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“Now ALL Physical Therapists can Enhance their Treatment programs through Orthotic Therapy ”
Before you refer your next patient
for Orthotic Therapy, take a moment to consider the following article.
How often have you treated a patient knowing instinctively
that they would benefit from foot supports, but you felt it would be inappropriate
for you to prescribe commercial grade orthotics?
Instead,
you refer your valued patient to the delight and benefit of other
professionals. Why refer healthy business elsewhere, when you can possess all the skills
and experience to retain all of this within your own practice.
I will show you step by step all
the simple things you need to know when assessing your patients, performing
the negative impression, issuing the orthotic, and the correct manner by which
to review your patient’s well-being from the comfort of your own living
room, online.
You
too can be prescribing and issuing your patient’s orthotics within 2-3
hours.
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Dear Friend,
My name is Mal Walker, I’ve
been practicing Orthotic Therapy for well over 20 years in a practice which
predominately involves biomechanics and orthotic manufacture.
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I’ve examined well over 220,000
patients in this time and performed over 3000 castings that have helped many
people to obtain a better ‘ quality of life’ through Orthotic Therapy.
I am the Founder, President, and CEO of the ‘Foot and Hand Carers Association’
of Australia. I am also co-author of a Foot and Hand Carers Syllabus in conjunction
with one of Australia’s leading teaching Institutes, the East Gippsland
Institute of TAFE.
‘Basic Principles of Orthotic Therapy and its Clinical Application" is the most recent course that I have
written. In doing so, my intention is to help other Health Care Professionals
gain a better understanding of Orthotic Therapy through my own perspective.
My course has been written to allow
Health Care Professionals even those without biomechanical knowledge to scan the information
quickly, whilst still catering for those that are more advanced in the field
of biomechanical application.
The Course incorporates over 150
pages of easy to read information, along with 250 descriptive
digital pictures and digital videos, all of which can be downloaded to your
site without you needing to attend an orthotic therapy workshop. . For those practitioners that have very busy shedules, or for those that have family commitments or reside in areas that are some distance away from the city areas you can do this course online at home while at the same time receive continuing education points
With Over twenty years of issuing orthotics, I’ve seen errors occurring
time and time again within the existing format of Orthotic Therapy. However
things have changed. Materials and methodology have advanced dramatically these
days, now you can rely upon state of the art technology to manufacture precision
orthotics with a minimum of time and effort.
This technology utilises plaster casts and
foam impression boxes that can be electronically scanned directly into the computer.
Here, specifically programmed software eliminates human error at the plaster
moulding stage. Corrections can now be made directly from the computer image and
transmitted to computerised milling machines where positive blanks are shaped
according to your patient’s needs. Simple, quick and no room for error!
The finished result is an orthotic
that is made from a thin 100% memory thermoplastic material, which has enough
rigidity to support the foot, while offering sufficient flexibility to absorb
ground reaction forces.
The orthotic
that is manufacture is guaranteed for a lifetime against breakage.
Put simply, I will provide you with
the latest insider information that you can download, in plain
English, that will assist you to prescribe your own patient’s orthotics.
As well as this, you will have at your disposal the latest manufacturing technology
applied to orthotics, competitively priced as any other orthotic laboratory
products in the market place today.
I will remove the complexity and
guess work that currently surrounds the process of issuing orthotics. No one
profession has the right to claim the orthotic domain as their own.Before you download your copy of "Basic Principles of Orthotic Therapy and its Clinical Application" which can be found as you scroll down to the bottom of this home page,please take a minute to read the rest of the information that follows this introduction I think you will find it very interesting.
With that said why not join my……..
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Before we proceed, I would like to share with you an on-going
story to which I have been a witness over several years:
As with any pain or discomfort that
is associated with the body, the patient nearly always consults their general
practitioner. Here, a diagnoses is usually made. For example, they are informed
that their heel pain is due to Plantar Fasciitis so the doctor refers them to
the chemist for arch supports.
At the chemist, they are greeted
by a charming and efficient assistant with limited knowledge of foot care. Both
the customer and the assistant are usually unsure as to which “over-the-counter”
(OTC) arch support is required, but the customer, from sheer desperation, settles
for an OTC product simply to get some relief.
OTC orthotics are a mass produced
product that are often designed by podiatrists, with all the right intentions,
to reduce excessive pronation in gait which leads to foot problems. They often
come in various widths, (small, medium and large) both in men’s and women’s
sizes, and in various lengths corresponding to shoe fitting sizes.
