The Orthotist works as part of a multi-disciplinary team, ensuring that the Orthotic prescription reflects the most appropriate solution to meet the clinical needs of the patient and that the patient\u2019s wishes are given a high priority.<\/p>\n\n\n\n
The aim of the Orthotic Service is to facilitate the treatment and rehabilitation of patients through assessing the need and provision of an orthosis to either remedy or relieve a medical condition or disability. When necessary, we also provide support and reassessment of need once the orthosis has been supplied along with review, maintenance, and repair services.<\/p>\n\n\n\n
The orthotist carries out a full biomechanical evaluation of a patient\u2019s needs, designs, takes the measurements required (which may include a plaster cast or CADCAM scan), provides full manufacturing specifications and fits the finished device to the patient. The patient may receive their orthosis at their first appointment or it may be specially made or ordered and a second appointment will be required for fitting. The orthotist will explain what the outcome measures of the orthosis should be and when and how to wear it.<\/p>\n\n\n\n
Where Do We Provide Clinics:<\/p>\n\n\n\n
The Orthotics service operates 5 days per week Monday to Friday from 0830 \u2013 1630hrs. Paediatric Services<\/strong><\/p>\n\n\n\n Patients will be appointed to the most appropriate site to meet their orthotic needs.<\/p>\n\n\n\n At present the team consists of Advanced Orthotists, Orthotists, Admin staff and Technical Staff to provide the range of services in Orthotics across NHS Lothian.<\/p>\n\n\n\n M.A. & L.L. 16-05-23<\/strong><\/strong><\/p>\n\n\n\n The Orthotics Service provides a comprehensive range of orthoses. Referrals for the following will not be accepted due to little or no clinical evidence of their benefit.<\/em><\/strong><\/p>\n\n\n\n Foot\/ankle:<\/p>\n\n\n\n These items can be purchased from high street pharmacies and online retailers Forefoot cushioning pads e.g. silicone cushioning pads<\/strong><\/p>\n\n\n\n Footwear:<\/p>\n\n\n\n Footwear advice alone.<\/strong><\/p>\n\n\n\n Patients should be referred to the Orthotic Service to be considered for prescription footwear based on clinical need and when standard footwear is no longer appropriate, due to for example; swelling, rheumatoid disease, deformity, structural\/biomechanical change. These items can be purchased from high street pharmacies and online retailers These items can be purchased from high street pharmacies and online retailers These items can be purchased from high street pharmacies and online retailers These items can be purchased from high street pharmacies and online retailers These items can be purchased from high street pharmacies and online retailers We accept referrals from GP’s via SCI Gateway. We also accept referrals from Consultants and specialist Allied Health Professionals on pre agreed pathways. Patients can self refer to Orthotics<\/strong> if they have been seen within our services <\/em>within the previous three years<\/em>.(see PIFU details in Resources and Links Tab)<\/p>\n\n\n\n All referrals should be sent direct to the Orthotic Department within the SMART Centre.<\/p>\n\n\n\n Referral should include the following:<\/p>\n\n\n\n How to Contact Orthotics<\/strong><\/p>\n\n\n\n Orthotics can be contacted on following telephone number:<\/p>\n\n\n\n SMART Centre, Astley Ainslie Hospital\u00a0\u00a0 0131 537 9177 option 2 <\/strong>(NRIE, AAH, EL & ML and\u00a0SJH, All Paediatrics<\/em>)<\/em><\/p>\n<\/div><\/div>\n\n\n\n <\/p>\n<\/div><\/div>\n\n\n\n Ankle-Foot-Orthosis-AFO-1.pdf<\/a><\/p>\n\n\n\n Footwear-Adaptions.pdf<\/a><\/p>\n\n\n\n FOOTWEAR-ADVICE-LEAFLET-UPDATE.pdf<\/a><\/p>\n\n\n\n Helmet-1.pdf<\/a><\/p>\n\n\n\n Knee_Ankle_Foot_Orthosis_26-05-2015.pdf<\/a><\/p>\n\n\n\n LBP-and-maternity-belts-1.pdf<\/a><\/p>\n\n\n\n Orthopaedic-Footwear-leaflet.pdf<\/a><\/p>\n\n\n\n Orthotic-devices-information-Paeds.pdf<\/a><\/p>\n\n\n\n Stock-and-custom-insoles.pdf<\/a><\/p>\n\n\n\n Toespacers-etc-1.pdf<\/a><\/p>\n\n\n\n PIFU-Info-Leaflet-1.pdf<\/a><\/p>\n\n\n\n PRL-Info-Leaflet-FINAL-1.