Langer Quick Reference Guide Langer_QRG_2023

TM

Pathology Guide

Recommended additions and modifications for Langer Biomechanics
1st Met Head Pain Equinus
Forefoot Callus
Heel Spur ( Centrally Located )
Hammer Toes / Claw Toes

Additions and Modifications

Langer Biomechanics has been providing healthcare professionals lower extremity solutions for more than forty years . Our broad range of custom foot orthotic shells , top covers , additions and modifications allow you to address the biomechanical needs of patients suffering from lower extremity ailments . This guide was created for you to easily determine the ideal combination of orthotic components for your patient ’ s unique needs . These additions and modifications are the most popular , we can accommodate a range of others upon your request .
Gait Plate Extension - Modification Specifications :
Height and distance depend on the cast Condition ( s ): To correct in toe / out toe gait
Orthotics : All rigid & semi-rigid orthotics EXCEPT Superform
Not available on First Choice EXCEPT Pediatric
Heel Cushion - Addition Specifications :
1
⁄ 8 ” & 1 ⁄ 16 ” PPT ® Condition ( s ): Heel pain
Orthotics : Can be added to all orthotics
Reverse Morton ’ s extension , distal met pads
Bilateral heel lifts , extrinsic rearfoot posts
Distal metatarsal pads , submet accommodation
Heel spur pads or hole-in-heel with poron foam disk
Distal met pads , sulcus length
Lateral Clip - Addition / Modification
Specifications : Height and distance depend on the cast Condition ( s ): Ankle sprains and instability .
Orthotics : All except fashion devices
Not available on FIRST CHOICE
2-4 Met Pad - Addition Specifications :
1
⁄ 8 ”, 3 ⁄ 16 ” thickness
1
⁄ 8 ” distal to shell
Condition ( s ): Metatarsalgia
Orthotics : Can be added to all orthotics
Achilles Tendonosis
Forefoot Varus
Functional Hallux Limitus
Hallux Rigidus
Knee Pain
Lateral Flange - Addition Specifications :
Height and distance depend on the cast Condition ( s ): Ankle sprains and instability .
Orthotics : All except fashion devices
Not available on First Choice EXCEPT Pediatric
Met Bar - Addition Specifications :
1
⁄ 8 ” PPT ®
¼ ” distal
Condition ( s ): 1st - 5th metatarsal pain
Orthotics : Can be added to all orthotics
Bilateral heel lifts , extrinsic rearfoot posts , full heel cushions
Limb Length Discrepancy
Extrinsic forefoot varus post to sulcus
Metatarsalgia
Reverse Morton ’ s extension , 1st met cut-out
Neuroma
Rigid Morton ’ s extension
Plantar Fasciitis / Heel
Rearfoot and / or forefoot extrinsic posts as needed
Sesamoiditis
Medial Flange - Addition Specifications :
Height and distance depend on the cast
Condition ( s ): Dropped navicular , pes planus , stabilize the foot
Heel Punch ( with fill ) - Modification Specifications :
1¼ ” standard and 1 ” for slim devices Slow recovery PPT ® or PPT ®
Orthotics : Can be added to all orthotics
Not available on First Choice EXCEPT Pediatric
Condition ( s ): Heel pain
Orthotics : All except Slimthotic
Not available on FIRST CHOICE
Toe Crest Pad - Addition Specifications :
⅛ ” - 3 ⁄ 16 ” PPT ®
2nd - 5th based on cast Orthotics : Can be added to all orthotics
Neuroma Pad - Addition Specifications :
⅛ ” - 3 ⁄ 16 ” PPT ® 1st - 4th interspace
Condition ( s ): Hammer toes / claw toes
Not available on FIRST CHOICE
Condition ( s ): Neuromas in the interspaces
Orthotics : Can be added to all orthotics
Deep Heel Seat - Modification Specifications : ≥ ½ ”
Condition ( s ): For heel pain , add medial and lateral flanges to help control the rear foot
Orthotics : Can be added to all orthotics