My belief is this. The very idea
of “near enough is good enough” is totally unsatisfactory. No foot
is ever the same. My right foot is different to my left foot, and my left foot
is completely different to someone else’s left foot! I wanted to address
this hit-and-miss anomaly by developing a more realistic and remedial option.
One that would be comparable to commercially manufactured “prescription”
orthotics, made from very flexible but very supportive materials that won’t
flatten out, fit better, provide accurate alignment, support for the feet, and
still significantly reduce the patient’s cost.
The material that the OTC orthotic
is generally made from is a softer material called ethyl vinyl acetate, EVA
for short. Unfortunately, over time, and usually between 3-9 months this material
tends to flatten out due to weight bearing. This gradual change causes symptoms
to reappear. The patient is then faced with the need to purchase another set
of orthotics.
Here's the problem as I see it!
At this stage the patient has
two options. Either purchase another OTC device which will clearly
fail again within a short period of time, or visit a professional who is able
to “Prescribe” orthotics.
The problem then becomes
financial. These orthotic devices can cost between $400-$600, not because
the orthotic is more expensive, but because of the professional biomechanical
assessment the client receives in the process.
There's one question I want you to keep in mind:
Is a detail Biomechanical Assessment
really worth the additional cost at this stage when the client can consider yet another
option?
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An OTC orthotic can be dispensed
without an expensive Biomechanical Assessment, and will work satisfactorily
for a short period of time for most people by giving foot support despite
these OTC orthotics being fitted according to shoe size alone.
Consider
the third option.
A
custom made Orthotic that won’t flatten out
Scanned directly from a negative impression following the normal contours
of the foot, it gives control, stability, and alignment to the feet and
lower limb. The orthotic is also guaranteed for life against flatening out.
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When I graduated from the Lincoln Institute of Health Science, (which is now
Latrobe University), both my colleagues and I were taught to conduct routine
Biomechanical Assessments before taking a negative cast of the feet.
The Biomechanical Assessment would
normally include such studies as muscle testing, a range of motion studies,
gait analysis (visual), and various other Biomechanical examinations.
In private practice the Biomechanical
Assessment can cost anywhere between $300 - $ 400 which includes the impression prodecures but to be
fair, this can also vary from one practice to another bearing in mind that this
figure does not include the cost of manufacturing the orthotic. This is sent
off to the commercial orthotic laboratory, and can cost between $75-$127.
The total process could cost the
patient somewhere between $400- $600 dollars.
Clearly, no two practitioners operate in the same manner. What will work for
some, does not necessarily work for another.
But with over 20 years experience
in hands-on practice, involving over 220,000 patients, performing in excess
of over 3000 impressions, has positioned me most favorably with respect to creating
a value added custom made Orthotic that you can prescribe for your patients.
I believe that by imparting the knowledge I have gained over these many years
in this highly visible way, can only enhance the professional role of the allied
Health Care practitioner generally, enhance the patients treatment program in
house, and at the same time retain practice profits where they belong.
All professionals seek to improve
their business performance through updating and change. They seek to ensure
a high standard of patient satisfaction, cost effective delivery, and secure
profitability. It is not therefore, crass to discuss money and profit here in
this article.
If you were to see on average 3 clients per week who would benefit from having
orthotics, that would equate to 12 per month or 144 per year which in turn equates
to almost $36,864 in additional profit
for the year, less of course laboratory costs.
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For example |
$385
(orthotic fee) - $129 (lab fee) =
$256 Profit
$256 @ 144 = $36,864
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These are the fees I currently charge
for orthotics in my clinic ( without the full detailed biomechanical examination)
but charges are set at each clinic according to the practitioners particular situation.
My scale of charges looks like this:
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Initial consultation
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$39 |
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Casting
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$85 |
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Orthotic issue
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$223 |
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Orthotic review
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$ 38 |
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Total
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$385 |
If you see 5 clients per week that could be equivalent to almost $
66,560 per year in additional profit.
Conservatively, 1 orthotic per week still attracts$13,312
per year. (52 wks @ $256 )
It is not unusual for some Practices to average
over 30 orthotic clients a month. They charge $600.00 for a Biomechanical Assessment
which includes orthotics, earning a total of $180,000
per year for Orthotic Therapy alone.
If you think this equation through
properly, that is 7 clients per week at 1 hour for the Biomechanical Assessment
and casting. So you could say, one
days work per week that generates and additional
$180,000/pa
Why am I not charging for a full range of biomechanical tests?
