“When Our Feet Hurt, We Hurt All Over.”

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“When our feet hurt, With a highly experienced team of foot care providers at your service, we hurt all over.” the Foot Power clinic in Sydney’s Dee Why offers innovative foot care solutions. Put simply, at Foot Power we put feet first. Socrates 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!

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About Us 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. Fast Foot Facts Company Profile Foot 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 as chronic 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 active member of the Australian Pedorthic Medical Grade Footwear Association. Foot Power innovation Foot Power has been leading the way in foot care technology for many years. Since 1991 the Foot Power clinic has used Dynamic in-shoe computerised foot plantar pressure evaluation systems in order to improve assessment and orthotic services. This technology driven diagnostic tool is complemented with the use of flexible non-rigid foot orthoses. In 2005 Foot Power were the first to introduce Sensomotoric® orthoses as a way 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 shows him walking in a pair of boots made by Foot Power. > Before > After

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About Us Fast Foot Facts Fast Foot Facts Need 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 a lifetime 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 4 kilometres 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 tunnel syndrome can afflict the foot. • In addition to its many other health benefits, loss of excess weight can help prevent foot pain by reducing stress on the feet. To view a range of possible solutions to your foot complaint, browse the products and services available at the Foot Power clinic.

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AFOs 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 products Leaf Spring are customised on the premises in a state of the art workroom. Production is not out-sourced, so nothing Ankle enclosing gets lost in the translation – the professional who assessed your condition is on hand during the development of your tailored solution. Foot Orthoses To find out the type of solution that may best suit your particular complaint, browse the Foot Power product Custom Orthopaedic range menu at left.

Modular Footwear AFO’s An AFO (Ankle Foot Orthotic) is a special brace that is designed to help control the motion of the ankle joint Shoe Modifications and 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 and easier shoe fit than other braces. Carbon Fibre A Carbon Fibre AFO is material that is used to give greater strength. Some AFO’s are entirely made out of this material and are strong as well as flexible. Carbon fibre can also be included as material when producing other orthotics. Ankle unilateral An ankle unilateral AFO is designed to be one sided. This may be applied on the medial or lateral side of one foot and provides greater control and support for that side. Night splint A night splint is an AFO which is used at night, where it is necessary to hold and support the foot in a neutral position. Night splints can be used in the evening to improve calf muscle flexibility. They can also be used during sleep to prevent night time contracture of the calf muscle to ensure that the first steps taken each 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. This reduces risk of deformity. Foot drop lift A foot drop lift is an AFO used by patients with ‘dropped foot’. This prevents the foot from dragging and clawing as they walk. It stops the foot dropping and works to lift the foot to improve walking.

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AFOs Leaf Spring Leaf Spring A leaf spring is an AFO which has a retaining spring effect enclosed. This provides stability for the foot in certain positions. It reduces foot drop. Ankle enclosing Suitable: Foot Orthoses • Foot drop Custom Orthopaedic • Hemi paresis Modular Footwear • Charcot Marie Tooth (CMT)

Shoe Modifications 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, width and 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.

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AFOs Ankle enclosing Leaf Spring An 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. Ankle enclosing Suitable: Foot Orthoses • Foot drop including those with varus or valgus foot alignment Custom Orthopaedic • Hemi paresis with varus or valgus foot alignment Modular Footwear • Suitable for moderate to severe foot support needs

Shoe Modifications • 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 • Sandals with removable inlay • Prefabricated or custom Medical Grade Footwear

Contra indication: Not suitable for sensitive skin in the insensate foot (e.g. diabetic foot) unless significantly padded. To accommodate the padding a shoe fitting with extra depth, width and length or custom made medical grade footwear 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, variations may be applied.

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AFOs

Leaf Spring

Ankle enclosing

Foot Orthoses

Custom Orthopaedic

Modular Footwear

Shoe Modifications 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 of rigidity to not stimulate the spasms with hard materials.

