X1 Blades Bilateral to Kurt K./Elburn, IL/Hallux Rigidus

X1 Blade Runner Model

Rx: 6/5/16 PA: Kurt K. - Pair X1 Blades - all composite material please, create plantar flexion room at great toe, 1/8" intrinsic lateral force Hallux wedge, pad heel with 1/8" moleskin and cover great toe relief with ShearBan.

Diagnosis: Hallux Rigidus ICD-10-CM diagnosis code M20.22

History: Kurt is an active hiker who suffers from hallux rigidus.

Plan: Fabricate Bilateral X1 Blade Runner models for Kurt with: medium great toe pocket covered in ShearBan, padded moleskin heel, flexible midfoot zone so as not to restrict normal ankle motion, rocker bottom shape, intrinsic unloading lateral force wedge, StiFlex +2 at great toe to be used under existing shoe liner. Approximate Weight  1 oz. Density 0.04

Sx: Order received 6/5/16 via website http://indianabrace.com/turftoe.aspx  Expect shipping 6/8/16 to Elburn, IL by USPS Priority Mail Expect delivery in 3-4 days.

FU: email customer satisfaction questionnaire on or about 6/15
/16

X1 Blades - Reverse Morton's Extension

The X1 Blade's  Reverse Morton’s Extension has been very successful in reducing the jamming effect produced by Functional Hallux Limitus. It also allows for a dramatic off-loading of the 1st ray.

New! X1 Blade from Clyde with Off-Loading Pocket

New! X1 Blade with "Off-Loading Pocket" for chronic turf toe, hallux rigidus, and sesamoiditits and combinations of all three! Clyde

X1 Blade with Off-Loading Pocket

Pensacola, FL - George Orders an X1 Blade RTL Model

New Order (#3779) Hallux Limitus Insert

www.indianabrace.com	May 15 (9 days ago)

You have received a new order.

Order Confirmation

Thank you for your order, george t mcxxxxxx. Your order number is: 3779 Date of order: 5/15/2013 10:32 PM Shipping Method: USPS Priority Mail Payment Method: PayPal Express Checkout
Ship To george t mcxxxxxx XXXX N Davis Hwy Pensacola, FL 32504 United States
Additional Information Diagnosis: hallux limitus
Product Information
Product Name Part No. Quantity Item Price Total Price Clyde's X1 Blade RTL for the Treatment of Hallux Limitus or Rigidus with Bone Spurs and Sesamoiditis Foot: Left Size: Women's 11 Men's 10 / 27 CM What is your injury?:   Hallux Limitus w/ no bone spurs I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes TL-501HL 1 $129.50 $129.50 Subtotal: $129.50 Shipping: $6.00 Tax: $0.00

Hallux Limitus X1 Blades to New York City

Order Confirmation

Thank you for your order Your order number is: 3592 Date of order: 3/16/2013 5:38 PM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To New York, NY 10014 United States Phone:508XXXXXX
Additional Information Diagnosis: Hallux Limitus with Bone Spur
Product Information
Product Name Part No. Quantity Item Price Total Price Clyde's X1 Blade with Reverse Morton's Extension for the Treatment of Hallux Limitus, Hallux Rigidus with Bone Spur, or Sesamoiditis Foot: Right Size: Women's 12 Men's 11 / 28 CM What is your injury?: Hallux Limitus w/ bone spurs TL-501HL 1 $129.50 $129.50 Clyde's X1 Blade with Reverse Morton's Extension for the Treatment of Hallux Limitus, Hallux Rigidus with Bone Spur, or Sesamoiditis Foot: Left Size: Women's 12 Men's 11 / 28 CM What is your injury?: Hallux Limitus w/ bonePolicy.: Yes TL-501HL 1 $129.50 $129.50

X1 Blade to: Crown Point, IN / hallux limitus

3/13/13

Crown Point, IN 46307-5062

Product Name	Part No.	Mfg. Part No.	Quantity	Item Price	Total Price
Clyde's X1 Blade with Reverse Morton's Extension for the Treatment of Hallux Limitus, Hallux Rigidus with Bone Spur, or Sesamoiditis Foot: Right Size: Women's 13 Men's 12 / 29 CM What is your injury?: Hallux Limitus w/ bone spurs	TL-501HL		1	$129.50	$129.50

