CONTACTS
SUBJECTS
Orthotics Podiatry Good Feet Maintainer Shoe Inserts Procurement Inv
1103 -
1103 - ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 6 0000, ref SDS 5 0000.
110502 -
110503 - Since VA has prescribed continued exercise with hiking that has caused
110504 - side effects from metatarsalgia, ref SDS 0 KI5G, visited Good Feet to
110505 - investigate using orthotics that protect feet against painful injury
110506 - from 11 mile daily hikes. ref SDS 0 H98K Good Feet quoted $300 to
110507 - sell shoe inserts. Tried several different sets of orthotic shoe
110508 - inserts. ref SDS 0 S59N The 2nd set of orthotic shoe inserts called
110509 - "Maintainers" were recommended for hiking, and seemed to feel much
110510 - better walking than the other sets. ref SDS 0 TJ6N Decided to get
110511 - professional medical advice on the best course to resolve
110512 - metatarsalgia in advance of buying orthotics. ref SDS 0 Y243 After
110513 - the meeting, researched Good Feet orthotics. ref SDS 0 134L Good Feet
110514 - marketing documentation indicates "Maintainer" orthotic shoe inserts
110515 - may protect against metatarsalgia during 11 mike hikes. ref SDS 0 J754
110516 -
110517 -
110518 -
110519 -
110520 -
110522 - ..
1106 -
1107 -
1108 - Progress
1110 - ..
111001 - Feet painful on forward section commonly called "balls of the feet)
111002 - present symptom diagnosed as...
111003 -
111004 - metatarsalgia
111005 -
111006 - ...reported on 140627 1223. ref SDS 6 RQ6G Case study shows
111007 - progressive injury over past 5 months, reported on 120101 0900.
111008 - ref SDS 1 PS3F
111010 - ..
111011 - Orthotics is a common solution, explained in research yesterday on
111012 - 140627 1223. ref SDS 6 Q73I
111014 - ..
111015 - VA has prescribed continued exercise regimen for regression of
111016 - artherosclerotic plaques that cause cardiovascular disease (CVD-CAD),
111017 - shown in Progress Notes meeting at the Medical Center on 140213 0830,
111018 - ref SDS 2 E34O, and shown in part by remarkable progress managing
111019 - cholesterol over the past 6 months, reported in lipid history on
111020 - 140514 0950. ref SDS 3 W25L
111022 - ..
111023 - Continueg progress reducing risk of CVD requires continue hiking,
111024 - also, cited in the record on 140514 0950. ref SDS 3 I17G
111025 -
111026 -
111027 -
111029 - ..
1111 -
1112 -
1113 - 1243
1114 -
111401 - Visited Good Feet on Monument Boulevard in Concord.
111402 -
111403 - Talked to Wynetta.
111405 - ..
111406 - Explained need to prevent pain caused by metatarsalgia from daily 11
111407 - mile hikes, which are prescribed by medical team, per above,
111408 - ref SDS 0 F58F, and cited the record showing pain has increased over
111409 - the past 6 months, shown in case study on 120101 0900. ref SDS 1 PS3F
111411 - ..
111412 - Wynetta quoted $300 for orthotics to relieve pressure on balls of feet
111413 - during 11 mile hikes.
111415 - ..
111416 - Wynetta took impressions of both feet using an imaging device. The
111417 - customer steps on the device laying on the floor. It creates an
111418 - outline of how the foot presses on the ground when walking. She then
111419 - went into the back room. In about 10 minutes, Wynetta returned with
111420 - orthotic insoles, which she feels provide the best fit to distribute
111421 - pressure from the balls of the feet to the entire contour of the arch
111422 - between the heel and the balls of the feet. She adivsed these inserts
111423 - reduce stress on the forward section of the foot, thus relieving pain
111424 - from metatarsalgia experienced over the past months.
111426 - ..
111427 - Wynetta produced two sets of shoe inserts. The first she called
111428 - the...
111429 -
111430 - Exerciser
111432 - ..
