“When our feet hurt, we hurt all over.” - ShoetechAn AFO (Ankle Foot Orthotic) is a special brace that is designed to help control the motion of the ankle joint and also to provide

With a highly experienced team of foot care providers at your service, the Foot Power clinic in Sydney’s Dee Why offers innovative foot care solutions. Put simply, at Foot Power we put feet first.

Your feet are your body’s foundation so give them the best possible care and get the most from your body. Back pain, aching joints and foot discomfort can all be signs that your feet are in need of some TLC!

A visit to the Foot Power clinic can help you reduce your discomfort, train effectively and get back in the game!

“When our feet hurt, we hurt all over.”

Socrates

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With a highly experienced team of foot care providers at your service, the Foot Power clinic in Sydney’s Dee Why offers innovative foot care solutions. Put simply, at Foot Power we put feet first.

Your feet are your body’s foundation so give them the best possible care and get the most from your body. Back pain, aching joints and foot discomfort can all be signs that your feet are in need of some TLC!

A visit to the Foot Power clinic can help you reduce your discomfort, train effectively and get back in the game!

“When our feet hurt, we hurt all over.”

Socrates



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Established in 1888 in Europe, and operating in Australia since 1988, Foot Power is already a preferred

supplier to orthopaedic foot and ankle surgeons throughout Sydney.

Company ProfileFoot Power, a full service foot care clinic, allows consumers to go straight to the source for all their foot care needs. The innovative clinic is the first of its kind in Australia and offers a full range of assessment and treatment services for both adults and children, providing solutions to common problems such aschronic leg or foot pain as well as preventative strategies for long-term foot health.

Foot Power founder Karl Schott, a fourth generation foot care professional with over thirty years experience,has served as an adviser to the foot care industry around the world. Karl Schott is a certified Pedorthist CM,Foot and Ankle Orthotist, German trained Orthopaedic Shoemaker Meister and Podologe. He is an activemember of the Australian Pedorthic Medical Grade Footwear Association.

Foot Power innovationFoot Power has been leading the way in foot care technology for many years. Since 1991 the Foot Powerclinic has used Dynamic in-shoe computerised foot plantar pressure evaluation systems in order to improveassessment and orthotic services. This technology driven diagnostic tool is complemented with the use offlexible non-rigid foot orthoses. In 2005 Foot Power were the first to introduce Sensomotoric® orthoses as away to improve foot function, utilizing the body’s own proprioceptive system.

The Foot Power clinic provides thorough assessment and effective treatment for any of the following common foot conditions and referred pain:

• Toe walking • In-toeing medial rotated gait • Achilles pain • Ankle sprains

• Arch pain • Bunion pain • Heel pain • High arch

• Flat Feet

Referred pain or issues:

• Ceberal Palsy • Balance problems • Lower back pain • Knee pain

• Uneven wear on shoes • Poor sports performance

View some of our work:Two video clips of the same man walking. The first clip shows him walking in bare feet, the second showshim walking in a pair of boots made by Foot Power.

> Before > After



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Fast Foot FactsNeed a few more compelling reasons to take good care of your feet?

• Our feet are remarkably complex. Each foot contains 26 bones, 33 joints and more than 100 muscles,tendons and ligaments.

• The feet contain over 250,000 sweat glands that excrete over a cup of moisture each day.

• The average person takes 8,000 to 10,000 steps a day, which adds up to about 185,000 kilometres in alifetime or around the circumference of the earth four times!

• It is particularly important that women wear correctly fitting footwear as on average they walk over 4kilometres further than men every day!

• Foot pain is very common; around 80% of adults will experience it at one time or another.

• Just as carpal tunnel syndrome can develop in the wrist, a similarly painful condition called tarsal tunnelsyndrome can afflict the foot.

• In addition to its many other health benefits, loss of excess weight can help prevent foot pain by reducingstress on the feet.

To view a range of possible solutions to your foot complaint, browse the products and services available atthe Foot Power clinic.



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Foot Power offers a truly holistic solution for relief and treatment of foot and referred pain.

As well as the assessment and diagnostic services on offer, all Foot Power prescribed treatment productsare customised on the premises in a state of the art workroom. Production is not out-sourced, so nothinggets lost in the translation – the professional who assessed your condition is on hand during thedevelopment of your tailored solution.

To find out the type of solution that may best suit your particular complaint, browse the Foot Power productrange menu at left.

AFO’sAn AFO (Ankle Foot Orthotic) is a special brace that is designed to help control the motion of the ankle jointand also to provide support to the foot. They can be custom made, or prefabricated.

A functional AFO should provide superb control to the foot and ankle while offering greater comfort andeasier shoe fit than other braces.

Carbon FibreA Carbon Fibre AFO is material that is used to give greater strength. Some AFO’s are entirely made out ofthis material and are strong as well as flexible.

Carbon fibre can also be included as material when producing other orthotics.

Ankle unilateralAn ankle unilateral AFO is designed to be one sided. This may be applied on the medial or lateral side ofone foot and provides greater control and support for that side.

Night splintA night splint is an AFO which is used at night, where it is necessary to hold and support the foot in aneutral position. Night splints can be used in the evening to improve calf muscle flexibility. They can also beused during sleep to prevent night time contracture of the calf muscle to ensure that the first steps takeneach morning are not so painful.

They are also useful to hold the foot in the correct position for those confined to bed rest for care. Thisreduces risk of deformity.

Foot drop liftA foot drop lift is an AFO used by patients with ‘dropped foot’. This prevents the foot from dragging andclawing as they walk. It stops the foot dropping and works to lift the foot to improve walking.



