One of the ways in which we believe LOC is different is the breadth and depth of our first consultations with new patients. During the consultation, we will go through a thorough examination, including range of movement, muscle strength, hyper-mobility, spasticity and neuropathy. We will also want to understand what your goals and expectations are from treatment. For example, do you want to sit up without pain or sail your yacht?
We will set out a plan for treatment and discuss what we think is achievable with our orthotics and your therapy programme. We are happy to discuss any of these with your referring therapist to ensure all members of your team are working towards the same goal. We use the latest technology and materials to create innovative orthotics. We are happy to spend time with you designing the orthoses to your exact requirements.
Once we have a clear treatment programme and orthotic prescription we will give you a full and exact quote for the entire treatment.
The fitting process can take up to one or two hours, depending on the complexity. Sometimes, more than one fitting is required for an orthosis to be fully finished. We have facilities in every one of our satellite clinics to adjust and fine-tune your orthoses.
We want you to be happy with your orthosis. We want you to use it daily and feel like it is performing as we had intended. Therefore, we offer a free six-month review service for adult patients. This means that if you have any problems that are not normal wear and tear, we will review them and correct the orthosis for free.
Multiple sclerosis (MS) is an auto-immune condition most commonly affecting young adults. Around 100,000 people in the UK have MS. Depending on the exact symptoms presented we can offer a range of orthotic prescriptions, from neurological insoles to functional electronic stimulation (FES) and knee ankle foot orthoses (KAFOs) to aid muscle weakness in the leg
Orthotic treatment for cerebral palsy is about managing symptoms and preventing further problems from occurring. LOC use Lycra Garments to control rotation, reduce contractures forming, maintain and provide good posture and position. Fixed Ankle Foot Orthosis (AFO) can help to normalise walking patterns, while immobilising the joint to maintain range and reduce pain. See our footwear and foot orthotics.
A spinal injury (SCI) is damage to any part of the spinal cord or nerves at the end of the spinal canal. This causes temporary or more often permanent changes in strength, sensation and other body functions below the site of the injury.
Spinal injury patients will often require long term orthotic treatment beyond their initial rehabilitation using custom-made orthotics created specifically for the nature of the individual's injury.
Osteoarthritis (OA) is also known as degenerative joint disease. It is the most common type of arthritis. It occurs when the cartilage at the joint surface breaks down, damaging the underlying bone. Foot orthotics are used to provide stability, support and to slow the progression of the disease. In more severe cases orthotic footwear and insoles can be used to offload painful joints and accommodate severe joint deformity. Hinged SMOs (supra malleolar orthoses) and Knee braces can be used in severe OA conditions.
Charcot-Marie-Tooth disease comprises a group of disorders that affect peripheral nerves.
Depending on the type and severity of an individual’s symptoms bespoke orthotics can help to alleviate some problems associated with the condition. AFOs provide corrective forces and support to achieve a normal walking gait and provide protection. For those with high arched feet or hammer toes specialist footwear may be prescribed.
LOC is committed to providing its patients with the most up-to-date orthoses available; we are always assessing new and innovative products like carbon fibre & neuro swing technology for our bespoke orthotics, braces and foot orthotics.
The Neuro Swing AFO has a unilateral ankle joint that is designed to be held within a carbon fibre construction. The joint has two springs, posterior and anterior. The springs can be altered in three ways. Resistance in the springs can be reduced or increased and range of movement can be altered as can the alignment of the ankle. The Neuro Swing system from Fior & Gentz enables us to return the patient’s gait pattern to one that is as near normal as possible.
The advent of carbon fibre has allowed the creation of a new range of specialised orthoses.
These are not only lighter and less bulky, but also more comfortable and much stronger than traditional, plastic types.
Weight reduction has an immediate positive clinical impact, particularly for patients with polio or post-polio syndrome.
When John Beacom and his wife, Janet, embarked on a trip of a lifetime around the UK, little did they know that it would nearly end in disaster. As a child, John had contracted Poliomyelitis, better known as polio, an infectious disease that can cause flaccid paralysis if the virus enters the central nervous system ... continue reading ...
Ellen came to LOC having suffered a stress fracture of her 2nd metatarsal in her right foot. She has high arched feet and given the intensity of her training and her recent injury she attended LOC to see what could be done to lessen her symptoms and allow her to train for a marathon ... continue reading ...
Nick attended LOC back on the 6th of May 2015, having suffered a traumatic brain injury in 2009. He had made progress in his recovery and had started to undertake some serious athletic endeavours as a part of his physical therapy. He was suffering from a right-sided foot drop and this was restricting his recovery ... continue reading ...
After contracting poliomyelitis, better known as polio, back in the fifties when he was just 18 months old, John Gates was left with slightly reduced muscle movement in his left leg and barely any at all in his right. Polio is an infectious disease that can cause flaccid paralysis if the virus enters the central nervous system ... continue reading ...
Mr Jan Raposa has peroneal, gastrocnemius and soleus weakness with ankle instability following a herniated L4/5 lumbar vertebrae. Being otherwise fit and healthy – Jan’s rehabilitation goals were to return to his previous high-level activities - running and triathlons ... continue reading ...
I can now go a mile without having to stop, so it is a lot better and I’m walking in a regular pattern now. The orthotic fits perfectly because LOC took proper mouldings and photographs; they were very thorough.
My left knee hyperextends and Sam felt he could improve that condition with a different design of brace and also improve my gait with some other adjustments. The brace was such a success that I used it solely after receiving it. I am most thankful to Sam and his colleagues for their dedication to my case and their prompt assistance, which changed a potential disaster into a great tourist visit.
The orthotics help support my foot. Not only that, they have endured daily use, training for the Marathon des Sables, the race itself and they are still going! I am amazed that they survived the MDS and they are still being used today.
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.
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.
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.
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.
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.
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.