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n <\/p>\n","protected":false},"excerpt":{"rendered":" The Orthotist works as part of a multi-disciplinary team, ensuring that the Orthotic prescription reflects the most appropriate solution to meet the clinical needs of the patient and that the patient’s wishes are given a high priority. The aim of the Orthotic Service is to facilitate the treatment and rehabilitation of patients through assessing the<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1298],"class_list":["post-24786","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-orthotics"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" Orthotics<\/a>","rttpg_excerpt":"The Orthotist works as part of a multi-disciplinary team, ensuring that the Orthotic prescription reflects the most appropriate solution to meet the clinical needs of the patient and that the patient’s wishes are given a high priority. The aim of the Orthotic Service is to facilitate the treatment and rehabilitation of patients through assessing the","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=24786"}],"version-history":[{"count":1,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24786\/revisions"}],"predecessor-version":[{"id":24787,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/24786\/revisions\/24787"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=24786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=24786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Adult Clinics<\/strong><\/p>\n\n\n\n\n
\n
<\/ul>\n
Who to refer:<\/strong><\/h4>\n\n\n\n
\n
Who not to refer:<\/strong><\/h4>\n\n\n\n
Silicone heel cups\/pads
Toe spacers \/toe protectors
Bunion protectors or pads
Sorbothane\/shock absorbing insoles
Heated socks<\/strong><\/p>\n\n\n\n
The orthotic service does not supply footwear for feet which are simply unusual in size i.e. very wide, very slim, small or large feet.<\/p>\n\n\n\n
Knee:<\/p>\n\n\n\n
Elasticated knee supports
Neoprene knee supports<\/strong><\/p>\n\n\n\n
Wrist\/hand:<\/p>\n\n\n\n
Elasticated wrist supports
Neoprene wrist supports<\/strong><\/p>\n\n\n\n
Elbow:<\/p>\n\n\n\n
Tennis elbow support\/brace
Elasticated elbow support bandage<\/strong><\/p>\n\n\n\n
Shoulder:<\/p>\n\n\n\n
Arm sling
Shoulder sling<\/strong><\/p>\n\n\n\n
Neck:<\/p>\n\n\n\n
Soft collar<\/strong><\/p>\n\n\n\n
Head: <\/strong>see information under Resources and Links Tab<\/strong>
Helmets
Head protectors<\/strong><\/p>\n\n\n\n
Spine:
Back protectors
Waist supports
Lifting belts<\/strong><\/p>\n\n\n\n
Maternity: <\/strong>see information under Resources and Links Tab
Maternity belts
Maternity support belts
Pelvic support belts<\/strong><\/p>\n\n\n\n
Orthoses for sport:
We will not provide an orthoses for the sole intention of participating in sport. In this instance we consider this part of the normal sport equipment and would expect patients to purchase these items themselves.
Most of the above items are easily commercially available either in pharmacies, high street stores or online. We could get into trouble from Info Governance for \u2018promoting\u2019 commercial sales<\/strong><\/p>\n\n\n\n
Prosthetic Patients:
All prosthetic patients for artificial limbs should be referred to the Prosthetic service at SMART Centre. Contact 0131 537 9177 ( option 3 ).<\/p>\n\n\n\nHow to refer:<\/strong><\/h4>\n\n\n\n
\n