AFOs

Leaf Spring

Ankle enclosing

Foot Orthoses

Custom Orthopaedic

Modular Footwear

Shoe Modifications

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Leaf SpringA leaf spring is an AFO which has a retaining spring effect enclosed. This provides stability for the foot incertain positions. It reduces foot drop.

Suitable:• Foot drop

• Hemi paresis

• Charcot Marie Tooth (CMT)

Shoe fit:• Many shoes are available with removable inlays which will accommodate this type of orthoses

• Sport footwear

• Sandals with removable inlay

• Prefabricated or custom Medical Grade Footwear

Contra indication:Not suitable for significant varus or valgus deformity and for sensitive skin such as an insensate foot(Diabetic foot), unless significant padding is provided. In the latter case a shoe fitting with extra depth, widthand length or custom made medical grade footwear may need to be considered.

The sample below has additional elastic straps on the dorsal side of the foot.



AFOs

Leaf Spring

Ankle enclosing

Foot Orthoses

Custom Orthopaedic

Modular Footwear

Shoe Modifications

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Ankle enclosingAn ankle enclosing AFO surrounds the ankle, part of the lower limb, or foot. It provides side stability,reduces foot drop and can restrict painful movement.

Suitable:• Foot drop including those with varus or valgus foot alignment

• Hemi paresis with varus or valgus foot alignment

• Suitable for moderate to severe foot support needs

• Cerebral Palsy. Recommended in combination with senso control foot orthoses

• Charcot Marie Tooth (CMT)

• Severe foot support needs in combination with supportive footwear

• Flat feet

• PTT disorders in combination with supportive footwear

• Arthritis

• Various foot pathologies essentially those that require stability or restriction around the ankle and foot joints.

Shoe fit:• Many shoes have removable inlays and will accommodate this style orthoses

• Sport footwear


• Prefabricated or custom Medical Grade Footwear

Contra indication:Not suitable for sensitive skin in the insensate foot (e.g. diabetic foot) unless significantly padded. Toaccommodate the padding a shoe fitting with extra depth, width and length or custom made medical gradefootwear may need to be considered.

Below are examples of ankle enclosing AFO’s.

Please consider that those shown are available, however depending on your needs and taste, variationsmay be applied.



AFOs

Leaf Spring

Ankle enclosing

Foot Orthoses

Custom Orthopaedic

Modular Footwear

Shoe Modifications

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Here a different design with laces and in blue leather.

Here a design with a removable sensocontrol foot orthoses and open Tendon Achilles for Cerebral Palsy.The rigidity of the AFO can be varied depending on the material uses. We like to use the least amount ofrigidity to not stimulate the spasms with hard materials.



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AFOs

Leaf Spring

Ankle enclosing

Foot Orthoses

Custom Orthopaedic

Modular Footwear

Shoe Modifications

OrthosesOften called orthotics, these are also known as ‘shoe inserts’ or ‘arch supports’. Primarily designed to re-position your foot into a more functional position whilst you walk or run, they may be firm or soft and aremade from a variety of materials.

Orthoses will reduce pain levels and improve stability and co-ordination. They may be useful to those thathave a disability and/or symptoms in everyday life, who may be using an orthotic or special footwear already.

Orthoses may also be used by those that do not have any obvious deformity but may have pain orsymptoms during or after sport activity, whether for leisure or at a competitive level.

Sensomotoric® Orthoses (It’s a new concept)Exclusive to the Footpower clinic, sensomotoric® orthoses are orthotic devices which utilise theproprioceptive system in the body.

This orthotic concept was first published by Lothar Jahrling in Germany. We utilised our association and co-operation with him in providing our expertise for your benefit.

They aim to improve the foot function, instead of functional substitution and can help by providing balance.They minimise the stress forces that can ultimately cause further pain or deformity in the feet.

The sensomotoric® theory has been described by Dr. W. Laube, MD, Sports Physician and elite athlete in anumber of his books. It is well documented as a theory in rehabilitation, manual therapy and physiotherapy.The body has various receptors which constantly check body position, muscle tone including movement.Sensomotoric® orthoses use those principles to improve foot function and to guide you to better movementpathways.

The theory behind sensomotoric® foot orthoses revolves around the natural response of the foot and bodyin relation to how the ground is felt by the feet.

The insoles are designed to alter how the foot ‘feels’ the ground in particular the timing of ground contact.The body has a preferred movement pattern whether it is the best pattern for you or not.

Body movement and functionality is not always perfect, in which bad habits can eventuate and becomerepetitive. In sport it is well accepted that you have a coach or trainer who points out the “wrong” movementtechniques whilst teaching the correct ones.

You then have to learn the improved movement pathways and repeat them until they become your newmovement pathways. Sensomotoric® orthoses are your personal trainer for your feet inside your shoes.



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AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

Sensomotoric®

Custom Orthotics

Sports Runner

Kids Jumper

Business Walker

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid

Total Contact Inlay - TCITotal Contact Orthoses - TCO

Hallux Valgus Splints

Carbon Inlay

Recent research by Prof. B. Nigg, Calgary Canada suggests that foot orthoses • Affect muscle activity

• Affect joint movements

The whole science behind the design is both exciting and revolutionary. It takes us in giant steps forward inthe development of improved functional outcomes using orthoses.

Many of our orthoses have senso elements, while some are more specific and deliberate depending onyour needs and abilities. It is uniquely individual, based on your needs and requirements.



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AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

Sports Runner

Kids Jumper

Business Walker

Custom Orthopaedic

Shoe Modifications

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid



Carbon Inlay

Sports RunnerKeep your body alignedHard regular training is a prerequisite for peak sporting performance; often exposing

your body to extreme loads. Even something as gentle as walking can place loads of

up to 250kg on your feet. In these conditions, a misalignment of your body can

quickly flare into discomfort and injury to bones, tendons or ligaments.