111433 - When this was tested, explained to Wynetta there was a painful feeling
111434 - of excessive pressure on the mid-point of the arch in both feet, and
111435 - no evident relief on the balls of the feet. This does not seem like a
111436 - good solution.
111437 -
111438 - [...below on 140628 1215 at 1358 Good Feet documentation
111439 - sets out that Exercisers "should never cause pain,"
111440 - indicating the first selection from inventory may not have
111441 - provided the best fit for the arches. ref SDS 0 RS7I
111443 - ..
111444 - Wynetta smiled and said that Good Feet has a second type of orothodic
111445 - insert called a...
111446 -
111447 - Maintainer
111449 - ..
111450 - She explained that Maintainer inserts are designed to protect feet on
111451 - long hikes from pain caused by metatarsalgia.
111453 - ..
111454 - She replaced the Excersier with the Maintainer insert.
111456 - ..
111457 - Walking in the store indicated this might be effective supplementing
111458 - efforts to increase cushioning and rebound energy through resoling
111459 - shoes, cited recently in a letter to Resole America on 140626 0752.
111460 - ref SDS 5 EF6L There was definite relief on the balls of the feet and
111461 - comfortable cushioning along the length of the arch wearing the Good
111462 - Feet Maintainer while walking in the store; even jogged a few steps,
111463 - on the balls of the feet, and there seemed proactive relief.
111465 - ..
111466 - Explained this 2nd set of shoe inserts provides much better comfort
111467 - and relief from metatarsalgia compared to the first set of Exerciser
111468 - inserts, which caused considerable discomfort from pointed pressure on
111469 - mid-point of the arch for both feet, per above. ref SDS 0 QY5H
111470 -
111471 - [...below on 140628 1215 at 1358 Good Feet documentation
111472 - sets out that Exercisers "should never cause pain,"
111473 - indicating the 2nd selection from inventory today for
111474 - Maintainer orthodic inserts may have provided a good fit
111475 - that distributed pressure through the arch rather than at
111476 - mid-point. ref SDS 0 RS7I
111478 - ..
111479 - [On 140629 1921 follow up letter on 140520, ordering
111480 - coronary CTA with calcium score, ref SDS 4 VQ48, to assess
111481 - reducing level of care hiking 11 miles per day in order to
111482 - reduce side effects, ref SDS 7 UZ64; further request
111483 - referral to Podiatry for consultation to relieve
111484 - metatarsalgia side effects of prescribed care. ref SDS 7
111485 - U14H
111487 - ..
111488 - [On 140711 1018 returned to Good Feet; the store was unable
111489 - to equal the good fit and support for the Maintainer
111490 - orthodic inserts that was achieved originally on 140628;
111491 - but since there is no other evident solution, bought an
111492 - ill-fitting Maintainer insert to experiement on finding a
111493 - solutiion. ref SDS 8 MF6J
111495 - ..
111496 - [On 140713 hiking very painful - failed wearing Adidas
111497 - Response Cushion shoes resoled with increased cushioning
111498 - and complimented with orthodic inserts from Good Feet,
111499 - shown in case study on 120101 0900. ref SDS 1 XT7K Good
111500 - Feet refused to correct failed orthodics, reported in
111501 - meeting on 140713 1510. ref SDS 9 C56O, and the VA has not
111502 - had time to provide medical Podiatry guidance to resolve
111503 - metatarsalgia, noted in the letter to the VA on 140710.
111505 - ..
111506 - [On 140713 1640 bought Hoka shoes after testing showed they
111507 - have cushioning and design that protects from metatarsalgia
111508 - pain, ref SDS 10 536F, comparable to 2nd set of orthodic
111509 - inserts tried at Good Feet on 140628. ref SDS 0 IC7H
111511 - ..
111512 - Wynetta seemed to say said these 2 sets of shoe inserts cost $300.
111514 - ..
111515 - Decided to get professional medical advice from VA Podiatry to
111516 - support procurement of orthodics.
