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custom nightsplint

Posted by paula on 4/14/02 at 00:28 (079580)

anyone have one of these? i saw a study on internet. looked promising. it was held in five percent dorsiflexion for a few months . had good results. an orthotist makes them. also, anyone else here have a plastic afo orthotic like me? and also, my orthotist said it could sorta act as a nightsplint. just tried it for a few minutes. might work. holds foot ankle in right position, gives arch support. i tried to approximate five degrees. got a stretch, very slightly, everywhere evenly all the way up from feet to hamstrings and i have not been able to restst stretch at all till this. the very tiny resistance was set by pillow.s am thinking of getting a real custom night splint

Re: custom nightsplint

Mahatmelissama on 4/15/02 at 10:18 (079690)

I had one cast designed by my pod to be a nightsplint...I got a leg cramp wearing the darn thing (just a few hours before bed) and stopped wearing it.

I haven't worn it for over a month...a couple nights ago I got a charley horse in that same leg. After I got over limping on it...my foot felt a little bit of relief.

If you can bear it (and I know some people on this board never had that reaction like me..In fact, nobody else here seems to have the reaction I did)...it should help you.

Re: custom nightsplint

Ed Davis, DPM on 4/15/02 at 15:08 (079721)

Paula:

It is rare to need a custom nightsplint. There are a number of different ready made nightsplints out there--enough to satisfy the needs of most patients who need a nightplint.
Ed

Re: i think i need one, know where i get one?

paula on 4/15/02 at 23:19 (079794)

i have severe posterior tibial dysfunction. when i wear i regular one as it dorsiflects slightly my arch goes concave and hursts horribly. i figure a custom one would prevent that. how do i get one i wonder.

Re: custom nightsplint

R C on 4/16/02 at 11:26 (079825)

Paula,

First: I am not a doctor, but I had PF for 2 years.

I used a night splint that was custom made by my podiatrist. It was made from the same material as the cast I had put on many months later (fiberglass, I believe). It takes just a few minutes to make such a cast: a liner is held against your skin, then the fiberglass strips are put in position. In a few minutes the strips harden into place. I don't think it was very expensive (possibly covered by insurance).

My feeling is that the night splint helps to reduce or eliminate the risk of re-injuring the foot when you take the first few steps in the morning, so it is worth trying.

Best wishes,
R C

Re: custom nightsplint

Diane O. on 4/17/02 at 08:55 (079961)

I have been using a custom fit night splint for about 3 months and it has helped considerabley for the first steps in the morning pain.(can actually make it BR without crawling) I had some breaking in to do and for about the first week I could feel mild burning and pulling like discomfort from the back of my heel running along the bottom of heel through to the arch. After awhile this disappeared and at the time was definitley tolerable. My problem was that I have a neuropathy in my great toe, bunion and into my arch and I would wake up several times a night with severe burning. My husband cut the splint down in that area and it has been fine since. The splint is made of a fibreglass cast that has been cut in half. I use a tensor bandage to secure it to my leg which at times can be a pain. I was told that I can use both halves of the cast if I want but find that just using the back half works fine. The cost was minimal.
Good Luck its worth a try.

Re: custom nightsplint

paula on 4/17/02 at 09:42 (079968)

thanks r c and diane o. i can't find anyone so far to make it for me. how do i get a custom night splint in atlanta/.? and what did you folks pay so i know a realistic amount and not get gouged like i did on the custom orthotics that cost 1500 and are useless.

Re: custom nightsplint

R C on 4/17/02 at 11:19 (079981)

Paula,

The splint I was talking about is made of nothing more sophisticated than gauze bandages and fiberglass casting strips, so it can't be very expensive. It tkaes just a few minutes of work by a technician. As I think back, mine was covered by insurance, so I don't have an exact figure. I wouldn't pay more than $100, inlcuding the cost ofthe office visit. Atlanta is a big enough city that surely some podiatrist or orthopedic specialist would be able to do this for you. How about it, any other Atlanta residents listening?
R C

Re: custom nightsplint

Diane O. on 4/17/02 at 11:54 (079985)

Paula
My splint sounds very much like R C . I had mine made at a fracture clinic but it was prescribed for me by my orthopod. I live in Canada and therefore have different insurances so cost I could not tell you. I would recommend that you get script for it though so that if your insurance comp. pays you have something to fall back on. Very simple devise, exactly like a fibreglass cast but cut in half and takes only minutes to make.
Good luck and hope this helps.

Re: i think i need one, know where i get one?

Ed Davis, DPM on 4/17/02 at 13:33 (080004)

That is a good reason to go custom. One thing that can be done is to place a medial wedge in the non-custom device (a 5 dollar solution).
Ed

Re: custom nightsplint

john h on 4/19/02 at 09:16 (080270)

I never heard of a custom night splint Dr. Ed. Sounds like a way for someone to make money unless there is some very unusual condition that would call for one and that would more than likely be a 'cast'.

