Vasyli Dananberg 1st Ray Orthotic
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$65.00
1
/ Pair
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Description
The Vasyli + Howard Dananberg (VHD) orthotic is the world’s first professional orthotic device with removable 1st ray sections. You can remove proximal and distal plugs individually or together, as needed, making treatment of 1st ray function easier.
To accommodate variations in the length of a patient’s foot and toes, you can remove the plugs when fitting the orthotic, ensuring the head of the first metatarsophalangeal joint (MPJ) coincides with the removed plug.
In cases where maximum effect is required, such as with structural hallux limitus (SHL), you can remove both plugs. This enhances 1st ray function by offering a larger path of least resistance to the joint.
This orthotic is also heat moldable, allowing personalization of rear foot control. And you can choose from a selection of additions to fine-tune the orthotic for each patient.
The flexibility of the VHD design allows for a wide combination of applications to address your patients’ tri-planar motion problems.
Provides Triplanar Motion Control: Howard Dananberg and Philip Vasyli have combined their expertise to bring you the world's first professional orthotic device with removable first ray sections, Vasyli Dananberg 1st Ray Orthotic! Vasyli Dananberg incorporates Triplanar motion control to control foot function in all 3 cardinal planes (frontal, transverse and sagittal). This orthotic can be worn in custom-fit shoes, casual shoes, boots and children’s shoes.
Removable Proximal and Distal Plugs: The orthotic features a Sorbon shock heel dot to help dissipate and distribute force along the angle of strike to reduce impact on the foot. The two removable first ray plugs allow you to customize the orthotic to assist in maximizing first ray function. The proximal and distal plugs can be removed individually or together, as needed, improving treatment of 1st ray function.
Available in Multiple Sizes: Multiple sizes are available that can be molded with a standard heat gun and customized with Vasyli posting pieces. The Vasyli Dananberg 1st Ray Orthotic is available in sizes: X-Small (Men’s 3 ½"-5”, Women’s 4 ½"-6”), Small (Men’s 5 ½"-7”, Women’s 6 ½"-8”), Medium (7 ½"-9”, Women’s 8 ½"-10”), Large (Men’s 9 ½"-11”, Women’s 10 ½"-12”), X-Large (Men’s 11 ½"-13”) and XX-Large (13 ½"-15”). Sold in pairs, this orthotic is not made with natural rubber latex.
Product Selector: Vasyli Medical orthotics are designed to help treat most common foot pathologies. They are available in various densities, styles and shapes. To help streamline the selection process, we have created a simple to use Product Selector. This selection tool is designed as an initial product guide. Professional customization and fitting is recommended for optimum patient outcomes. See Heat Molding procedures below.
To help find the most appropriate orthotic style for your patient, please make one choice from each of the 4 categories below.
Quick Guide:
- Always replace a full-length existing insert with the same style.
- The Slimfit works very well in ladies’ fashion or low-profile footwear.
- The heel piece suits hard-to-fit dress footwear.
- The Easyfit suits both narrow (particularly children’s) and also wider-fitting shoes due to the lateral cutaway.
Heat Molding:
- Remove - where possible, any existing insole from the patients footwear.
- Place the orthotic of choice base up on a heat resistant surface.
- Apply heat in a waving motion into the rear foot over the thermal indicator and STC areas. Heating temperature should approximate 200°F - 90°C.
- When the Thermal Indicator and STC lettering disappears you have reached a molding temperature.
- Place orthotic into footwear and with patient sitting fit the shoe.
- Note: patient should be wearing socks for the fitting procedure - fitting is done one shoe at a time.
- Place patient into STJ neutral via the Talo - Navicular technique and support this position while patient stands with weight evenly distributed on both feet.
- IMPORTANT: Maintain the STJ neutral position throughout weight bearing by tightly holding the tibia before and during standing.
- Cup the heel, mold along the medial arch profile and push down into the forefoot.
- Have the patient sit, remove the shoe, take out the orthotic and allow to cool. Repeat process for the opposite foot.
Features
- First professional orthotic device with removable first ray plugs.
- Ideal for plantar fasciitis, hallux valgus, and low back pain.
- Triplanar motion control aids foot function in all 3 cardinal planes.
- Helps relieve pain, whether in the heel, knee, or back.
- Ideal for walking and everyday use.
- Ideal for athletic footwear.
- Designed for men’s & women’s boots.
- Ideal for both men’s and women’s casual shoes.
- Heat moldable for a custom fit.
Product Specifications
| X-Small: | (Men’s 3 ½"-5”, Women’s 4 ½"-6”) |
|---|---|
| Small: | (Men’s 5 ½"-7”, Women’s 6 ½"-8”) |
| Medium: | (7 ½"-9”, Women’s 8 ½"-10”) |
| Large: | (Men’s 9 ½"-11”, Women’s 10 ½"-12”) |
| X-Large: | (Men’s 11 ½"-13”) |
|---|---|
| XX-Large: | (13 ½"-15”) |
| Sold By: | Pairs |
| Latex Free: | Yes |
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Frequently Asked Questions (FAQs)
Activity and patient weight influence longevity. Make sure to fit the appropriate density to suit your patient’s lifestyle or physique (heat "Fitting" section). As a rule, they typically last 12 to 18 months.
Yes, you can reheat them, if required. However, you cannot "regenerate" the rearfoot control by heat-molding. That requires the use of the rearfoot additions. VASYLI orthotics will not mold under body heat generated in the footwear.
As a general rule, yes. The orthotics balance the lower limbs. Always fit a pair, even if pain is felt in only one foot or limb, which is usually the case.
Arch intolerance is the #1 complaint when fitting orthotics in general. The primary cause is a lack of rearfoot control, which allows the foot to still collapse onto the arch profile of the orthotic.
Patients should wear the product to comfort before running or performing in them (see question 8). See question 4 for ways to address arch blistering or ongoing intolerance in the back or mid-arch area. Arch blistering may also be due to forefoot varus (see Conditions).
Vasyli Medical orthotics are made primarily of ethyl vinyl acetate (EVA), a microcellular foam used extensively in the midsole of most quality sports footwear. The EVA has polymer additions to stabilize the material during the heat-molding process and to extend the life of the product. Other compounds used are polyurethane (PU) and Rebound EVA (for shock absorption). The top cover is brushed nylon.
Not necessarily. The VASYLI heat-moldable orthotics are pre-configured for the majority of foot types. Heat molding offers the facility to fine-tune the orthotic prescription. Feedback indicates that at least 80 percent of practitioners find they do not need to mold them to achieve good compliance and control.
Yes. In general, we advise that they be worn "to comfort". Should any discomfort occur—in the feet, knees, or back—remove for a few hours or for that day and return to use the next day, repeating the process as needed.
No, remove all insoles within the footwear being fitted with the orthotics. If the orthotics are fitted on top of existing insoles, it will "de-tune" the prescription’s effectiveness and may contribute to arch intolerance, as will well-worn footwear. As a general rule, if the footwear has a full-length insole fitted, replace it with a full-length orthotic.
Vasyli orthotic covers are impregnated with an antibacterial / antimicrobial compound to eliminate odor. If the products require general cleaning, wipe over with a damp cloth using a mild soap solution, rinse, towel dry, and air naturally. Do not expose the orthotics to any external heat source. Do not soak or machine wash.