111517 -
111518 -
111520 - ..
1116 -
1117 -
1118 - 1358
1119 -
111901 - After the meeting, research on the Internet found...
111902 -
111903 - The Podiatry Specialist
111905 - ..
111906 - Good Feet
111907 -
111908 - http://goodfeet.co/why-good-feet-belfast/the-3-step-system-explained/
111910 - ..
111911 - The 3 Step System Explained
111913 - ..
111914 - 1. What Is Good Feet?s Revolutionary Three Step System?
111915 - Your feet behave differently when you are standing than they
111916 - do when you arewalking, and everything changes completely when
111917 - you break into a run. No matter what you do, your foot is
111918 - adapting to your activity, the surface on which you?re
111919 - walking, and the shoes you?re wearing, all at once! Doesn?t it
111920 - make sense to have arch supports that adjust to the changing
111921 - needs of your adaptable feet?
111923 - ..
111924 - 2. While satisfying customers all across the nation over the last
111925 - fifteen years, we have developed a solution to suit even the
111926 - busiest feet. We call it the Good Feet Three Step System.
111928 - ..
111929 - 3. The Good Feet Three Step System is designed to provide today's
111930 - active individual the support they need for ALL of the things
111931 - they do, in practically any shoe. Rather than try to engineer
111932 - just one support that can do everything, we've designed
111933 - versatile support styles that can work together as members of a
111934 - system, to meet all the arch support needs of the twenty-first
111935 - century person. All of our arch supports function as either
111936 - Exercisers, Maintainers, or Relaxers. Each category of arch
111937 - support performs a unique function in the system.
111939 - ..
111940 - 4. Exercisers: Improving Foot Alignment
111942 - ..
111943 - Exercisers are "Step 1" in the Three Step System, and they are
111944 - designed to "Exercise" the foot. They are engineered to
111945 - re-position the foot into a more Ideal weight-distribution
111946 - pattern. The Exerciser is the only support in a Good Feet
111947 - Three Step System that is designed to change the way the foot
111948 - is functioning in order to improve total-body alignment.
111950 - ..
111951 - 5. The Exerciser support is designed to put the foot into the
111952 - Ideal Foot position, in which all of the body's weight is
111953 - evenly distributed throughout the entire foot, so that no
111954 - single part of the foot takes on more pressure than it is
111955 - supposed to. But an Exerciser support doesn't stop there.
111956 - Exercisers are designed and named for the effect they have on
111957 - the foot's composition - they "exercise" the muscles, tendons
111958 - and ligaments of the feet into a more Ideal alignment. Wearing
111959 - an Exerciser is like a workout for your feet, except the goal
111960 - isn't a slim physique- it?s Ideal skeletal alignment for the
111961 - whole body.
111963 - ..
111964 - 6. The Exerciser supports are aggressive, because it takes a lot
111965 - of support to get the feet to realign themselves. It is
111966 - important to remember that when you are wearing your
111967 - Exercisers, they are strengthening your feet- so you should
111968 - never run or play sports in them. Instead, the Exercisers are
111969 - perfect for walking, standing, or other activities which allow
111970 - the body to remain upright.
111972 - ..
111973 - 7. Because the Exercisers work so hard to re-align the feet, you
111974 - must be very careful to break them in according to the schedule
111975 - provided by your Certified Arch Support Fitter. These arch
111976 - supports are designed to cause heavy-duty changes to the way
111977 - your feet behave, so be careful and take your break-in period
111978 - one step at a time, but take note - your Exercisers should
111979 - never cause you pain. The good news is that, just like any
111980 - good workout program, you should eventually get used to your
111981 - Exercisers, and they'll become just another part of your active
111982 - life!
111984 - ..
111985 - The representation that Exerciser "...should never cause you pain"
111986 - indicates that the Exerciser set initially tried this morning that
111987 - caused significant pain at the mid-point of the arch on both feet, was
111988 - not a good fit, per above. ref SDS 0 QY5H
111990 - ..
