Accommodative Ultra
Orthotica’s Accommodative Ultra device is designed for patients who cannot tolerate rigidity and require maximum shock attenuation. Perfect for patients whose occupations require extended standing time, the Accommodative Ultra device delivers a semi-flexible base with optimal padding and neutral intrinsic correction.
Features:
Rearfoot Post: Balanced Cast
Top Cover Padding: 3/16″ Bilam
ScriptWise™ Pathology Profiles
Achilles Tendinitis
Achilles tendinitis is an injury to the band of tissue that connects the upper calf muscles to the heel. The condition is relatively common and occurs with overuse due to repetitive running, walking, jumping or standing. Symptoms are usually painful swelling and inflammation, especially above the heel.
Those with flat feet, bone spurs and rheumatoid arthritis are especially at risk. Improper or ill-fitting shoes also increase risk.
ScriptWise™ Modifications

1/2” Deep Heel Cup

0° Varus Extrinsic Post

3mm Heel Raise
Adult Acquired Flatfoot (PTTD)
Known formally as posterior tibial tendon insufficiency or posterior tibial tendon dysfunction (PTTD), symptoms of adult acquired flatfoot typically presents as chronic pain at the arch of the foot and ankle. As the condition progresses, the arch collapses and the ankle can internally rotate causing the foot to externally rotate. Left untreated, arthritis can develop in both the foot and ankle.
Adult acquired flatfoot is unrelated to flatfoot in children who usually outgrow the condition, often without treatment.
ScriptWise™ Modifications

Low Medial Flange – 1/8″
Hallux Limitus
Hallux limitus is a condition that diminishes flexibility of the hallux at the 1st MPJ. Patients with hallux limitus often present with complaints of pain upon walking. As the condition progresses, bone spurs and arthritic changes can take place, eventually eliminating all available motion at the 1st MPJ. Inefficient windlass mechanism is often a contributing factor.
ScriptWise™ Modifications

Dynamic Wedge
Hallux Rigidus

Morton’s Extension
Heel Pain / Plantar Fasciitis
ScriptWise™ Modifications

1/2″ Deep Heel Cup

3° Varus Extrinsic Post

1/8″ Heel Cushion
Metatarsalgia
Metatarsalgia is a common overuse disorder referring to pain and inflammation of the ball of the foot. The pain can be sharp or dull and may be accompanied by a burning feeling. Sufferers often describe it as the feeling of a pebble in their shoe. Distance running and other high-impact sports increase risk. Improper or ill-fitting shoes also increase risk.
ScriptWise™ Modifications

3° Extrinsic Post

Metatarsal Pad