Pain-free training with Sports RunnerDeveloped by physiotherapists and orthopaedical engineers, the innovative Sports

Runner orthotic activates the endogenic nervous system, leads to the stabilisation of

the whole chain of muscles and stimulates the body to “correct” movements. The

secret: senso-motor activity instead of functional substitution.

Prevent against injuries and take your training to the next level.

Sports Runner – like walking on air Your Sports Runner orthotic is individually tailored to meet the specific needs of your

body. This custom construction allows it to be effective at every phase of your running

and walking action.

1. Step The unique Sports Runner design enables your heel to take up the optimum position for every step you take. Excessive load is diminished through the use of impact absorbing materials.

2. Standing position The Sports Runner’s contoured shape allows your body to achieve optimal

balance and enhances muscle stabilisation throughout your body’s entire

muscle chain.

3. Push-off When pushing off to walk or run, Sports Runner provides cushioning to the

forefoot, substantially reducing force and pain to your forefoot.

Walking will give you a floating sensation… you’ll feel as light as a feather.

Optimise your performance and stay injury free!Tennis, walking, running, triathlon, cycling, football, netball, soccer, basketball, golf, etc.

No matter what your sport or your level of participation – amateur or professional, the innovative range of

Foot Power custom orthotics, combined with our experienced team of fitting consultants, will ensure you

enjoy injury free training and optimum performance.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

Sports Runner

Kids Jumper

Business Walker

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Custom Orthopaedic

Shoe Modifications

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid



Carbon Inlay

Kids JumperStart them on the right foot!

Are you concerned about your children’s feet?Most babies are born with perfectly functioning feet. By the time they reach the teenage

years some children will have developed a foot problem, largely due to ill fitting shoes

or shoe styles offering little foot support.

Depending on the level and type of a child’s physical activity, poor foot performance can

quickly develop into long-term complications in other parts of the body.

Keep kid’s feet on track with Kids Jumper.Childhood is the ideal time to address concerns about growing feet. Give your kids a

firm foundation and protect their feet against common foot problems; early attention is

the key.

The Kids Jumper orthotic works by correcting muscular imbalances in a child’s body.

Instead of providing functional substitution, as traditional orthoses do, the Kids Jumper

encourages the senso-motor activity of the entire body. This allows the body to react

effectively and optimises the performance of the muscles in the foot.

Every step with Kids Jumper encourages a co-ordinated motion cycle.

• Kids Jumper reduces mal-alignment of young feet during the growth phase.

• Kids Jumper supports the physiological development of young feet.

• Kids Jumper enables free motion of the small foot joints, which is an important

prerequisite in the growth phase.

• Kids Jumper are custom made and fitted to individual feet and shoes.

• Kids Jumper encourage good movement technique and protect your child’s feet!

Developed by a team of musculoskeletal specialists and orthopaedic technique

practitioners, the Kids Jumper orthotic encourages foot health and corrects potentially

painful conditions from an early age.

The Kids Jumper orthotic is prescribed and custom fit exclusively at Foot Power,

specialists in relieving foot and ankle pain.


AFOs

Foot Orthoses

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Sensomotoric®

Custom Orthotics

Sports Runner

Kids Jumper

Business Walker


Custom Orthopaedic

Shoe Modifications

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid



Carbon Inlay

Business WalkerPut your best foot forward!Your feet are your foundation.Personal image is all-important in today’s business world, and maintaining it can often

mean spending long periods of time in uncomfortable footwear. Pain is relieved when

your shoes come off! The Business Walker orthotic will alleviate foot discomfort,

allowing you to focus on getting the job done!

The Business Walker supports busy people, helping to activate the body’s complex

nerve and muscle system, stabilising the muscle chain and allowing the body to work

as it was meant to.

Instead of providing functional substitution, as traditional orthoses do, the Business

Walker encourages the senso-motor activity of the entire body.

Why choose the Business Walker?• Remedy mal-alignments of the foot, correct unnecessary loads on the knee,

hip joints and back.

• Activate the muscle system, supporting its balance and coordination.

• Reduce pain experienced in joints and the back as a result of long periods of time

in business shoes.

• Provide comfort in business shoes for longer periods of time.

Developed by a team of musculoskeletal

specialists and orthopaedic technique

practitioners the Business Walker orthotic

unites foot health, comfort and good looks

in one product.

The Business Walker orthotic is prescribed and

custom fit exclusively at Foot Power,

specialists in relieving foot and ankle pain.


AFOs

Foot Orthoses

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Sensomotoric®

Custom Orthotics

Sports Runner

Kids Jumper

Business Walker


Custom Orthopaedic

Shoe Modifications

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid



Carbon Inlay

Sensocontrol orthosesSensocontrol orthoses have very pronounced sensomotoric® elements and are particularily useful when astronger treatment is intended or in case of neurological issues. With conditions such as cerebral palsy thesensocontrol foot orthoses can be combined with ankle foot orthoses to enhance the maximum outcome.