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AFOs Orthoses Foot Orthoses Often 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 are Sensomotoric® Custom Orthotics made from a variety of materials. Sports Runner Orthoses will reduce pain levels and improve stability and co-ordination. They may be useful to those that have a disability and/or symptoms in everyday life, who may be using an orthotic or special footwear already. Kids Jumper Orthoses may also be used by those that do not have any obvious deformity but may have pain or Business Walker symptoms during or after sport activity, whether for leisure or at a competitive level. Sensocontrol Sensomotoric® Orthoses (It’s a new concept) Thin Type Exclusive to the Footpower clinic, sensomotoric® orthoses are orthotic devices which utilise the proprioceptive system in the body. EVA Base This orthotic concept was first published by Lothar Jahrling in Germany. We utilised our association and UCBL / Rigid co-operation with him in providing our expertise for your benefit. Total Contact Inlay - TCI They aim to improve the foot function, instead of functional substitution and can help by providing balance. Total Contact Orthoses - TCO They minimise the stress forces that can ultimately cause further pain or deformity in the feet. Hallux Valgus Splints The sensomotoric® theory has been described by Dr. W. Laube, MD, Sports Physician and elite athlete in a Carbon Inlay number 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. Custom Orthopaedic Sensomotoric® orthoses use those principles to improve foot function and to guide you to better movement pathways. Shoe Modifications The theory behind sensomotoric® foot orthoses revolves around the natural response of the foot and body in 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 become repetitive. In sport it is well accepted that you have a coach or trainer who points out the “wrong” movement techniques whilst teaching the correct ones. You then have to learn the improved movement pathways and repeat them until they become your new movement pathways. Sensomotoric® orthoses are your personal trainer for your feet inside your shoes.

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AFOs Recent research by Prof. B. Nigg, Calgary Canada suggests that foot orthoses

Foot Orthoses • Affect muscle activity • Affect joint movements Sensomotoric® Custom Orthotics The whole science behind the design is both exciting and revolutionary. It takes us in giant steps forward in Sports Runner the development of improved functional outcomes using orthoses.

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

Sensocontrol

Thin Type

EVA Base

UCBL / Rigid

Total Contact Inlay - TCI Total Contact Orthoses - TCO Hallux Valgus Splints

Carbon Inlay

Custom Orthopaedic

Shoe Modifications

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AFOs Sports Runner Foot Orthoses Keep your body aligned Hard regular training is a prerequisite for peak sporting performance; often exposing Sensomotoric® your body to extreme loads. Even something as gentle as walking can place loads of Custom Orthotics up to 250kg on your feet. In these conditions, a misalignment of your body can Sports Runner quickly flare into discomfort and injury to bones, tendons or ligaments. Kids Jumper Pain-free training with Sports Runner Developed by physiotherapists and orthopaedical engineers, the innovative Sports Business Walker Runner orthotic activates the endogenic nervous system, leads to the stabilisation of Sensocontrol the whole chain of muscles and stimulates the body to “correct” movements. The secret: senso-motor activity instead of functional substitution. Thin Type Prevent against injuries and take your training to the next level. EVA Base Sports Runner – like walking on air Your Sports Runner orthotic is individually tailored to meet the specific needs of your UCBL / Rigid body. This custom construction allows it to be effective at every phase of your running and walking action. Total Contact Inlay - TCI Total Contact Orthoses - TCO 1. Step Hallux Valgus Splints 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 Carbon Inlay use of impact absorbing materials. Custom Orthopaedic 2. Standing position Shoe Modifications 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.

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AFOs Kids Jumper Foot Orthoses Start them on the right foot! Are you concerned about your children’s feet? Sensomotoric® Custom Orthotics Most babies are born with perfectly functioning feet. By the time they reach the teenage Sports Runner years some children will have developed a foot problem, largely due to ill fitting shoes or shoe styles offering little foot support. Kids Jumper 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. Business Walker Keep kid’s feet on track with Kids Jumper. Sensocontrol 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 Thin Type the key. EVA Base 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 UCBL / Rigid 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. Total Contact Inlay - TCI Total Contact Orthoses - TCO Every step with Kids Jumper encourages a co-ordinated motion cycle. Hallux Valgus Splints • Kids Jumper reduces mal-alignment of young feet during the growth phase. • Kids Jumper supports the physiological development of young feet. Carbon Inlay • Kids Jumper enables free motion of the small foot joints, which is an important Custom Orthopaedic prerequisite in the growth phase. • Kids Jumper are custom made and fitted to individual feet and shoes. Shoe Modifications • 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.