111991 - Good Feet - 3 Step System Explained continues...
111992 -
111993 - 8. The Exercisers come in many different sizes, shapes and
111994 - flexibilities, so we can fit feet of practically any size and
111995 - composition. To find out which Exerciser fits your feet and
111996 - your lifestyle, schedule a personal fitting with a Good Feet
111997 - Certified Arch Support Fitter today!
111999 - ..
112000 - 9. Maintainers: Maintaining Foot Alignment
112001 -
112002 - Maintainers are "Step Two" in the Three Step System, and they
112003 - are designed to preserve any of the changes your arches go
112004 - through when you are wearing your "Exerciser" supports. During
112005 - your initial break-in period, your Maintainers are designed to
112006 - provide comfortable support every day after you wear your
112007 - Exercisers.
112009 - ..
112010 - 10. The Maintainers have much lower profiles and less aggressive
112011 - arch structures than the Exercisers. This is because their job
112012 - is not to change the alignment of the feet, but to prevent the
112013 - feet from falling out of any alignment they may have achieved
112014 - while wearing the Exercisers.
112016 - ..
112017 - 11. The Maintainers are slimmer than the Exercisers, and fit
112018 - easily into most fashion shoes. You can even use Velcro to
112019 - wear your Maintainers in open-heeled shoes, sandals, slippers
112020 - or flip-flops?and they?re pretty much invisible! No one will
112021 - even know you have them on. Your Certified Arch Support Fitter
112022 - will show you how to use your Maintainers in different shoes.
112024 - ..
112025 - 12. For athletes, the Maintainer can be a healthy "performance
112026 - enhancer." Exercisers are not designed for use during sports
112027 - activity, but the Maintainers are flexible enough that they can
112028 - provide just enough support to the active foot during even the
112029 - highest-impact sports. When all four arches are supported and
112030 - the skeleton is ideally aligned, the body can perform far more
112031 - efficiently during sports. Wearing your Maintainers on the
112032 - course, court and field may help to reduce fatigue and injury.
112034 - ..
112035 - 13. The Maintainers come in many different sizes, shapes and
112036 - flexibilities, so we can fit feet of practically any size,
112037 - composition and activity level. Your Certified Arch Support
112038 - Fitter will help you find Maintainers that suit your needs in
112039 - the shoes you love to wear!
112041 - ..
112042 - 14. Relaxers: Foot Freedom, The Healthy Way
112043 -
112044 - Relaxers are designed to support three out of four arches to
112045 - prevent the feet from flattening, while still letting the feet
112046 - ?relax.? Your Relaxers aren?t designed to change or re-align
112047 - your feet or your body, because their job is to help you take a
112048 - break from the other arch supports, shoes and activities that
112049 - make up your lifestyle.
112051 - ..
112052 - 15. Relaxers are the thinnest, most accommodating arch supports we
112053 - offer. We designed them to fit in even the tightest dress
112054 - shoes, sandals and slippers, so they can follow you anywhere.
112055 - With their low-profile arch, flexible construction and slim
112056 - silhouette, your Relaxers should feel great- no matter what
112057 - you?re doing. You can even use VelcroŽ to fit your Relaxers in
112058 - high heels, custom-fit boots and flip-flops. When you have a
112059 - Relaxer, you don?t have an excuse to go without wearing one of
112060 - your arch supports.
112062 - ..
112063 - 16. During the break-in period, your Relaxers are essential. The
112064 - most important benefit of the Relaxers is that they are
112065 - designed to "relax" the feet without allowing them to lose
112066 - their alignment. While you're working to re-align your body
112067 - during the first weeks with your new Arch Support System,
112068 - you'll use your Relaxers after you are done wearing your
112069 - Exercisers and Maintainers.
112071 - ..
112072 - 17. Our Relaxers come in various styles, each with its own unique
112073 - benefits. Your Certified Arch Support Fitter will help you find
112074 - Relaxers that fit your needs, and your ?difficult? shoes!
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112078 -
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1121 -