Re: dr ed where do i get a five dollar medial wedge?

paula on 4/19/02 at 18:49 (080370)

sounds like a good plan to me. will order one right away. where from?

Re: custom nightsplint

paula on 4/19/02 at 18:50 (080371)

john i was thinking a custom night splint might help my post tib from callapsing at dorsiflexion but dr ed had a better idea to try first.

Re: custom nightsplint

Mahatmelissama on 4/15/02 at 10:18 (079690)

I had one cast designed by my pod to be a nightsplint...I got a leg cramp wearing the darn thing (just a few hours before bed) and stopped wearing it.

I haven't worn it for over a month...a couple nights ago I got a charley horse in that same leg. After I got over limping on it...my foot felt a little bit of relief.

If you can bear it (and I know some people on this board never had that reaction like me..In fact, nobody else here seems to have the reaction I did)...it should help you.

Re: custom nightsplint

Ed Davis, DPM on 4/15/02 at 15:08 (079721)

Paula:

It is rare to need a custom nightsplint. There are a number of different ready made nightsplints out there--enough to satisfy the needs of most patients who need a nightplint.
Ed

Re: i think i need one, know where i get one?

paula on 4/15/02 at 23:19 (079794)

i have severe posterior tibial dysfunction. when i wear i regular one as it dorsiflects slightly my arch goes concave and hursts horribly. i figure a custom one would prevent that. how do i get one i wonder.

Re: custom nightsplint

R C on 4/16/02 at 11:26 (079825)

Paula,

First: I am not a doctor, but I had PF for 2 years.

I used a night splint that was custom made by my podiatrist. It was made from the same material as the cast I had put on many months later (fiberglass, I believe). It takes just a few minutes to make such a cast: a liner is held against your skin, then the fiberglass strips are put in position. In a few minutes the strips harden into place. I don't think it was very expensive (possibly covered by insurance).

My feeling is that the night splint helps to reduce or eliminate the risk of re-injuring the foot when you take the first few steps in the morning, so it is worth trying.

Best wishes,
R C

Re: custom nightsplint

Diane O. on 4/17/02 at 08:55 (079961)

I have been using a custom fit night splint for about 3 months and it has helped considerabley for the first steps in the morning pain.(can actually make it BR without crawling) I had some breaking in to do and for about the first week I could feel mild burning and pulling like discomfort from the back of my heel running along the bottom of heel through to the arch. After awhile this disappeared and at the time was definitley tolerable. My problem was that I have a neuropathy in my great toe, bunion and into my arch and I would wake up several times a night with severe burning. My husband cut the splint down in that area and it has been fine since. The splint is made of a fibreglass cast that has been cut in half. I use a tensor bandage to secure it to my leg which at times can be a pain. I was told that I can use both halves of the cast if I want but find that just using the back half works fine. The cost was minimal.
Good Luck its worth a try.

Re: custom nightsplint

paula on 4/17/02 at 09:42 (079968)

thanks r c and diane o. i can't find anyone so far to make it for me. how do i get a custom night splint in atlanta/.? and what did you folks pay so i know a realistic amount and not get gouged like i did on the custom orthotics that cost 1500 and are useless.

Re: custom nightsplint

R C on 4/17/02 at 11:19 (079981)

Paula,

The splint I was talking about is made of nothing more sophisticated than gauze bandages and fiberglass casting strips, so it can't be very expensive. It tkaes just a few minutes of work by a technician. As I think back, mine was covered by insurance, so I don't have an exact figure. I wouldn't pay more than $100, inlcuding the cost ofthe office visit. Atlanta is a big enough city that surely some podiatrist or orthopedic specialist would be able to do this for you. How about it, any other Atlanta residents listening?
R C

Re: custom nightsplint

Diane O. on 4/17/02 at 11:54 (079985)

Paula
My splint sounds very much like R C . I had mine made at a fracture clinic but it was prescribed for me by my orthopod. I live in Canada and therefore have different insurances so cost I could not tell you. I would recommend that you get script for it though so that if your insurance comp. pays you have something to fall back on. Very simple devise, exactly like a fibreglass cast but cut in half and takes only minutes to make.
Good luck and hope this helps.

Re: i think i need one, know where i get one?

Ed Davis, DPM on 4/17/02 at 13:33 (080004)

That is a good reason to go custom. One thing that can be done is to place a medial wedge in the non-custom device (a 5 dollar solution).
Ed

Re: custom nightsplint

john h on 4/19/02 at 09:16 (080270)

I never heard of a custom night splint Dr. Ed. Sounds like a way for someone to make money unless there is some very unusual condition that would call for one and that would more than likely be a 'cast'.

Re: dr ed where do i get a five dollar medial wedge?

paula on 4/19/02 at 18:49 (080370)

sounds like a good plan to me. will order one right away. where from?

Re: custom nightsplint

paula on 4/19/02 at 18:50 (080371)

john i was thinking a custom night splint might help my post tib from callapsing at dorsiflexion but dr ed had a better idea to try first.