The short
answer is…. Too many errors in detailed biomechanical tests
I could fill several pages. But readers
of this article will no doubt be professionals themselves, acutely aware of
Biomechanical Assessment differences if not reliability itself. But to skip
through some of the traps:
* Practitioners holding measuring devices in one hand, while steadying the patient
in another is a difficult procedure to accomplish accurately
*Different practitioners perceive
what is level and what is perpendicular differently.
*Casting in a non weight bearing
position and holding the foot in a subtalar neutral position, practitioners
will perceive the subtalar joint position of their patient differently, and
so no cast will ever be the same.
*Tread mill gait analysis is always
subject to errors, especially when the patient is walking on an artificial platform
that takes some time to get use to.
*Laboratory adjustments for ‘balance’
of the negative cast.
I remember seeing an article written
by a Doctor of Podiatric Medicine in the United States who was at the
time an Associate Professor of Biomechanics and Podiatric Medicine.
In his experiment, the Professor
engaged 30 experienced Doctors of podiatric medicine to study the foot of the
same patient. All 30 saw problems with this foot quite differently.
They each measured the same foot,
yet came up with differing measurements, yet each believed they had diagnosed
and treated this patient successfully .
I concur with the results of this experiment absolutely. I know this occurs
over and over again. Differing Biomechanical Assessment results is common place.
And the outcome is, the laboratory will manufacture 30 different Orthotics for
the same patient. Where is the logic in this when an accurate alternative can
be so simply applied and at less cost to the patient.
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the fee for a Biomechanical Assessment between $400- $600 really justified
when the product your patients will receive from us is basically the same
and works equally as well as other commercially produced orthotics without
the detailed Biomechanical Assessment?
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Practitioners will
often acknowledge that even with the best possible intentions there will always
be errors made in Biomechanical measurements.
My
personal belief is …
- The subtalar joint neutral
position (i.e. when the foot is not pronated nor supinated, but between
these two positions) is seen by a lot of professionals as a position
of stability. If the foot operates outside this position for example
excessive pronation foot deformities may occur.
- When a positive cast has been
made from a negative cast in the neutral position, the perception is
that the orthotic has been made from the neutrally balanced positive
cast and will therefore hold the bones of the foot in a neutral position.
This is not totally correct.
- In reality
there is at least over 1 cm of soft tissue between the plantar skin and
the bones of the medial (inside) aspect of the foot. You cannot expect
the bones of the subtalar joint to be moved exactly by degrees towards
the neutral position, only nearer to it.
- This again shows us that the orthotic is not an exact device,
although it will give the wearer added comfort as it pushes the foot nearer
the optimum position.
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SO……..
If a person presents with excessive
pronation, and if all you did was to control excessive pronation regardless
or irrespective of the foot type, the majority of your patients would get relief
without expensive detailed Biomechanical assessments.
Research has proven this to be correct.
Some studies show both OTC devices and custom made orthotic devices are beneficial
with foot deformities associated with excessive pronation, and yet people who
get OTC supports that did not have a Biomechanical Assessment, still manage
to obtain relief from a less expensive alternative. The problem with the OTC
supports is that they flatten out in the short period. Now you can have a devise
that provides greater control and won’t flatten out.
It’s my opinion that orthotic
manufacturing should be seen as an art form
rather than that of a science. We can not produce the same results with
pin point accuracy each and every time as we can with say medication. There
are so many different laboratories out there with so many different theories
and techniques, it is truly difficult to keep up with who’s right and
who’s wrong, I only know what has worked so well for me over all
these years.
I
can certainly identify with your problem
I can truly identify with practitioners
that do not like referring for simple procedures that could be easily taught
and performed personally or by their assistants.
At present, the end result can be
very disappointing. We do everything we can but our patient still needs to be
referred for a procedure that we could quite easily do, probably better, if
properly taught.
My point is, why refer a
patient in the first place? If you can perform this same procedure, treat the
patient holistically and with tender loving care, keeping your patient ‘in
house’ along with the profits.
so what’s the solution?
Have swift access to an orthotic that is custom made directly from the negative
impression, that follows the normal contours of the foot, gives control, stability,
and alignment to the feet and lower limb……….. without performing
an expensive detailed biomechanical assessment first up.”
