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gothamgirl 03-12-2015 12:01 PM

Arizona brace for PTTD

I have an appointment with my doctor this month to discuss whether an Arizona brace could help me delay surgery for Stage 3 PTTD. I have tried custom orthotics and two rounds of *** injections with no relief but I really need to delay surgery.

TallOak 03-15-2015 06:14 PM

re: Arizona brace for PTTD
I'm in a similar situation. I don't have PTTD but I have extremely flat feet due to a few different factors including misaligned heels and over pronation. The result is arthritis and constant pain when walking. Reconstruction of the arch and heal relocation surgery have been suggested by two doctors. I really don't want surgery. Like you, orthotics have not helped.

My doctor has suggested Arizona braces. I have spoken to a prosthetics and orthotics specialist. I was casted (fitted) for Arizona braces for both feet on 3/12/15. I take delivery on 4/14/15. I'll be glad to let you know about my experience if you want.

I opted for the lace model with boot hooks near the top. the Orthotics specialist said it will make them easier to put on. Velcro is too bulky.

gothamgirl 03-15-2015 06:21 PM

re: Arizona brace for PTTD
Thanks, Tall Oak. Do you expect to wear the braces in the house as well as outside? And what are boot hooks? I am worried that insurance won't cover these braces
: what was your experience?

TallOak 03-15-2015 07:19 PM

re: Arizona brace for PTTD
[QUOTE=gothamgirl;5351081]Thanks, Tall Oak. Do you expect to wear the braces in the house as well as outside? And what are boot hooks? I am worried that insurance won't cover these braces
: what was your experience?[/QUOTE]

I expect to wear them all the time (except showering, etc.). I'll see when I actually get them, but that is what was recommended.

The standard model brace with boot hooks toward the top of the brace. They let you lace up the boot without having to thread the laces through all the eyelets.

Mine are going to cost just over $2K. Insurance covers most of mine. I have a plan with a deductible and then it pays 85%. However, since I have not met my deductible this year I'm looking at about $950 out of pocket.
The orthotics and prosthetics place where I am getting them was able to take my insurance information and check into what insurance would pay before I made any decision to proceed.

I hope this helps.

gothamgirl 03-16-2015 06:55 AM

re: Arizona brace for PTTD
Thanks again, good to hear about the insurance. So far I'm only having problems with my right foot but I think I am detecting twinges in the left one now which is scary. It must be tough to deal with when you have two flat feet with arthritis! I hope the braces work well for you and if you remember please do let me know how it goes. I understand there can be an "adjustment period," but of course that's true for everything in life.

rush-rulz 03-30-2015 01:23 AM

re: Arizona brace for PTTD
I've had Arizonas for 2 years for peroneal and post-tibial tendonitis and scarring (because of overpronation). I just recently had to get a new set made, though, and will undoubtedly need an adjustment because I've got raw spots with them. (The old ones have lost some of their form, and the new ones are based on some new-fangled technique and are highly molded.)

My first set was with laces. The laces can be a PITA because by the time I'd skipped the top eyelets and then a couple more below (because of pressure), I had way too much lace to deal with. I just fold my socks down over it. The new ones have Velcro (they didn't ask which one I wanted). It's certainly easier to put on, but it has a lot of slack, so I still have to fold my socks over it (sigh) or the Velcro sticks to my pants.

Shoe-wise, I wear a pair of wide New Balance sneakers that are 1.5-2 sizes larger than my feet (which are already on the big side). I found that in general, I either need that kind of deep/wide fit or shoes with "low-set" laces, ones that lace to near the toes (like Converse sneakers).

I wear them whenever I need to wear shoes for a significant period of time. I go barefoot around the house (or flip flops to just step outside), and I've been known to go brace-less for a trip to the grocery store or something.

Cost-wise, I think my insurance paid for 80% on the first set after I paid the deductible. With the new ones, no one's said anything about the cost so far...

TallOak 04-13-2015 09:20 AM

re: Arizona brace for PTTD
Okay. I just called the Orthotist's office and confirmed that my Arizona Braces have arrived.

I have an appointment tomorrow morning to take delivery of them (and probably some final fitting). :eek:

I will try to post some first impressions.

lc15 04-20-2015 10:04 AM

re: Arizona brace for PTTD
That is one thing I have been thinking about--needing to buy different shoes based on what the surgery ends up doing to the bad foot. Luckily, I'm retired, but buying multiple pairs of expensive New Balance shoes adds up. Maybe with an improved foot these super anti-pronation shoes won't be as necessary. My other foot is also flat, but hasn't deteriorated like the left one.

lc15 04-24-2015 11:17 AM

re: Arizona brace for PTTD
The person who made my Richie brace has done several things to make my brace more tolerable. For example, if there are areas that rub, they can add padding to ease that.

TallOak 04-25-2015 07:30 AM

re: Arizona brace for PTTD
Actually the tape was for outside scuffing.
The insides seem to be ok so far.

sestina1 05-27-2015 08:12 PM

Re: Arizona brace for PTTD
I've been in a series of orthotics for 15 years, Ritchie braces for 5 years, and for the last year, I've worn Arizona braces on both feet. I have flat feet with PTTD that has progressed over the years. My left foot is worse, and that is the one I will be having surgery on in a month. My Arizona braces are very "clunky", they don't allow your ankle to bend like the Ritchie braces do, but for my condition, they have been an amazing help to reduce pain. If I don't wear them for a day or so, or just walk around the house in bare feet, the pain comes back. I had physical therapy, different medications, etc, but the left foot has just progressed too far - hence the upcoming surgery. However, my right foot has very little pain as long as I wear the brace. I do feel the braces help me put off the surgery, and, for some people, they reduce the pain enough that they may not need surgery. The only side effect I've had is that I now have two areas on my feet that are very callused from wearing the braces.

As far as driving, you have to be more careful and aware of what's coming up, because you don't have the ankle control. But you will get used to it. I had to sell my stick shift and get an automatic, because I couldn't put the clutch in with the braces on. I have the braces with the velcro at the top instead of all laces, because I was told they easier to get off and on. I think it would just be personal preference and both kinds work fine.

Shoes were a problem for me, because I have wide feet, and the braces made them huge. I had to buy a New Balance Men's shoes in a 6E width that is two sizes bigger than my normal shoe, because I couldn't find any women's shoes that were wide enough. I've learned to buy pants and jeans that are bootcut, and I wear a lot of black. My braces and shoes are black, and I've worked with people for over a year who never realized I was wearing braces until I told them. I think they thought I just liked supportive shoes. I am so looking forward to the day I may be able to wear "pretty" shoes!

My insurance paid for most of them. They were $2,000, and I had a $200 copay.

Hope this helps!

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