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AFOs Business Walker Foot Orthoses Put your best foot forward! Your feet are your foundation. Sensomotoric® Custom Orthotics 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 Sports Runner your shoes come off! The Business Walker orthotic will alleviate foot discomfort, Kids Jumper allowing you to focus on getting the job done! The Business Walker supports busy people, helping to activate the body’s complex Business Walker nerve and muscle system, stabilising the muscle chain and allowing the body to work as it was meant to. Sensocontrol Instead of providing functional substitution, as traditional orthoses do, the Business Thin Type Walker encourages the senso-motor activity of the entire body. Why choose the Business Walker? EVA Base • Remedy mal-alignments of the foot, correct unnecessary loads on the knee, UCBL / Rigid hip joints and back. • Activate the muscle system, supporting its balance and coordination. Total Contact Inlay - TCI • Reduce pain experienced in joints and the back as a result of long periods of time Total Contact Orthoses - TCO in business shoes. Hallux Valgus Splints • Provide comfort in business shoes for longer periods of time. Carbon Inlay Developed by a team of musculoskeletal specialists and orthopaedic technique Custom Orthopaedic practitioners the Business Walker orthotic unites foot health, comfort and good looks Shoe Modifications in one product. The Business Walker orthotic is prescribed and custom fit exclusively at Foot Power, specialists in relieving foot and ankle pain.

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AFOs Sensocontrol orthoses Foot Orthoses Sensocontrol orthoses have very pronounced sensomotoric® elements and are particularily useful when a stronger treatment is intended or in case of neurological issues. With conditions such as cerebral palsy the Sensomotoric® Custom Orthotics sensocontrol foot orthoses can be combined with ankle foot orthoses to enhance the maximum outcome. Sports Runner Suitable: Kids Jumper • For intense treatment

Business Walker • Medial rotated gait (in-toe or pigeon toe) • Toe walker Sensocontrol • Neurological issues Thin Type • Cerebral Palsy

EVA Base Shoe fit: UCBL / Rigid • Sport footwear

Total Contact Inlay - TCI • School shoes Total Contact Orthoses - TCO • Sandals with removable inlay Hallux Valgus Splints • Prefabricated Medical Grade Footwear Carbon Inlay • Boots

Custom Orthopaedic Contra indication: Shoe Modifications Insensate foot, very sensitive feet, pressure sensitive skin

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AFOs Types of sensomotoric® sensocontrol orthoses

Foot Orthoses Description and Differentiation and Indication anatomical features General Sensomotoric® Custom Orthotics Sensocontrol 1/1 Flat foot General symptoms Sports Runner Anatomical signs • Attention deficit • Pronated low arched foot • Reduced sensory abilities Kids Jumper • Flat foot • Co-ordination disturbances Business Walker • Pes equinus • Bad postural alignment Prescription indication • Genu valgum Sensocontrol 1. Children’s hyper and hypo tone • Genu varum Thin Type spastic pronated, lowered arched • Medial rotated walking gait foot with medial rotated walking gait EVA Base 2. Multiple sclerosis UCBL / Rigid 3. Hemi paresis 4. All neurological pathologies in Total Contact Inlay - TCI connection with a pronated or low Total Contact Orthoses - TCO arched foot or flat foot Hallux Valgus Splints

Carbon Inlay Sensocontrol 1/2 Flat foot General symptoms Anatomical signs • Attention deficit Custom Orthopaedic • Pronated low arched foot • Reduced sensory abilities

Shoe Modifications • Flat foot • Co-ordination disturbances • Pes equinus • Bad postural alignment Prescription indication • Genu valgum 1. Children’s hyper and hypo tone • Genu varum spastic pronated, lowered arched • Lateral rotated walking gait foot with lateral rotated walking gait 2. Multiple sclerosis 3. Hemiparesis 4. All neurological pathologies in connection with a pronated or low arched foot or flat foot

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AFOs Sensocontrol 1/3 Varus foot General symptoms Foot Orthoses Anatomical signs • Attention deficit • Varus Club foot • Reduced sensory abilities Sensomotoric® Custom Orthotics • Very high arched foot • Co-ordination disturbances Sports Runner • Pes equines • Bad postural alignment Prescription indication • Genu valgum Kids Jumper 1. Hyper and hypo tone spastic • Genu varum Business Walker club foot • Medial gliding of talus after surgery 2. Varus foot • Medial rotated walking gait Sensocontrol 3. Multiple sclerosis Thin Type 4. Hemi paresis 5. All neurological pathologies in EVA Base connection with a varus foot 6. Post club foot, varus foot surgery UCBL / Rigid

Total Contact Inlay - TCI Total Contact Orthoses - TCO Hallux Valgus Splints

Carbon Inlay

Custom Orthopaedic

Shoe Modifications

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AFOs Thin Type Foot Orthoses Foot Orthoses Ever wanted your foot orthoses to suit your different styles of footwear?