Suitable:• For intense treatment

• Medial rotated gait (in-toe or pigeon toe)

• Toe walker

• Neurological issues

• Cerebral Palsy

Shoe fit:• Sport footwear

• School shoes


• Prefabricated Medical Grade Footwear

• Boots

Contra indication:Insensate foot, very sensitive feet, pressure sensitive skin



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AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

Sensomotoric®

Custom Orthotics

Thin Type

Sensocontrol

EVA Base

UCBL / Rigid



Carbon Inlay

Sports Runner

Kids Jumper

Business Walker

Types of sensomotoric® sensocontrol orthoses

Sensocontrol 1/1

Prescription indication

1. Children’s hyper and hypo tone

spastic pronated, lowered arched

foot with medial rotated walking gait

2. Multiple sclerosis

3. Hemi paresis

4. All neurological pathologies in

connection with a pronated or low

arched foot or flat foot

Flat footAnatomical signs

• Pronated low arched foot

• Flat foot

• Pes equinus

• Genu valgum

• Genu varum

• Medial rotated walking gait

General symptoms• Attention deficit

• Reduced sensory abilities

• Co-ordination disturbances

• Bad postural alignment

Sensocontrol 1/2


1. Children’s hyper and hypo tone

spastic pronated, lowered arched

foot with lateral rotated walking gait


3. Hemiparesis


connection with a pronated or low

arched foot or flat foot

Flat footAnatomical signs

• Pronated low arched foot

• Flat foot

• Pes equinus

• Genu valgum

• Genu varum

• Lateral rotated walking gait







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AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

Sensomotoric®

Custom Orthotics

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Differentiation and Indication

Description and

anatomical features General

Sensocontrol

Sports Runner

Kids Jumper

Business Walker

Sensocontrol 1/3


1. Hyper and hypo tone spastic

club foot

2. Varus foot


4. Hemi paresis


connection with a varus foot

6. Post club foot, varus foot surgery

Varus footAnatomical signs

• Varus Club foot

• Very high arched foot

• Pes equines

• Genu valgum

• Genu varum

• Medial gliding of talus after surgery

• Medial rotated walking gait







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AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

Sensomotoric®

Custom Orthotics

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Sensocontrol

Sports Runner

Kids Jumper

Business Walker

Thin Type Foot OrthosesEver wanted your foot orthoses to suit your different styles of footwear?

Thin Type Foot Orthoses may just be the right ones for you.

Suitable for conditions:• Mild to moderate foot support needs

• Flat feet mild to moderate

• Metatarsalgia or forefoot pain

• Pain under the ball of your foot

Shoe fit:Most footwear including a more elegant style, up to a medium heel height.

Not suitable for the following condition:• Sever foot problems

• PTT dysfunction

• Strong flat feet

• Neuropathy

These are thin type or Super Slim orthotics to fit into shoes and to some extent into sandals whichspecifically have minimal space.

You can choose the colour of the lining material to suit your footwear.

They are designed to help with common foot ailments, and to provide a broader choice of footwear. Theycan be full or short length depending on both taste and needs.

The thin type does not have a heel cup and as such can adjust to a varietyof heel heights. They typically have a firmer plastic element supporting yourfoot in both medial and lateral arches including transverse.

A metatarsal dome as well as limited padding or posting can be addeddepending on your needs. They may not be suitable for severe footconditions.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

EVA BaseEVA is (Ethyl Vinyl Acetate) a light synthetic rubber, frequently used to make foot orthoses. EVA hasexcellent cushioning properties. We customise foot orthoses in a variety of hardness or softness dependingon individual requirements.

EVA orthoses are versatile with both a vast array of applications and material combinations. They can bemade accommodative such as TCI / TCO or with corrective elements.

Suitable:• Suitable for mild to severe foot conditions

• Severe foot support needs in combination with supportive footwear

• Flat feet


• Metatarsalgia or forefoot pain

• Pain under the ball of your foot

• Arthritis

• Diabetes

• If extra padding is required

• Redistribution of plantar pressure

• Heel spur

• Plantar fasciitis

• Many other foot pathologies due to the high variation of design and material combination

Shoe fit:• Many shoes have removable inlays and will accommodate foot orthoses.

• Sport footwear



• Boots

Contra indication:



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Not suitable if a very rigid device is needed.

Your EVA base foot orthoses are made using a thermoplastic process or computer aided milling whichbrings the material into the desired shape.

The EVA is often reinforced with a thin layer of flexible stiffener to provide added strength. The archelements are made from soft but resilient foam to give your arch a strong but cushioning support. They arethen covered with a soft full length layer. The EVA base foot orthoses are extremely versatile. Depending onyour individual needs, material combination can vary from firm to super soft.

This photo identifies an example with Metatarsal dome and kangarooleather cover.

EVA Base with soft non leather covers for more sensitive feet and if required with multiple layers for extra protection.

The view from With additional heel posting or lift.the bottom showing the firmer EVA in the hind to mid foot as well as flexible material in the mid to fore foot.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

UCBL / Rigid Foot orthosesThe University of California Biomechanics Laboratory or UCBL foot orthoses are named after the laboratorywhere they were researched and developed.

UCBL orthoses are rigid with a deep shell like shape.

Suitable:• Suitable for severe foot support needs

• Severe flexible flat feet


• To hold the foot in a particular shape

• Reduce further deformity

Shoe fit:• Sport footwear with extra depth

• Sandals with removable inlay and extra depth


• Boots

Contra indication:Not suitable for sensitive feet

The UCBL foot orthoses are used to stabilize a flexible foot deformity. In most cases that applies to aflexible flat foot.

The UCBL is different from other foot orthoses in that it has a deep heel cup and shell like constructionwhich in turn holds the heel, or hind foot in a neutral vertical position. While correcting and holding the heelin a neutral position, the UCBL also controls the medial arch of the foot and the outside border of theforefoot. These three corrective forces keep the foot held in a neutral position.

It is very important that the foot must be flexible enough to be held in a neutral position comfortably. If thefoot deformity is rigid the UCBL will be very uncomfortable if used in an attempt to correct the deformity. Ifthe foot is rigid, the UCBL can be made to the shape of the foot and the goal is to prevent further deformity.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

The UCBL is made out of a rigid material, usually plastic, that is moulded over a cast of the foot. The rigidmaterial usually ends at the ball of the foot to allow a smooth roll though process.

These photos show aUCBL style orthoseswith posting and softpadding cover.

