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Foot drop

is a term that is used to describe the the dropping of the foot or inability to raise the foot. There are many causes of foot drop including stroke, Charcot Marie Tooth Disease (CMT), diabetic neuropathy, multiple sclerosis (MS) and injury to the back or peroneal nerve.

When a person is unable to lift the foot, the drops downwards and becomes a hazard for catching, tripping and falling. The person will therefore compensate by lifting the knee higher by flexing more at the hip and knee to clear the ground. The extra effort required to swing the leg through and lift the knee and foot higher often causes the person to tire more quickly due to the increased energy expenditure.

Signs of foot drop:

  • an audible "foot slap" as the person is unable to control the foot hitting the ground and the foot hits the floor
  • a high steppage gait with knees lifting higher during each step
  • tripping
  • falling
  • dragging the foot

In order to make walking more safer and more efficient, people will often turn to orthotic interventions. Ankle foot orthoses (AFO), including articulated AFO's, flexible or "shoe horn" AFO's and Silicone Ankle Foot Orthoses (SAFO), are the most common treatment options. The particular design and style is dependent on the exact needs of the individual. The WalkAide system is another option that may be appropriate for some people.


I just wanted to let you know - for the first time in months and months - I am able to go for a long, long walk - because my feet are not killing me anymore!!! I am not limping at work any more either!!! Thanks so much - I feel great! Even walking 8 blocks back to the car after the last appointment with them in my shoes - I could have done a tap dance all the way - the change was so drastic!
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When I saw Jim, it was for two appointments for braces he put in my shoes (that he had made recommendations about). I could walk and keep shoes on all day and I was not walking off balance. He was amazing. He took time to talk to me and explain things. My husband had gone to Jim for years for foot orthotics . I would recommend Jim to anyone.
- Ms L.M. -
I am so greatful that the heel lift for my right shoe has been so helpful. I am in less pain when I walk, I can now stand straighter, on both legs at the same time when I stand still. I should have done it a lot sooner!
- Ms. D.T -
I am a person with polio in my left leg. I 've been using Custom Orthotic Design Group Ltd. for many years. Their service is great and friendly, they know what they are doing. I am really happy with their services.
- Mr. K.N. -
Custom Orthotics has always stood behind their product. They have always treated me with kindness and dignity. Whenever there is an issue, they have repaired it right away. Friendliness is their top priority. The product is 10/10. I can't say enough and I find there is never any negative comments. I have been with Custom Orthotics since 1998.
- Mr. F.H. -
The whole process was very positive, Custom Orthotic Design Group answered all of my questions and responded to my concerns in a professional pleasant manner. I highly recommend that anyone requiring any form of custom made orthotic from a simple shoe insert to a sophisticated support such as my CROW walker consider Custom Orthotic Design Group.
- Mr. MB -
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