Sensomotoric® Thin Type Foot Orthoses may just be the right ones for you. Custom Orthotics Thin Type Suitable for conditions: • Mild to moderate foot support needs EVA Base • Flat feet mild to moderate UCBL / Rigid • Metatarsalgia or forefoot pain Total Contact Inlay - TCI • Pain under the ball of your foot Total Contact Orthoses - TCO Hallux Valgus Splints Shoe fit:

Carbon Inlay Most footwear including a more elegant style, up to a medium heel height.

Custom Orthopaedic Not suitable for the following condition: • Sever foot problems Shoe Modifications • PTT dysfunction • Strong flat feet • Neuropathy

These are thin type or Super Slim orthotics to fit into shoes and to some extent into sandals which specifically 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. They can 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 variety of heel heights. They typically have a firmer plastic element supporting your foot in both medial and lateral arches including transverse. A metatarsal dome as well as limited padding or posting can be added depending on your needs. They may not be suitable for severe foot conditions.

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AFOs EVA Base Foot Orthoses EVA is (Ethyl Vinyl Acetate) a light synthetic rubber, frequently used to make foot orthoses. EVA has excellent cushioning properties. We customise foot orthoses in a variety of hardness or softness depending Sensomotoric® Custom Orthotics on individual requirements. Thin Type EVA orthoses are versatile with both a vast array of applications and material combinations. They can be made accommodative such as TCI / TCO or with corrective elements. EVA Base Suitable: UCBL / Rigid • Suitable for mild to severe foot conditions Total Contact Inlay - TCI Total Contact Orthoses - TCO • Severe foot support needs in combination with supportive footwear Hallux Valgus Splints • Flat feet

Carbon Inlay • PTT disorders in combination with supportive footwear • Metatarsalgia or forefoot pain Custom Orthopaedic • Pain under the ball of your foot Shoe Modifications • 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 • Sandals with removable inlay • Prefabricated Medical Grade Footwear • Boots

Contra indication:

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AFOs Not suitable if a very rigid device is needed.

Foot Orthoses Your EVA base foot orthoses are made using a thermoplastic process or computer aided milling which brings the material into the desired shape. Sensomotoric® Custom Orthotics The EVA is often reinforced with a thin layer of flexible stiffener to provide added strength. The arch Thin Type elements are made from soft but resilient foam to give your arch a strong but cushioning support. They are then covered with a soft full length layer. The EVA base foot orthoses are extremely versatile. Depending on EVA Base your individual needs, material combination can vary from firm to super soft.

UCBL / Rigid This photo identifies an example with Metatarsal dome and kangaroo leather cover. Total Contact Inlay - TCI Total Contact Orthoses - TCO Hallux Valgus Splints

Carbon Inlay

Custom Orthopaedic EVA Base with soft non leather covers for Shoe Modifications 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.

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AFOs UCBL / Rigid Foot orthoses Foot Orthoses The University of California Biomechanics Laboratory or UCBL foot orthoses are named after the laboratory where they were researched and developed. Sensomotoric® Custom Orthotics UCBL orthoses are rigid with a deep shell like shape. Thin Type Suitable: EVA Base • Suitable for severe foot support needs UCBL / Rigid • Severe flexible flat feet

Total Contact Inlay - TCI • PTT disorders in combination with supportive footwear Total Contact Orthoses - TCO • To hold the foot in a particular shape Hallux Valgus Splints • Reduce further deformity Carbon Inlay Shoe fit: Custom Orthopaedic • Sport footwear with extra depth Shoe Modifications • Sandals with removable inlay and extra depth • Prefabricated Medical Grade Footwear • 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 a flexible flat foot. The UCBL is different from other foot orthoses in that it has a deep heel cup and shell like construction which in turn holds the heel, or hind foot in a neutral vertical position. While correcting and holding the heel in a neutral position, the UCBL also controls the medial arch of the foot and the outside border of the forefoot. 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 the foot deformity is rigid the UCBL will be very uncomfortable if used in an attempt to correct the deformity. If the foot is rigid, the UCBL can be made to the shape of the foot and the goal is to prevent further deformity.