These Photos show alower shell rigid footorthoses with posting,soft padding and fulllength kangarooleather cover.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Total Contact Inlay – TCITotal Contact Orthoses – TCOA TCI or TCO is a moulded device which is designed to follow the plantar contours and tomography of thefoot. They reduce plantar pressure at points where they are higher than normal by offloading weight acrossa larger area of the plantar surface. Both TCI and TCO are usually made of soft material.

Suitable:• Arthritis

• Diabetes

• If extra padding is required

• Sensitive feet

• Redistribution of plantar pressure

Shoe fit:• Sport footwear with extra depth

• Sandals with removable inlay and extra depth

• Prefabricated medical grade footwear

• Boots

Contra indication:Not suitable if stronger support is needed or high volume usage. EVA base style orthoses are available insoft material. However our range includes styles that are both soft with added durability and support.

This is a total contact orthoses or custom moulded foot orthoses.

It is accommodative and made using soft tri laminate material(Plastazote PPT EVA) as well as EVA cork. It is suitable for sensitivefeet. The materials will self mould on the surface plantar to the footwhich will make it more comfortable after a little usage. The orthosesrequires extra depth inside footwear.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Hallux Valgus Night SplintA Hallux Valgus is most commonly treated and prevented with some simple adjustments to your shoes. Inorder to help alleviate pain from a Hallux Valgus, an orthotic device may be inserted to redistribute thepressure along the arch and ball of the foot. It should support the foot, and reduce the tendency towardHallux Valgus formation.

A night splint can be used to hold the big toe in a corrected position. This reduces the HV development.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Carbon InlayCarbon inlays provide more rigidity to shoes. They may be required where too much flexibility in a shoedoes not support the foot. This can be the case where inappropriate movement in the feet causes pain orincreases deformity.

The carbon inlay can be removable, or can be built into the footwear or orthoses and level of rigidity varied,depending on what is required.



AFOs

Foot Orthoses

Sensomotoric®

Custom Orthotics

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Custom Orthopaedic

Shoe Modifications

Thin Type

EVA Base

UCBL / Rigid



Carbon Inlay

Custom Orthopaedic Footwear / Medical Grade FootwearCustom made orthopaedic footwear is made specifically for each individual patient from a cast. Therequirement for each foot is completely individual; the Foot Power clinic prepares all custom orthopaedicfootwear on the premises.

COF is usually required when standard footwear is unsuitable, due to high risk, severity of problems orfinally, degree of deformation.

Foot conditions which may result in the requirement of custom orthopaedic footwear are:

• Arthritis

• Rheumatic arthritis

• Clubfoot

• Varus feet

• Flat feet (Pes planus) in severe stages

• Posterior Tibialis Tendon dysfunction in later stages

• Hammer toes, severe fore foot deformity

• Charcot Marie Tooth

• Diabetic foot related issues

• Insensate foot with deformity or biomechanical deficit

• Charcot foot

• Severe foot deformities

• Severe ankle deformities

• Functional deficits like spastic or flaccid paralysis

• Large leg length differences

The shoes are designed to cater for the specific problems, compensate for disabilities, relieve pain andimprove gait.

The shoes may incorporate functional devices such as:

• Foot orthotics

• AFO

• Rocker soles



AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

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• Rigid soles

• Amputation sprints

Custom made shoes may be designed to accommodate style and function of the individual patient. Theymay be required for:

• Walking shoes

• Work footwear

• Leisure footwear

• Sandals

• Sport shoes

• Army style boots

Depending on individual requirements, the Foot Power clinic is able to apply style and fashion to thefootwear.



AFOs

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

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Shoe ModificationsInternal shoe modifications are changes made to inside the shoe to relieve pressure or shear forces thatcan cause pain, irritation or trauma to the foot. External shoe modifications are made on the sole and orheel of the shoes.

Heel / Shoe raisesA heel raise is placed inside the shoe to balance leg lengths and align the pelvis. It can also beincorporated in an orthotic for other conditions.

Higher heel raises are built into the heel externally.

A shoe raise is placed externally to the heel and sole of the whole shoe. The relative distribution on theshoe raise depends on the foot requirements.

Rocker Soles / BarsRocker soles or bars can be added as a modification to regular footwear. They can also be incorporated into the construction of custom footwear.

There are several kinds:

The Rocker bottomThe rocker bottom applies to the entire shoe bottom, from heel to toe, which is rounded to help your foot rollthrough the process. However, typically there is some area of the shoe bottom made flat to provide stabilitywhen standing.

The Rocker soleThe rocker sole creates a roll through from the mid to the forefoot, depending on the placement of the apexline.

The heel RockerThe heel rocker applies to the heel only, reducing impact by delaying the heel impact and helps in a stiffrear foot.

Metatarsal Rocker SoleMetatarsal rocker soles are made with the apex line proximal or behind the metatarsal heads to reducepressure for the metatarsal heads.

The horseshoe rocker sole or butterfly rocker sole is a variation of the metatarsal rocker soles with extra



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cavity and padding for specific metatarsal heads.

The Hallux rigidus / Limitus rocker sole has a specific cutout to compensate for the lack of mobility of the1st MPJ.

Metatarsal domesMetatarsal domes and platforms relieve pressure from specific metatarsal heads or the entire transversearch of the 2nd, 3rd or 4th metatarsal head. This modification is incorporated during the orthoticmanufacture.

It can also be an internal shoe modification.

Velcro conversionsA velcro conversion is a modification to a shoe whereby a velcro strip is attached where laces used to be.

WedgesA wedge is a shoe modification consisting of an insert incorporated into the heel of the orthotic. The wedgeacts to align the calcaneus and mid-foot into midline, thus decreasing the strain on joints, ligaments andtendons.

