During standing and walking, the plantar fascia is subjected to elongationstrain by:
- the Achilles tendon located immediately proximal
- the “tie rod” component of the truss mechanism of the arch
- the tension created by the windlass mechanism at the first metatarsophalangeal joint
With severe recalcitrant cases of chronic plantar heel pain, clinicians often prescribe walking boots which address some, but not all of these damaging
mechanisms. Patients are often not compliant due to the numerous disadvantages of walking boots including:
- limb length discrepancy causing hip and back pain
- bulky and heavy causing knee pain
- need for removal when driving an automobile
Compared to walking boots, this dynamic brace system does not create a limb length discrepancy and can be easily dis-engaged for driving an automobile.
This brace system has been developed to simultaneously address all three of three loading mechanisms of the plantar fascia. The result is a three-step
approach to minimize the mechanical strain on the plantar fascia during standing and walking.
Superior to walking boots, the Richie AeroSpring Plantar Fascia Offloading System addresses the biomechanics of foot function to reduce strain on the
plantar fascia. A custom balanced orthotic foot bed contours to the medial and lateral longitudinal arches. Heel wedges combined with the shank
countour of the foot orthoses has been documented to offload the central band of the plantar fascia.
See: Kogler GF, Veer FB, Verhulst SJ, Solomonidis SE, Paul JP. The effect of heel elevation on strain within the plantar aponeurosis: In vitro study Foot
& Ankle IntemationalNol. 22, No. 5/May 2001
The patented Richie Wedge offloads the medial-central band of the plantar fascia.
See: Kogler, G.F., Veer, EB., Solomonidis, S.E., Paul, J.P.: Theinfluence of medial and lateral placement of orthotic wedges on loading of theplantar aponeurosis. In vitro study. Journal of Bone and Joint Surgery 81-A:1403-1413, 1999.
The Richie AeroSpring Plantar Fascia Offloading System therefore addresses all three levels of mechanical strain on the plantar fascia, unlike any orthotic
system on the market today. The comfort and dynamic spring effect of this system will assure better patient compliance than any other offloading device available.
- Reimbursement for the carbon fiber AFO: Billed under code L1932 (average reimbursement for 2021: Ceiling $1066 Floor $800)
- Reimbursement for the Pair of Foot Orthotic: Billing code L3000 (average reimbursement: $400)
Note: Reimbursement varies among payors and region. No guarantees or assurances for reimbursement are implied with this document. Suppliers must contact each payor to verify coverage and reimbursement amounts.