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AFOs The UCBL is made out of a rigid material, usually plastic, that is moulded over a cast of the foot. The rigid material usually ends at the ball of the foot to allow a smooth roll though process. Foot Orthoses These photos show a Sensomotoric® UCBL style orthoses Custom Orthotics with posting and soft Thin Type padding cover. EVA Base

UCBL / Rigid

Total Contact Inlay - TCI These Photos show a Total Contact Orthoses - TCO lower shell rigid foot Hallux Valgus Splints orthoses with posting, Carbon Inlay soft padding and full length kangaroo Custom Orthopaedic leather cover. Shoe Modifications

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AFOs Total Contact Inlay – TCI Foot Orthoses Total Contact Orthoses – TCO Sensomotoric® A TCI or TCO is a moulded device which is designed to follow the plantar contours and tomography of the Custom Orthotics foot. They reduce plantar pressure at points where they are higher than normal by offloading weight across Thin Type a larger area of the plantar surface. Both TCI and TCO are usually made of soft material.

EVA Base Suitable: UCBL / Rigid • Arthritis • Diabetes Total Contact Inlay - TCI Total Contact Orthoses - TCO • If extra padding is required Hallux Valgus Splints • Sensitive feet Carbon Inlay • Redistribution of plantar pressure

Custom Orthopaedic Shoe fit: Shoe Modifications • 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 in soft 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 sensitive feet. The materials will self mould on the surface plantar to the foot which will make it more comfortable after a little usage. The orthoses requires extra depth inside footwear.

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AFOs Hallux Valgus Night Splint Foot Orthoses A Hallux Valgus is most commonly treated and prevented with some simple adjustments to your shoes. In order to help alleviate pain from a Hallux Valgus, an orthotic device may be inserted to redistribute the Sensomotoric® Custom Orthotics pressure along the arch and ball of the foot. It should support the foot, and reduce the tendency toward Thin Type Hallux Valgus formation. A night splint can be used to hold the big toe in a corrected position. This reduces the HV development. EVA Base

UCBL / Rigid

Total Contact Inlay - TCI Total Contact Orthoses - TCO Hallux Valgus Splints

Carbon Inlay

Custom Orthopaedic

Shoe Modifications

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AFOs Carbon Inlay Foot Orthoses Carbon inlays provide more rigidity to shoes. They may be required where too much flexibility in a shoe does not support the foot. This can be the case where inappropriate movement in the feet causes pain or Sensomotoric® Custom Orthotics increases deformity. Thin Type 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. EVA Base

UCBL / Rigid

Total Contact Inlay - TCI Total Contact Orthoses - TCO Hallux Valgus Splints

Carbon Inlay

Custom Orthopaedic

Shoe Modifications

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AFOs Custom Orthopaedic Footwear / Medical Grade Footwear Foot Orthoses Custom made orthopaedic footwear is made specifically for each individual patient from a cast. The requirement for each foot is completely individual; the Foot Power clinic prepares all custom orthopaedic Custom Orthopaedic footwear on the premises. Shoe Modifications COF is usually required when standard footwear is unsuitable, due to high risk, severity of problems or finally, 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 and improve gait. The shoes may incorporate functional devices such as: • Foot orthotics • AFO • Rocker soles

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AFOs • Rigid soles

Foot Orthoses • Amputation sprints Custom made shoes may be designed to accommodate style and function of the individual patient. They Custom Orthopaedic may be required for: Shoe Modifications • 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 the footwear.

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AFOs Shoe Modifications Foot Orthoses Internal shoe modifications are changes made to inside the shoe to relieve pressure or shear forces that can cause pain, irritation or trauma to the foot. External shoe modifications are made on the sole and or Custom Orthopaedic heel of the shoes. Shoe Modifications Heel / Shoe raises A heel raise is placed inside the shoe to balance leg lengths and align the pelvis. It can also be incorporated 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 the shoe raise depends on the foot requirements. Rocker Soles / Bars Rocker soles or bars can be added as a modification to regular footwear. They can also be incorporated in to the construction of custom footwear. There are several kinds: The Rocker bottom The rocker bottom applies to the entire shoe bottom, from heel to toe, which is rounded to help your foot roll through the process. However, typically there is some area of the shoe bottom made flat to provide stability when standing. The Rocker sole The rocker sole creates a roll through from the mid to the forefoot, depending on the placement of the apex line. The heel Rocker The heel rocker applies to the heel only, reducing impact by delaying the heel impact and helps in a stiff rear foot. Metatarsal Rocker Sole Metatarsal rocker soles are made with the apex line proximal or behind the metatarsal heads to reduce pressure 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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AFOs cavity and padding for specific metatarsal heads.