Well balanced wedges can reduce pain on a medial or lateral knee joint component.

Wedges can be internal or external, covering the heel only or full shoe length.

FlaresFlares are shoe modifications which are commonly medial or lateral. Strips of material are applied to thewhole sole or heel only depending on the requirements.

Essentially flares are used to widen the shoe, both sole and heel and provide stability, and improve balanceetc.

RelastingRelasting is a process where a shoe bottom (heel & sole) is substantially widened or changed in shape.The existing shoe is made to a different last.

This is particularly useful to widen the mid foot to medial or lateral for wide flat feet or Vagus feet.



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To see a full range of our products please view > Products Brochure PDF



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The Foot Power clinic specialises in tailored and innovative solutions. There are some unique solutions onoffer, and Foot Power practitioners think “outside the square” when it comes to providing remedies topatients experiencing pain and discomfort. Contact the clinic to arrange your first appointment.

Home visits available to clients in which circumstances make it difficult to visit the Foot Power clinic. To find out about costs associated with home visits, visit the Foot Power FAQ.

What to expect at your first appointmentFirst consultations provide an opportunity to examine your feet in the context of your lifestyle. To helpassess your condition thoroughly and provide the best possible solution, it is a good idea to bring to yourfirst appointment:

• Samples of your current worn footwear

• Any doctor’s referrals, reports, scans or x-rays relating to your feet, ankle, leg or hips

• Any orthoses you may have previously been prescribed, or have worn

• A list of questions or issues you would particularly like to cover

At your first appointment a Foot Power practitioner will:

• Ask you about your lifestyle and types of activities you undertake, to get an understanding of yourparticular needs and preferences

• Perform a range of assessments designed to analyse your individual requirements, including an emphiricgait analysis

• Ask about past problems with your feet or related pain

• Provide advice, options and expert recommendation as to the best solutions for your particular condition

• Discuss funding options that may be available to you

Comprehensive Sports Shoe Assessment The Foot Power clinic offers a unique and brand independent selection of the most suitable sports shoe foryour particular foot. Using sophisticated computerised technology, your foot running and walking style,flexibility and other personal data will be assessed and a list of recommended shoe brands and modelsgenerated, that is specific to your foot and your individual requirements.



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Gait AnalysisGait Analysis is an important first step to assessing where your feet may need support.

At the Foot Power clinic, a sophisticated computerised plantar pressure measurement system is employedto analyse your gait and help develop the optimum treatment plan.

Empiric gait analysisEmpiric gait analysis involves the Foot Power practitioner assessing your walking or running style. This isincluded in the basic consultation fee.

Computerised gait analysisThis form of analysis utilizes two cameras and a sophisticated software program which analyses yourpersonal running/walking style, ultimately generating a detailed report.

Plantar Pressure ReadingPlantar pressure reading using sophisticated sensor technology. Foot Power evaluates the load your feetcarry as well as the pressure applied to every part of your foot. This will initially be done in the Foot Powerneutral sensor test shoe, but may be done inside your footwear with or without any orthoses.

Footwear ModificationsFootwear modifications for both standard and medical grade footwear are available at the Foot Power clinic.

As well as offering advice on suitable brands and styles, Foot Power also provides a unique serviceaugmenting regular shoes – aimed at consumers experiencing foot discomfort in their day-to-day footwear.This is a perfect solution for executives and business people providing a better fit and an increased level ofcomfort.

Footwear RepairsShoe repairs and maintenance can be made at the Foot Power clinic to modified standard or medical gradefootwear as well as orthotic solutions.



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MBT Footwear RepairsAs the official repairer for MBT Footwear, we have implemented a few changes to the repair process. Theseinclude:

• A new format for repair forms – to improve turnaround time

• All repairs will be returned directly from Foot Power

• Payment detail can be included on the repair form

This process was implemented in July 2009. In an effort to improve efficiency and therefore customerservice from 15th July 2009 so all repairs except warranty claims can be sent directly to the MBT ServiceCentre, address as follows:

MBT Service Centre

11/818 Pittwater Road

Dee Why NSW 2099

T: (02) 9972 4488

F: (02) 9972 4499

E: [email protected]

Warranty claims must still be sent through the MBT Head Office for which you will receive an RA number.

The repair order form here: > MBT Repair Form

Please ensure that all details are entered correctly as this will speed up the repair process.

Please note that any repair that is not listed on the form can be entered under “Other”.



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Case Study 1: Neurological disorderCompare the traditional with the new approach63-year-old male

Left extremities partly paralysed after brain tumour removal.

Unstable ankle despite metal calliper medial as seen on > video

Traditional approach Custom MGF with integrated AFO > video

Boots with metal lower leg caliper shows improved more stable walking pattern

These pictures compare the 2 types of footwear and orthotic appliance in a similar stage of the walkingphase.

The left picture shows the person using a traditional custom made surgical boot together with a metalcalliper.



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Despite the metal calliper the foot and ankle twists with every step.

The right is the boot from Foot Power Pty. Ltd. You can see the foot and ankle is far more stable with ourboots.

There is no “twisting” in the ankle with our boots. We have reviewed this person over several years and theboot performs the same after using it for several years. However, some repair of worn heels and soles needto be done from time to time.

Case Study 2: Polio (in 1934)

80-year-old male Right ankle fused Wearing custom made MGF with integrated in 1991 Bilateral partial paralysis orthosis. Can walk unaided. Relatively lower leg > video shows very limited smooth walking pattern demonstrated ability to walk barefoot on > video

This person is barely able to walk With the Foot Power boots he can walk barefoot and needs to hold on to a unaided and pain free. What a difference.railing while attempting a few steps. There is pain in every step from the repeated ankle twisting.