The steps are simple
STEP 1
I'll show you easy step by step instructions on how to
assess, perform a negative impression, fit and review an orthotic, regardless
of whether you have any knowledge in biomechanics or not. (NB on average
it would take about 2-3 attempts to learn how to preform a foam impression
so within 2-3 hours you could be ready to go)
STEP 2
You then send the foam impression to a Cyber Orthotics laboratory where
a custom made orthotic is made from a material that doesn't flatten out,
will be fitted more securely to the contours of your patient's foot thereby
providing greater control, alignment, and stability.
STEP 3
The patient receives the orthotic at a price which is at a lesser cost to
them, but at a fee which will increase YOUR practice profit |
What distinguishes
our orthotics from our competitor’s orthotics. Why choose us? Here
are Seven overwhelming reasons why you can not go past our orthotic laboratory
to accurately design orthotics for your patients.
Whether you use the non-weight
bearing negative cast procedure or the semi-weight bearing foam impression procedure,
all measurements will be directly scanned from your patients impression straight into
a computer. This will reduce human error, improve accuracy and provide superior
and lasting comfort for all your patients.
The orthotics are made from
a thin 100% memory thermoplastic material available in 1mm, 2mm, 3mm and 3.5mm
thickness. This material provides enough support to the foot while simultaneously
offering the right amount of flexibility to properly absorb ground reaction
forces. Together with this the orthotics come with a lifetime guarantee against
breakage.
All orthotics are designed
according to the practitioners guidelines which will in turn meet all the lifestyle
needs of your patient. Computer records of all scanned impressions are kept for 2
years.
Free repairs and/or adjustments
within the first 90 days.
Practitioners are entitled to a personal pair of orthotics at no charge.
A discount of 25% is given to office staff and immediate family members of the
practitioner.
Market your practice with
your own personalized Top Covers placed over your orthotics. Eg Melbourne Physiotherapy
group
All of our additions and
modifications to the orthotics are included at no extra charge at the time of
the initial order.
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So how do you benefit as a practitioner?”
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Combine patient treatment
plans with custom made orthotics and achieve better results
in house.
If you are using over the
counter (OTC) inserts in your treatment programs you can now confidently upgrade
your patients to custom made orthotics which will be specifically designed to
your patients feet and provide greater control.
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Leverage
your practice, increase your practice income, reduce
your practice work load by teaching your assistants to do the foam
impressions.
If you do have Biomechanical
knowledge, you can charge for the Biomechanical assessments rather than someone
else, for example gait analysis, muscle testing, range of motion studies and
treadmill analysis.
Learning the principles on how orthotics work will help you treat your patients more holistically. That annoying Plantar Fasciitis, Shin splint and Heel pain that you have worked so hard on can now be reduced through orthotic therapy.
As a new patient enters your clinic no longer will you feel intimated by “prescription” or “custom made” orthotics. This online course will help you to understand in laymen’s terms how prescription orthotics function and how they control excessive pronation.
Your Practice income will increase each year. In fact, by issuing just one orthotic per month for the next 12 months you would have eclipsed your initial investment of $395 by over 600%. And that’s money in your bank that normally you wouldn’t receive.
If your already suppling off the shelve inserts you’ll know providing the correct size for your patient is always a problem. Cyberorthotics are scanned directly to your patient’s foot giving your patient the exact size each and every time.
As you know off the shelve inserts flatten out very easily over a very short time which means patients symptoms can reoccur. Cyberorthotics are guarantee over a life time not to flatten out making it easier for you to treat your patient.
Off the shelve inserts only provides your patients with a basic arch support. Cyberorthotics gives the practitioner greater control, providing hundreds of different variations, for example heel spur pads, metatarsal pads, heel lifts, heel cushions, and rear foot posts etc built into the orthotic itself.
Research suggests that 80% of the population has been reported to be excessively pronated. Your practice will benefit and now expand even further as you learn and introduce your patients to the benefits of wearing orthotics.
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About
this course
In a busy world, the
last thing you need is to be bogged down in another course which is going to
require more than its fair share of your time.
Taking on board new information is
always a great deal easier if the learning is visual, pictures instead of pages
rather than pages of words.
This course has been written to come
alive, with videos, 250 digital pictures, voice recordings of terminology, instructions,
tips and terms that are self-explanatory to any reader, even those that may
have a limited amount of Biomechanical knowledge.
.
My
twenty years of Education and Experience Is yours risk FREE
This comprehensive, 150-page manual
comprises of 250 digital pictures and 10 digital videos and is the foundation
of my entire program.