Foot Orthoses The Hallux rigidus / Limitus rocker sole has a specific cutout to compensate for the lack of mobility of the 1st MPJ. Custom Orthopaedic

Shoe Modifications Metatarsal domes Metatarsal domes and platforms relieve pressure from specific metatarsal heads or the entire transverse arch of the 2nd, 3rd or 4th metatarsal head. This modification is incorporated during the orthotic manufacture. It can also be an internal shoe modification. Velcro conversions A velcro conversion is a modification to a shoe whereby a velcro strip is attached where laces used to be. Wedges A wedge is a shoe modification consisting of an insert incorporated into the heel of the orthotic. The wedge acts to align the calcaneus and mid-foot into midline, thus decreasing the strain on joints, ligaments and tendons. 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. Flares Flares are shoe modifications which are commonly medial or lateral. Strips of material are applied to the whole 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 balance etc. Relasting Relasting 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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AFOs To see a full range of our products please view > Products Brochure PDF

Foot Orthoses

Custom Orthopaedic

Shoe Modifications

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

MBT Footwear Repairs Home visits available to clients in which circumstances make it difficult to visit the Foot Power clinic. Case Studies To find out about costs associated with home visits, visit the Foot Power FAQ. What to expect at your first appointment First consultations provide an opportunity to examine your feet in the context of your lifestyle. To help assess your condition thoroughly and provide the best possible solution, it is a good idea to bring to your first 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 your particular needs and preferences • Perform a range of assessments designed to analyse your individual requirements, including an emphiric gait 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 for your 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 models generated, that is specific to your foot and your individual requirements.

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

MBT Footwear Repairs At the Foot Power clinic, a sophisticated computerised plantar pressure measurement system is employed to analyse your gait and help develop the optimum treatment plan. Case Studies Empiric gait analysis Empiric gait analysis involves the Foot Power practitioner assessing your walking or running style. This is included in the basic consultation fee. Computerised gait analysis This form of analysis utilizes two cameras and a sophisticated software program which analyses your personal running/walking style, ultimately generating a detailed report. Plantar Pressure Reading Plantar pressure reading using sophisticated sensor technology. Foot Power evaluates the load your feet carry as well as the pressure applied to every part of your foot. This will initially be done in the Foot Power neutral sensor test shoe, but may be done inside your footwear with or without any orthoses. Footwear Modifications Footwear 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 service augmenting 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 of comfort. Footwear Repairs Shoe repairs and maintenance can be made at the Foot Power clinic to modified standard or medical grade footwear as well as orthotic solutions.

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Assessment MBT Footwear Repairs Services As the official repairer for MBT Footwear, we have implemented a few changes to the repair process. These include: MBT Footwear Repairs • A new format for repair forms – to improve turnaround time Case Studies • 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 customer service from 15th July 2009 so all repairs except warranty claims can be sent directly to the MBT Service Centre, 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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Assessment Case Study 1: Neurological disorder Services Compare the traditional with the new approach MBT Footwear Repairs 63-year-old male

Case Studies 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 walking phase. The left picture shows the person using a traditional custom made surgical boot together with a metal calliper.

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

Services The right is the boot from Foot Power Pty. Ltd. You can see the foot and ankle is far more stable with our boots. MBT Footwear Repairs There is no “twisting” in the ankle with our boots. We have reviewed this person over several years and the Case Studies boot performs the same after using it for several years. However, some repair of worn heels and soles need to 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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Assessment Case Study 3: Charcot Foot Services 51 year old male long term diabetic developed a charcot foot insulin depended neuropathy with loss of sensation in both feet Ulcer was MBT Footwear Repairs present for 12 months. Case Studies The ulcer closed after using a total contact cast for 4 months, follow up with medical grade footwear (MGF) ulcer closed after 4 years wearing MGF.