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Case Study 3: Charcot Foot51 year old male long term diabetic developed a charcot foot insulindepended neuropathy with loss of sensation in both feet Ulcer waspresent for 12 months.

The ulcer closed after using a total contact cast for 4 months, follow upwith medical grade footwear (MGF) ulcer closed after 4 years wearingMGF.

Plantar pressure distribution mapSeveral dynamic plantar pressure readings were performed. Formore details about the technology refer to plantar pressurereading.

The left picture shows the plantar pressure values in a neutralshoe. The neutral shoe is simulating a “normal-standard”footwear without an specific feature and is our base referencerecording. Plantar pressure in the neutral shoe is very high asyou can see on the red color.

The middle picture shows the plantar pressure values asmeasured in the total contact cast that facilitated healing of theulcer. The right picture shows the plantar pressure measurement

in the custom made medical grade footwear. You can see clearly that the medical grade footwear providedby ShoeTech provided peak plantar pressure reduction better than the total contact cast and protected thefoot successfully from further ulcers for many years.

Download an > Abstract about this case.



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This chart shows the evaluation of the plantar forces forthe Charcot foot over several steps.

It compared the total forces in the neutral shoe, the totalcontact cast and the medical grade footwear provided byFoot Power. It compared 3 sections of the foot. On thevery left the entire force acting on the foot is displayed.That shows an increase of overall plantar forces with thetotal contact cast and the medical grade footwear by FootPower. This is a positive sign as it indicates that theperson is now walking with more confidence by placingmore overall load on this foot.

The middle graph identifies the plantar forces for theareas where the ulcer was. Here it is very clear that the forces have been reduced comprehensively by theFoot Power shoes. The right graph includes the area around the ulcer and again the Foot Power shoeidentifies the best result.



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Case Study 4: Multiple trauma – motor cycle accident

36 year old male

tibia, fibular and metatarsal bone 2 fractures

Left partial paralysis (drop foot)

mechanical stress caused direct pain, suggesting ongoing micro-instability

Rigid lower leg orthoses

Controlled movement

Allowing weight bearing reducing micro instability promoting unionisation of bone



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ReferralsThe Foot Power clinic welcome referrals from medical doctors and other health care professionals, and ourpractitioners are happy to answer any questions you may have regarding the foot health of your patients.

For your convenience, referral forms can be downloaded as a PDF. Alternatively, contact reception toarrange for a referral pad to be sent to your surgery.

> Referral Form

At Foot Power, a multitude of solutions are available, each tailored specifically to meet the individual needsof patients.

View examples of specific solutions which may suit your patients, or contact the clinic to discuss yourpatient’s requirements directly.

Some important points about preparing referrals.

When preparing referrals include any information you may have relating to the following areas:

• Any previous surgery that may be relevant

• Recent or past injury

• Contact details for other treating physicians

• Other influencing factors such as lifestyle or existing health conditions

• X-Rays relating to the feet, ankles, legs or hips

Follow this link to provide your patients with information on what to expect from an initial consultation.



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Referral Form

For Medical Grade Footwear Services

Patient Name:

Date:

Diagnosis (Claim-based):

Nature of Referral:

Footwear Orthotic options

Specific prescription

Other:

Main aims of Footwear Orthotic services:

Relevant General Medical Information:

Relevant Medical Grade Footwear Information:

Other Information:

Name of Referring Practitioner:

> Download Referral Form PDF

Initial ConsultationThe first appointment is a great opportunity to let us know what problems you have and how we might beable to help you.

What to expect at your first appointmentFirst consultations provide an opportunity to examine your feet in the context of your lifestyle. To helpassess your condition thoroughly and provide the best possible solution, it is a good idea to bring to yourfirst appointment:

• Samples of your current worn footwear

• Any doctor’s referrals, reports, scans or x-rays relating to your feet, ankle, leg or hips

• Any orthoses you may have previously been prescribed, or have worn

• A list of questions or issues you would particularly like to cover

At your first appointment a Foot Power practitioner will:

• Ask you about your lifestyle and the types of activity you undertake, to get an understanding of yourparticular needs and preferences

• Perform a range of assessments designed to analyse your individual requirements, including an emphiricgait analysis

• Ask about past problems with your feet or related pain

• Provide advice, options and expert recommendation as to the best solutions for your particular condition

• Discuss funding options that may be available to you

What to doAn appointment is needed to attend a Foot Power Clinic.

A fee is charged for all clinical services and is payable at the time of the consultation. Credit card facilitiesare available. Other acceptable forms of payment are by cheque or cash.

What to bring1. DOCTORS REFERRAL

2. RELEVANT REPORTS



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(a) Relating to your foot problem

(b) Any X-Rays, scans of your feet, ankle, leg and hip

(c) Any reports on factors contributing to your foot problems such as back problems which limit the amount of footwear change

3. EXAMPLES OF FOOTWEAR

Studying current and past shoes can give important information to us about what works and what doesn’twork and why.

(a) Sample range of current footwear – most comfortable shoes, least comfortable, most worn shoes, special function shoes

(b) Sample of footwear type you are hoping you can receive – this may be a photograph from an advertisement or a borrowed shoe

(c) Any (and all) orthoses you have received

What else is useful?1. Information on foot changes

Such as if your foot swells a great deal, a measurement of when it is swollen, and when it is not is helpful. Further information can be given to you when you make the appointment.

2. Information on any special needs or circumstances

Sometimes during a consultation people forget to mention special problems they have or features they want, and sometimes it is only after shoes are made that you remember. Thinking about this prior to your appointment, and providing us with your information can be very useful.

3. Any questions or issues

Please provide us with any points you may have, we will be happy to discuss them with you during the consultation.