BUT
In addition to the Manual, I would
like to give the first 250 practitioners THREE additional BONUSES
( A total value of $575)
Bonus 1
Get your first pair of Cyberorthotics
FREE with our compliments for you to try. (Normally valued at $350-$450.)
I want you to personally experience
the comfort a pair of Cyberorthotics at first hand FREE
of charge with our compliments. Once you’ve learnt the easy technique
of performing a foam impression and completed the prescription form send me
your impression along with the prescription form and I will send you back a
pair of Cyberorthotics on the house.
Bonus 2
Market your practice with
your own personalised Top cover designed for FREE. ( Printing
costs normally valued at $200-$250)
| Example: |
“Melbourne Chiropractic
group”
“Sydney Physiotherapy”
“Australian Physical Therapists” |
Send us an attached business card
or a clear black and white proof of your practice logo and we will print this
on the top cover of all your orthotics. This personalised top cover on all your
orthotics will give your clinic a professional image as well as a competitive
edge.
Bonus 3
The quick-start guide to
prescribing your own orthotics in 2-3 hours.
After seeing everything you get so
far, you may be asking yourself “Where do I start?”
Don’t worry, I’ve got
you covered. This special guide which is found in the introduction of the course
is specifically designed to give you a simple step-by-step approach for prescribing
your own orthotics in just 2-3 hours. I’ve taken all the guess work out
of it for you. You get a detailed, easy-to-implement plan that will let you
hit the ground running so you expand your practice and profit from day one.
“Basic Principles of Orthotic Therapy and its clinical application” is now available to you within minutes.
It’s
easy to get started
Getting started couldn’t be
easier. The cost of this "FAST TRACK COURSE" is just $97, and this includes the comprehensive
online course manual with over 250 digital pictures ,10 digital videos, and
all three Bonuses which includes your complimentary Cyberorthotic yours to keep
valued at between $350- $450 .
To get on track and enhance your
clients treatment programs through orthotics therapy and also increase your
practice revenues, use the secure order form right
now. Or, you print the form and fax it to my clinic
at (03) 51526988. I accept fax orders 24 hours a day, 7 days a week.
You can also place your order by
calling my clinic at (03) 51526933. If the lines are busy, please leave a voice
mail and someone will get back to you the same day.
The forth option is to fill
out the order form and mail it to Cyberorthotics, 8 Service Street, Bairnsdale,3875,
Victoria. Australia.
I invite you
to use this course for 12 full months
And put all the risk Entirely on me.
Now, maybe you’re thinking
this course sounds a bit too good to be true. Or maybe you have doubts about
whether Orthotic Therapy will really be as beneficial as I’ve promised
you for your practice.
In case you have any lingering doubts
whatsoever, I want to make it foolproof for you. You see, I completely guarantee
that you will be ecstatic by what you discover in this course.
So heres what I would like to do.
Read the course manual and look at all the videos on Orthotic Therapy that I
have prepared for you…..discover how easy it really is to prescribe your
own client orthotics. Use what you have learnt for yourself for one full year
with no risk whatsoever. Then decide for yourself. I’m making the risk
completely mine.
Your Success
is Completely Backed By My
No- Nonsense Guarantee.
If you don’t agree that this
course has delivered on what I’ve promised …..If you aren’t
thoroughly convinced that this course has enhanced your clients treatment programs
and helped your clients to a better quality of life….. if you don’t
produce thousands of dollars in extra profit you never would have seen without
this course…..if you’ve ever unhappy with the program for any reason
….I will promptly write you a cheque refunding every cent you invested.
And all of the bonuses are still yours to keep. That’s how confident I
am that my course “Basic Principles in Orthotic Therapy and its Clinical
Application” will change how you practice and at the same time contribute
to your practice revenues bottom line.
Do Something
About it Today
Don’t wait. Order your copy
of “Basic Principles in Orthotic Therapy and its Clinical Application”
today. Lets get started right now on enhancing your clients treatment programs
making your practice a Hugh Success.
Sincerely
Mal Walker
Director of Cyberorthotics.
P.S. Remember, the risk is entirely
on me. You can use this manual on Orthotic Therapy for a full 12 months and
if you aren’t satisfied with the results you achieve, just let us know
and you will receive a full refund. You have nothing to lose other than your
clients discomfort and substantial increases to your practice revenue.
Click
Here for Secure online form or use our FAX form.
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