01 June 2020
We first met Jason in November 2019 when he was referred to us by a Consultant Paediatrician at King’s College Hospital. Jason was, at this stage, not having a good time with his AFOs.
The Consultant reported; “He has significant pain on walking and as a result…over the summer of 2019 he spent most of his time outside in his wheelchair, being limited to walking indoors only for the most part. His activity level had reduced drastically due to his pain.” The consultant also noted that he had 10 degree fixed flexion contractures at the knees
Jason was assessed by Anna Courtney, one of LOC’s senior clinicians who specialise in treating children with neurological conditions. Jason had a full biomechanical assessment in our video vector gait analysis laboratory. There was also a detailed physical assessment on the day. Combining both, Anna was able to accurately prescribe a set of bilateral solid ankle AFOs alongside a customised set of orthopaedic footwear.
In December, he was fitted with a pair of bespoke AFOs that were produced in our own manufacturing unit at our Kingston clinic. To go with them were some adapted Duna footwear. In April, following a review from his consultant, we received the following feedback:
“His parents tell me that they ended up paying privately for lower limb and ankle orthoses in London, predominantly due to the fact that he got to the stage where he was no longer able to walk independently. Since his new orthoses, his change has been remarkable. He is more mobile and can walk independently. Consequently, I am pleased to say that his x-ray shows the cobb angle for his lumbar scoliosis has improved.
Today, I measured the angle from L1 to L4 as 29 degrees. Last year, this was as much as 41 degrees. Given the fact that his angle has improved, I indicated to his parents that this is likely due to the fact that he is able to mobilise as a consequence of his orthosis.”
Anna regards the improvement of Jason’s scoliosis to be a huge bonus as the original objective had been simply to reduce Jason’s pain and make walking more bearable.
Jason’s parents report that he is now walking indoors and outdoors and is unrestricted. He is now properly enjoying the summer’s sunshine for the first time in a few years with no complaints of pain.
LOC has now supplied the family with a welly boot style of shoe to be worn in conjunction with his AFOs as he is enjoying being outside and gardening so much. Finally, because his knees are being fully stretched due to the new set-up, he no longer has contractures.
Working with LOC and Elaine has been a great experience – they really take the time to look at your child and understand their individual challenges and needs. For parents who are in the same position that we were, I would say do your research – see what clinics are available near you and what the costs are, but my feeling is it’s worth every penny.
After 10 years of daily physiotherapy and swimming, not to mention SDR, hamstring and tendon lengthening, we have finally achieved independent walking – it was a mother’s day gift that would take some beating.
LOC’s video vector technology measures exactly where Austin’s weight is being distributed, how his hips are moving and how his legs are moving. It’s those insights that have made his new AFOs so effective. Even within a few days, LOC’s splints have had more impact on his independence of movement than anything else we have done.
Since his new orthoses, his change has been remarkable. He is more mobile and can walk independently. Jason is now walking indoors and outdoors and is unrestricted. He is now properly enjoying the summer sunshine for the first time in a few years with no complaints of pain.
It has been a breath of fresh air – LOC’s ability to accommodate Sophie’s circumstances and manufacture her orthotics so quickly has taken a huge amount of potential stress away. Alan talks to Sophie as well - she looks forward to seeing him. He has even been able to fulfil her request to have her SMOs decorated with unicorns! It makes her feel special and much happier about wearing them.
Amelia was always looking for something to hold on to, now she runs around. Sam really puts in that extra effort to make the clients happy. I’d recommend LOC because they have all the equipment and extremely professional staff who have been trained by world-renowned physiotherapist Elaine Owen.
Lilac just flits about now. Every day she's getting stronger and our expectation now. We are absolutely with The London Orthotics Consultancy for the long haul now. We’ve found a business that can provide what we need and who we trust, and it’s the trust that's the most important thing to us.
Multidisciplinary teams in business will sit down together and discuss a project with all parties concerned, each adding their particular expertise and insight. This is what it is like at London Orthotic Consultancy (LOC) but on a more personal level: Teamwork is evident. The camaraderie and mutual respect are undeniable. The attention to the smallest achievement is uplifting.
We have the following facilities and amenities at our Kingston Upon Thames location:
We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.
We have the following facilities and amenities at our Cambridge location:
We have the following facilities and amenities at our Bristol location:
For more information, visit Litfield House Medical Centre.
LOC’s clinic is based in the University of Salford’s Podiatry Department and provides treatments for orthotics, scoliosis, pectus deformities, positional plagiocephaly and club foot.
It is also the base for LOC’s northern OSKAR clinic which is run by Sam Walmsley, clinical director of LOC, in conjunction with Elaine Owen MBE MSc SRP MCSP.
Due to COVID-19, we have had to temporarily close the Salford clinic and are operating out of another clinic in Bolton.
508 Blackburn Rd,
For more information, please visit The Good Health Centre