> Download Patient Information Sheet



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Private Health FundsWe are registered as providers with most major Australian health funds, providing a quality service topatients, and working to the highest medical grade footwear industry standards.

A referral is usually recommended with claims from health funds.

Private Health Funds cover the products we provide.

Workers CompensationWe provide a service for patients using workers compensation.

We work with your insurance company throughout the process.

You will need to have a referral for our services. Furthermore, you will need to provide us with contactdetails of your insurance, claim number and case manager. Please advise us at the time of booking yourappointment that you will be covered by workers compensation.

Third Party Accident InsuranceWe work with your insurance company. You will need to have a referral for our services. Furthermore youwill need to provide us with contact details of your insurance, including the claim number and case manager.

Please advise us at the time of booking your appointment that you will be covered by Third Party AccidentInsurance.

PADP / Enable NSWPADP is the Program of Appliances for Disabled People.

Enable NSW is the state governing body that controls PADP.

We as a service provider work with that program. We are eligible prescribers and suppliers under NSWhealth guidelines.

The program does not cover consultation fees. The program is means tested for persons over the age of16. Children are exempt from a means test.

For more information please contact us or visit www.enable.health.nsw.gov.au



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> Products Brochure PDF

> Patient Information Sheet PDF

> Referral Form PDF

> MBT Repair Form PDF

> Charcot Foot Abstract PDF



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Below are some questions commonly asked by Foot Power clients. If your question is not answered, contact the Foot Power clinic for assistance.

Are Foot Power consultations covered by Medicare?Foot Power consultations and products cannot be claimed on Medicare. However, most private healthfunds will cover the costs of Foot Power products. Unfortunately the Foot Power consultation cannot beclaimed.

The level of private health insurance cover will determine exactly what can be claimed by each patient. Notall health funds require a referral but it may be a good idea to have one on file for potential claims.

Are referrals necessary?A referral is not required for a Foot Power consultation. However in cases of complex problems, or whereprevious treatment or surgery has taken place, it is beneficial for your Foot Power practitioner to know themedical history of diagnosis. Referrals are also useful with health fund claims.

Are home visits available?Foot Power practitioners are available for home visits, in cases where patients are unable to attend theclinic. These are charged on a case by case basis, as the cost allows for travel time. To enquire further,contact the Foot Power clinic.

What can I expect to pay?Here is a guide to the cost of Foot Power consultations or products:

Initial consultation $65.00

Home visit Approx $90.00–$120.00

Short consultation or review visit $40.00

Custom orthotics $460.00

Custom made footwear From $1090.00

Orthotic re-alignment $120.00

Heel raises From $100.00



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MBT re-sole and sensor $99.00

Pre-fabricated footwear From $200.00

I have Private Health Insurance, can I claim anythingback from them?We are registered as providers with most major Australian health funds, providing a quality service topatients, and working to the highest medical grade footwear industry standards. A referral is usuallyrecommended in relation to claiming back from health funds.

Our products are refundable by Private health funds.

I have a Workers Compensation / Third Party Claim?Yes we work with your insurance provider.

You will need to have a referral for our services. Furthermore, you will need to provide us with contactdetails of your insurance, claim number and case manager.

Is Foot Power endorsed by the Department of VeteranAffairs?Foot Power is an approved provider for the Australian Department of Veterans Affairs. However a limitedpart of our services is covered by DVA.

All DVA patients require a referral from an orthopaedic surgeon, rheumatologist or podiatrist. Please adviseat the time of booking that you would like to utilise the DVA cover.

How long do Foot Power orthotics take to customise?Foot Power orthotics take approximately one week to customise.

At the time of the consultation we arrange a fitting appointment which is usually within seven days.

What follow up appointments are necessary?In the weeks following the initial supply of the orthotics a full after sales service including a review of fittingand adjustments is provided. Training and advice is also provided to the patient’s primary carer ifnecessary, to ensure proper use of the product.



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What product guarantees does Foot Power offer?Foot Power offers the highest quality in service, productivity and workmanship. We guarantee that ourservice is of the highest standard and we offer free follow-up service on custom made footwear andorthotics up to and inclusive of three months.

What are the Foot Power clinic opening hours?The Dee Why clinic is open Monday – Friday, 9am – 5.30pm plus one Saturday per calendar month 9am –1pm. Foot Power also has a clinic in the Sydney suburb of Concord, open every second Wednesday.

What public transport options are available to get to theDee Why clinic?From Wynyard station

• The following buses travel to the Northern Beaches from Wynyard station via Warringah Mall and thencontinue to Dee Why: 178, 180, 185, L80, L88 and L90

From Manly Wharf

• If you are catching public transport to Dee Why via Manly Wharf, buses depart throughout the day fromthe bus stop just to the left outside the wharf entrance. The following buses travel from Manly wharf directto Dee Why: 155, 156 and 169.

The Foot Power clinic is located just a few minutes walk south of Howard Ave, entry via Delmar Parade.

For further information and updates please contact:

Public Transport Information Line: 131 500

State Transit Authority – Brookvale Bus Depot: 9941 5816

Is there any parking available at the clinic?We have dedicated parking outside our clinic premises.

Please look for the signs located at the front of the parking spaces.

What payment options are available?You can pay by using any of the following methods at both Dee Why and Concord:



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Eftpos, Visa Card, MasterCard, American Express and Cash and Cheque.

Eftpos is only available at our Dee Why Clinic.

Our aim at Foot Power is to provide you with the highest level of service, so please contact us now for an appointment.



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Documents

“When our feet hurt, we hurt all over.” - ShoetechAn AFO (Ankle Foot Orthotic) is a special brace that is designed to help control the motion of the ankle joint and also to provide