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Push Ortho Ankle Foot Orthosis (Push Ortho AFO) £189.99
The new Push AFO offers excellent support in the case of loss of ability to lift the foot and problems in controlling the foot when walking. The innovative design allows for a natural gait and makes safe and efficient walking possible again.
For full fitting and customising instructions please download this PDF - Push AFO fitting instructions
The ortho Ankle Foot Orthosis is an AFO ankle brace from premium brace manufacture Push, lifts the foot during the swing phase, controls the plantar flexion after heel strike and then allows unimpeded rolling of the foot. In addition, the orthosis offers lateral stability to the ankle joint. The elastic straps of the Push AFO are adjustable. This allows the degree of dynamic foot lift during the swing phase to be determined according to the individual needs of the user. On heel strike, the restraining function of the elastic straps ensures a well-controlled plantar flexion. During stance phase, the Push AFO allows flexion and extension in the ankle joint and allows the (remaining) function of the calf muscles to be addressed during the rolling of the foot. The result is an efficient and natural gait. Where normally the shoe allows for fixation of the orthosis around the foot, the Push AFO has its own fixing strap system. This innovative construction allows the Push AFO to be used with light footwear such as indoors in slippers.
The Push AFO works in different types of shoes and does not require a special (tailor-made) shoe.
The Push ortho Ankle Foot Orthosis (AFO) - How it works
The lightweight, glass fibre reinforced frame is the basis for the soft shell and functional straps which also help provide lateral stability to the ankle joint. The elastic straps control the plantar flexion after heel strike and ensure a neutral foot position during the swing phase.
Designed for daily use
The innovative construction and the unique combination of functions of the Push AFO offer advantages in various usage situations such as walking on rough surfaces, getting up from a chair, climbing stairs and slopes. The advantage is in the efficient execution of the movement, the comfort experienced and the feeling of security. At night the Push AFO can be used as a night splint to prevent cramping or hanging of the foot. It is advised not to overly tighten the non-elastic strap system and not to close the elastic straps crosswise but to close them loosely along the side of the leg.
The Push AFO is available in three sizes in a left and right execution.
Place the foot at a 90-degree angle in relation to the lower leg, in order to measure the exact size.
Firstly please measure the circumference around the heel and the instep of the foot as shown in the image above to give you a size in CM's, secondly then see table to take your shoe size into account (Eur sizes) if your circumference measurement is on the border between 2 sizes or if you are currently suffering from a swollen foot.
The Push AFO must at various points be adjusted to size by a fitting professional.
There are 3 reviews with an average rating of 5.00
Donal from IrelandOwner01 April 2019 12:16
I have had three other AFOs, each of which had pros and cons. I could not find one AFO that would work with all types of shoes. The most successful AFO of the three that I owned, was around 6 times the price of the Push AFO and only worked with a certain type of shoe.
Having purchased the Push AFO, I have to say it is excellent. It works with all types of shoes, is very lightweight and easily adjustable. I have being using it daily for about 3-4 weeks and have had no issues whatsoever. Without wearing this AFO, I would typically trip up within taking 10 steps. I use a Fitbit and typically hit 11-12k steps a day with no trips. Very impressed with the product.
Gavin from United KingdomOwner29 July 2017 21:10
As I suffer from foot drop, I've tried a few different AFOs over the years but this is the best one for me. NHS versions do work but the rigid feel and poorly positioned rivets often cause cuts to my leg, making them very uncomfortable. I also purchased a really expensive one but it just wasn't for me, partly as the instructions were in German! The Push AFO has so far proved a game changer, its super light and so comfortable and my gait has improved hugely. I've worn it daily for three weeks and have taken walks of up to 4 hours straight and this hasn't let me down, in fact my calf muscle which has suffered due to a loss of muscle mass over the years has started to grow and is obviously being stimulated by this brace.. My only reservation is whether the velcro will stand the test of time, I probably readjust it every few hours as it can loosen very slightly, but it's generally very strong and hasn't shown any signs of weakening and think binding a bandage tighter over the top is an option if required. The difference this product has made to my mobility so far has been massive and I don't have to look down at the floor when walking as know my toes are clearing the ground. My hip is not swinging to lift my foot and going up and down stairs has become so much easier too. Although it's not the cheapest, I personally think if I bought one or two per year it's of huge value and therefore worth every penny as for me this is the best AFO available.
