Bilateral AFO's pre-Botox injections

Severe equines contractures - 15 degrees of plantarflexion bilateral. Right foot more involved. Patient's heels can get to neutral but still plantar flexed and beginning to get a breakdown behind right Achilles.

Fabricate bilateral padded polyethylene solid-ankle AFO's with air holes, derotation bars, set in plantarflexion with a neutral heel and a clamshell anterior front. Keep lateral border of the AFO long to maintain the lateral protruding talus.