Plantar pressure distribution map Several dynamic plantar pressure readings were performed. For more details about the technology refer to plantar pressure reading. The left picture shows the plantar pressure values in a neutral shoe. The neutral shoe is simulating a “normal-standard” footwear without an specific feature and is our base reference recording. Plantar pressure in the neutral shoe is very high as you can see on the red color. The middle picture shows the plantar pressure values as measured in the total contact cast that facilitated healing of the ulcer. The right picture shows the plantar pressure measurement in the custom made medical grade footwear. You can see clearly that the medical grade footwear provided by ShoeTech provided peak plantar pressure reduction better than the total contact cast and protected the foot successfully from further ulcers for many years. Download an > Abstract about this case.

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Assessment This chart shows the evaluation of the plantar forces for the Charcot foot over several steps. Services It compared the total forces in the neutral shoe, the total MBT Footwear Repairs contact cast and the medical grade footwear provided by Foot Power. It compared 3 sections of the foot. On the Case Studies very left the entire force acting on the foot is displayed. That shows an increase of overall plantar forces with the total contact cast and the medical grade footwear by Foot Power. This is a positive sign as it indicates that the person is now walking with more confidence by placing more overall load on this foot. The middle graph identifies the plantar forces for the areas where the ulcer was. Here it is very clear that the forces have been reduced comprehensively by the Foot Power shoes. The right graph includes the area around the ulcer and again the Foot Power shoe identifies the best result.

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Assessment Case Study 4: Multiple trauma – motor cycle accident Services

MBT Footwear Repairs

Case Studies

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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Referrals Referrals Referral Form The Foot Power clinic welcome referrals from medical doctors and other health care professionals, and our practitioners are happy to answer any questions you may have regarding the foot health of your patients. Initial Consultation For your convenience, referral forms can be downloaded as a PDF. Alternatively, contact reception to Funding arrange 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 needs of patients. View examples of specific solutions which may suit your patients, or contact the clinic to discuss your patient’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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Referrals Referral Form Referral Form For Medical Grade Footwear Services Initial Consultation Patient Name: Funding 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

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Referrals Initial Consultation Referral Form The first appointment is a great opportunity to let us know what problems you have and how we might be able to help you. Initial Consultation

Funding What to expect at your first appointment First consultations provide an opportunity to examine your feet in the context of your lifestyle. To help assess your condition thoroughly and provide the best possible solution, it is a good idea to bring to your first 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 your particular needs and preferences • Perform a range of assessments designed to analyse your individual requirements, including an emphiric gait 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 do An 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 facilities are available. Other acceptable forms of payment are by cheque or cash. What to bring 1. DOCTORS REFERRAL 2. RELEVANT REPORTS

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Referrals (a) Relating to your foot problem

Referral Form (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 Initial Consultation amount of footwear change Funding 3. EXAMPLES OF FOOTWEAR Studying current and past shoes can give important information to us about what works and what doesn’t work 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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Referrals Private Health Funds Funding We are registered as providers with most major Australian health funds, providing a quality service to patients, 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 Compensation We 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 contact details of your insurance, claim number and case manager. Please advise us at the time of booking your appointment that you will be covered by workers compensation. Third Party Accident Insurance We work with your insurance company. You will need to have a referral for our services. Furthermore you will 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 Accident Insurance. PADP / Enable NSW PADP 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 NSW health guidelines. The program does not cover consultation fees. The program is means tested for persons over the age of 16. 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 health funds will cover the costs of Foot Power products. Unfortunately the Foot Power consultation cannot be claimed. The level of private health insurance cover will determine exactly what can be claimed by each patient. Not all 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 where previous treatment or surgery has taken place, it is beneficial for your Foot Power practitioner to know the medical 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 the clinic. 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 anything back from them? We are registered as providers with most major Australian health funds, providing a quality service to patients, and working to the highest medical grade footwear industry standards. A referral is usually recommended 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 contact details of your insurance, claim number and case manager. Is Foot Power endorsed by the Department of Veteran Affairs? Foot Power is an approved provider for the Australian Department of Veterans Affairs. However a limited part of our services is covered by DVA. All DVA patients require a referral from an orthopaedic surgeon, rheumatologist or podiatrist. Please advise at 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 fitting and adjustments is provided. Training and advice is also provided to the patient’s primary carer if necessary, 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 our service is of the highest standard and we offer free follow-up service on custom made footwear and orthotics 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 the Dee Why clinic? From Wynyard station • The following buses travel to the Northern Beaches from Wynyard station via Warringah Mall and then continue 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 from the bus stop just to the left outside the wharf entrance. The following buses travel from Manly wharf direct to 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.