Neuroma Plug - Addition Specifications :
⅛ ” - 3 ⁄ 16 ” PPT ® 1st - 4th interspace
Condition ( s ): Neuromas in the interspaces
Orthotics : Can be added to all orthotics
Heel lift on the short leg side
Distal metatarsal pads
Distal metatarsal pads
Full heel cushions or hole-inheel with poron foam disk
Reverse Morton ’ s extension
Morton ’ s Extension to Shell - Modification Specifications :
Orthotics : All except Slimthotic
Based on the cast Condition ( s ): Severe hallux rigidus
Not available on FIRST CHOICE
Dancer ’ s Pad - Addition ( may be called a Reverse Morton ’ s at other labs )
Specifications :
Condition ( s ):
1
⁄ 8 ” PPT ®
1st metatarsal pain / bunion
Orthotics : Can be added to all orthotics
Not available on FIRST CHOICE
Morton ’ s Toe ( Short First Metatarsal )
Low Back Pain
Non-Centrally Located Heel Spurs
Sever ’ s Disease
1st ray cutout - Modification Specifications :
Based on the cast Condition ( s ): Hallux Limitus
Orthotics : Can be added to all orthotics
Scaphoid Pad - Addition Specifications :
Condition ( s ):
1
⁄ 8 ” - ¼ ” PPT ® Medial longitudinal arch pain / support to raise the arch softly
Orthotics : Can be added to all orthotics
Flexible Morton ’ s extension
Turf Toe
Rigid Morton ’ s extension
Rearfoot and / or forefoot extrinsic posts as needed and extra shock absorption with full heel cushions
Full heel cushions
Reverse Morton ’ s extension
Extrinsic rearfoot posts with bilateral heel lifts , full heel cushions
If you would like any assistance in selecting additions and modifications , please contact a clinical advisor at 1-877-644-4344
www . langerbiomechanics . com
Kinetic Wedge - Addition Specifications : Based on the cast Medial , lateral or custom
Condition ( s ): Functional hallux limitus
PPT ® Forefoot Extension to Toes - Addition Specifications :
Orthotics : Can be added to all orthotics
1
⁄ 16 ”, 1 ⁄ 8 ” PPT ®
Condition ( s ): Extra cushioning for comfort and shock absorption
Plastazote ® Forefoot Extension to Toes - Addition Specifications :
Orthotics : Can be added to all orthotics
1
⁄ 16 ”, 1 ⁄ 8 ” Plastazote ®
Condition ( s ): Calluses and / or Diabetes
PPT ®/ Plastazote ® Forefoot Extension to Toes - Addition Specifications :
Orthotics : Can be added to all orthotics
3
⁄ 16 ” total ( 1 ⁄ 16 ” PPT ® + 1 ⁄ 8 ” Plastazote ® )
Condition ( s ): Calluses and / or Lesions , IPK
Heel Spur Pad - Addition Specifications :
1
⁄ 8 PPT ® Condition ( s ): Heel pain caused by spur
Orthotics : Can be added to all orthotics
Not available on FIRST CHOICE
Orthotics : Can be added to all orthotics
Morton ’ s Extension - Addition ( may be called a soft Morton ’ s at other labs )
Specifications :
Condition ( s ):
1
⁄ 8 ” crepe
Hallux rigidus
Orthotics : Can be added to all orthotics
Balance Pad - Addition Specifications :
¼ ” korex
1
⁄ 16 ” - 3 ⁄ 16 ” PPT ®
Orthotics : Can be added to all orthotics
Toe Buttress * - Addition Specifications :
Plastazote ®
Orthotics : Can be added to all orthotics
Heel Lift - Addition Specifications :
Crepe , not recommended greater than ½ ” we suggest blending to metatarsals with added PPT ® arch fill for feathering
Not available on FIRST CHOICE
Condition ( s ): Balance out calluses or metatarsal prominences
Not available on FIRST CHOICE
Condition ( s ): Fill to accommodate amputated toes or full transverse metatarsal amputation
Not available on FIRST CHOICE
Condition ( s ): Leg length discrepancy
Orthotics : Can not be added to any device that is standard intrinsically posted ( lifts sent separately )

PHONE : 800-645-5520

FAX : 800-419-0772
WWW . LANGERBIOMECHANICS . COM