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A slipped disc can also be referred to as a ruptured, herniated, bulging or a prolapsed disc; and it is an injury affecting the spine.
The spine consists of intervertebral joints, discs, ligaments, tendons, muscles and nerve roots. The adult spinal column comprises of 33 irregular bones (the vertebrae) and is divided into 5 regions, the cervical, thoracic, lumbar, sacral and coccygeal. Each vertebra consists of a spinous process projecting posteriorly (to the back) and two transverse processes which project laterally (to the side). The muscle attaches on to these processes. The upper 24 vertebrae articulate with each other through facet joints, which are small gliding joints. These joints allow movement. Between each vertebra there is an intervertebral disc. These discs aid movement (flexion, lateral flexion and extension) and act as shock absorbers, and help prevent wear and tear of the vertebrae. Each disc comprises of a soft, gel-like centre (nucleus pulposus) and a harder fibro cartilage outer case. The spinal column is located in the centre of these discs and vertebrae.
A slipped disc occurs when the outer fibrocartilage ring, surrounding the interverbral disc tears, and causes the soft gel-like centre to press out. As the disc collapses it presses on the spinal nerves (the nerve roots that branch out from the spinal cord), and cause numbness. A slipped disc usually occurs in the lumbar region (the lower back) and occasionally happens in the cervical region of the back. It rarely happens in the thoracic area.
The most common age for a slipped disc is between 30-50 years of age.
Excessive strain on the back: often as a result of heavy lifting and twisting, for example when loading a lorry.
Incorrect posture when lifting: It is important to bend the knees and keep a straight back when lifting a heavy object.
Over use: if the muscles in the back are tired, this can result in a slipped disc.
Symptoms can vary depending on where the slipped disc occurs.
Pain tends to be felt in the lumbar region of the back (the lower region).
Patients with a slipped disc have usually had a history of acute lumbago (pain in the muscles and joints of the lower back).
The lower back can be tender to touch, when applying gentle pressure.
Pain can be mild or severe, depending on the severity of the prolapse.
Pain is continuous rather than pulsating, and tends to be less in the morning.
Pain can become worse when sitting, or lifting.
Numbness, tingling and sometimes paralysis can occur, because the bulging disc can press on the spinal cord.
Muscle spasm in lower back.
If the slipped disc occurs in the lumbar region, the lower back it can result in sciatica, as the disc compresses the sciatic nerve. This tends to occur when bending over. The pain spreads down the leg.
Pain can be alleviated when lying down.
The Lasegue test can be used to diagnose a slipped disc. The patient lies on their back and their leg is raised straight by the examiner, and their foot can also be passively dorsiflexed. If pain is felt spreading down the leg, this indicates a positive test.
An MRI scan can confirm a slipped disc.
Rest: to prevent further damage. Bed rest might be recommended.
In the sub-acute (3 days to 3 weeks) and the chronic stage (3 weeks to 2 years) it is important that training should be adapted to avoid heavy lifting or any exercises that put excessive strain on the spine. A physiotherapist or sports massage therapist can advise when exercise should be resumed and what exercise would be appropriate.
Ice treatment: Ice, can be applied for 10-15 minutes, every 2-3 hours in the acute and sub- acute stage (frequency can be reduced according to recovery, and can be continued for as long as deemed necessary). In the sub-acute stage (3days – 3 weeks) heat therapy can be applied. Hot bath or hot water bottle might alleviate muscle spasm.
NSAIDS (anti-inflammatories) and paracetamol can be taken to aid pain relief. Medical advice should be sought, in case of possible side effects.
Kinesiology taping can aid recovery.
Massage can help aid recovery, and improve joint mobility and range of movement. It should not be administered during the acute stage. If there is any underlying medical condition, such as a heart condition, it is important to seek medical advice before receiving massage.
A physiotherapist osteopath or chiropractor can help stretch and relax tight muscles, which improves range of movement and flexibility. They can advise on appropriate strengthening, flexibility and proprioceptive exercises in the sub-acute and the chronic stage of recovery. Exercises should focus on eccentric strengthening; focussing on the quadriceps muscles, the intensity of the exercises should be increased gradually and in a measured way.
A physiotherapist or doctor might prescribe ultrasound or laser treatment to aid recovery; or recommend surgery.
With rest, time and exercises the prognosis for a slipped disc is good.
Published: November 5, 2011Author: Sophia Cross, BA (Hons) MA
Slipped Disc Treatments