours degree, it was my older sister, a chiropractor, who steered me into the field of pedorthics. I had the right undergraduate degree and found the study of movement and foot biomechanics fascinating. After 3000 clinical hours and several exams, I became a fully certified Pedorthist.
After working for several well know companies such as Paris Orthotics and Ossur (formerly Generation II) I decided that becoming self employed within the same field was a better situation for me. I have been working independently since 2002. My first independent clinical practise I created was Sunshine Coast Orthotics, then one in South surrey with Diane Lee & Associates Physiotherapy and then a partnership with a Richmond and now Ladner office.
Clinically, I enjoy working in conjunction with other practitioners such as physiotherapists, chiropractors and massage therapists to try and get an individual pain free. A collaborative approach always works best when trying to solve soft tissue injuries or alignment issues. I enjoy assessing all individuals from an aging avid runner to any young athlete or dancer and everyone in between.
Gibsons Medical Clinic
#211- 1100 Sunshine Coast Hwy
Gibsons, BC V0N 1V7
Booking Desk: 604-886-2868
*My days on the coast vary from month to month. I work 3-4 days a month
consistently within 2 separate trips
Diane Lee and Associates Physiotherapy
#102-15303 31st Ave
Surrey, BC V3Z 6X2
#202-5085 48th Ave.
Delta, BC V4K 1W1
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Frequently Asked Questions
What is the difference between a Pedorthist and a Podiatrist?
A pedorthist is a specialist in lower limb biomecanical assessment and orthotic creation. We are very skilled at adjusting and modifying anything we build. I personally do all my repairs and adjustments. Pedorthists are also very good at recommending appropriate footwear or components of shoes that best suit someones foot structure to optimize comfort and function Unlike a Podiatrist, we do not cut nails, treat corns, calluses or assess any skin or nail disorders. We also do not do any injections, prescribe pharmaceuticals or perform minor surgeries.
Are my services for orthotics and bracing covered by extended plans?
Yes. Pedorthists are considered one of the preferred providers for foot orthotics along with Podiatrists, Orthotists and Chiropodists. How much coverage you have for orthotics is different from plan to plan so it is best to check the perimeters of your coverage to be sure. I am aware of the paperwork that is required for different insurers to submit a claim and happily provide all the needed reports and receipts to ensure you are reimbursed.
Do I need a prescription from my doctor to come see you?
No. I am not required by my college to have a prescription prior to assessing someone. However, almost all extended plans do require a referral or prescription from your doctor which outlines the medical reason why you need a brace or custom foot orthotic. I cannot write the prescription.
Are you able to direct bill?
Only for the following third party payers: RCMP, Canadian Armed forces, Veterans Affairs, ICBC, WCB, First Nations Health (NIHB) or for anyone who is on Ministry Assistance.