Adult & Pediatric Orthoses
Upper extremity Orthoses are braces that involve the hand, wrist, elbow, and shoulder. The upper extremity is used for many different functional tasks compared to that of the lower extremity and therefore requires a different set of materials, design strategies, and fabrication skills. Like the lower extremity, upper extremity Orthoses are divided into custom fabricated and pre-fabricated Orthoses. Upper extremity Orthoses are further divided into the level of anatomical support the Orthosis provides. Some examples are HO (Hand Orthosis), WHO (Wrist Hand Orthosis), EO (Elbow Orthosis), and EWHO (Elbow Wrist Hand Orthosis) pictured left.
Custom fabricated Orthoses are designed and fabricated specifically for a patient’s anatomical presentation. This usually involves obtaining a cast or impression of the patient’s anatomy to design and fabricate an Orthosis with a definitive goal in mind. The materials and craftsmanship involved in this process are substantially more complex than that of a pre-fabricated Orthosis. The picture to the left depicts positive molds for custom foot Orthoses.
A quick guide on how to qualify and receive shoes and inserts from Medicare.
These steps are intended to be used as a reference guide only and are not intended to be a complete review of any Medicare program. Please consult with your physician.
- Previous amputation of the other foot, or part of the other foot, or
- History of previous foot ulceration of either foot, or
- History of pre-ulcerative calluses of either foot, or
- Peripheral neuropathy with evidence of callus formation of either foot, or
- Poor circulation in either foot.
If your doctor certifies that you qualify for diabetic shoes and inserts, your medical record should be updated accordingly.
This is where it sometimes gets confusing. Your certifying physician has to be an MD or a DO that is managing your diabetes. A prescribing physician can be a variety of medical professionals listed below that issues a prescription for diabetic shoes and insets after an in-person consult with the patient.
The person prescribing can be the same MD or DO from Step 1 or:
A different MD or DO Physician’s Assistant (PA)
Clinical Nurse Specialist (CNS) Doctor of Podiatry (DPM)
Nurse Practitioner (NP)
The person filling your prescription and supplying you with shoes can be any of the people from Step 2 or any other qualified provider, such as a Pedorthist, Orthotist, or Prosthetist.
To make this process easier Leverage O&P has included all of the documents needed to be filled out by your physician available for you to download.
Physician Forms for Diabetic Shoes
Click To Download
Please print and fax them back to Leverage O&P, LLC: 970.797.1865
Currently we only accept Medicare,Medicaid,and Tricare Insurances