Trying to Avoid Great Toe Surgery - Australia

Contact Name: Meredith Cxxxxxx Phone: 02............ Email Address: m...........n5@hotmail.com Comments or Questions: Hi I am from Australia and am thinking about ordering your product for hallux limitus. I just want to check with you before ordering to make sure doing so would be worthwhile. I have been having considerable issues with my right toe for about a year now. I have been to a podiatrist who has made me orthotic inserts for my shoes but have had little benefit from them. I have been told the next step is surgery which I am understandably not keen on. I have also had considerable problems with plantar facitis in both feet since the toe pain started which I suspect is related to the toe problem because of subtle changes in my gait. I currently wear a womens US 10 b fitting in the BRooks Addiction 10 model running shoe. I don't run, these are just for daily wear, walking and to wear to the gym. This brooks shoe is the only shoe that appears to fit my skinny foot that provides the support I need. I was told to go for a shoe like this because I have a high arch and need a shoe to guard against pronation. I guess what I really want to know is how your orthotic would differ from my current one and whether you think ordering to try it is worthwhile. Thanks Meredith

Dear Meredith - I woud suggest you try my Reverse Morton's style. It should help relieve the hallux limitus pain and help you avoid having surgery for right now. Clyde

Hallux Limitus Great Right Toe - Product Selection

From: alex hxxxxxxe <axxxxx@yahoo.com>
Date: March 4, 2013, 11:26:43 AM EST
To: "clydepeachllc@gmail.com" <clydepeachllc@gmail.com>
Subject: product selection
Reply-To: alex h..... <axxxxx@yahoo.com>

Dear Dr. Peach:

I have hallux limitus on right great toe - early stage arthritis and have a bone spur on the top

of the second met  on the same foot.  I experience discomfort in big toe joint - looks like

beginning of bunion.  The bone spur on the top of the second met (podiatrist said I must 

have injured it at some point) causes pain and discomfort when toes are flexed upward, during

running, push ups, etc.

X-rays showed only slight beginning of early stage arthritis on left big toe.  No bone spurs, etc.

I am 56, 5'8" and 155 lbs.  Until recently, was running 5-7 miles a day.  Now, due to

foot/toe limitations, I am doing plyometrics, cardio programs 40 minutes a day on soft

surfaces and in heavily cushioned, stiff shoes.

Which product should I consider for conditions in right foot?  Would like to get

back to running, if possible.

Thanks

Alex 

 

 

I would try the Reverse Morton X1 Blade  Alex - Clyde

You Tube X1 Blade Question - One or Two

psladin has made a comment on Clyde's X1 Blade for Hallux Rigidus-www.IndianaBrace.com

This comment requires your approval. You can approve or reject it by visiting the comments page.

If you only have problems with one foot do you recommend using in both shoes ,, to feel balanced and even, maybe prevent problems with other foot ?? Or should you just use for the problem foot ?  You just need one. Clyde

X1 Blades Shipped February 2013 1st - 18th

Tallahassee, FL 2/1...bilateral X1 Blade Runner/hallux rigidus/hiking - Roseville, CA 2/1 - X1 Reverse Morton/sesamoiditis/walking - Appleton, WI 2/2 - X1 Blade Runner/hallux rigidus/elliptical - Kirtland Hills, OH 2/3... X1 Blade Pro/turf toe/workout shoes - Solon, OH 2/3...X1 Blade Runner/turf toe/baseball - Limerick, Ireland 2/3/13...X1 Blade runner/bilateral hallux rigidus/work - Edison, NJ 2/7/13...X1 Blade Light/hallux rigidus/walking - Catskill, NY 2/7...X1 Blade Light/hallux rigidus/walking - Burbank, CA 2/7...X1 Blade Light/hallux rigidus/walking - Seeley Lake, MT 2/7...hallux rigidus/work - Ogallala, NE 2/7...X1 Blade Runner/hallux rigidus/ADL - Villa Park, CA 2/8...X1 Blade Runner/hallux rigidus/golf - Ishpeming, MI 2/8...X1 Blade Pro/hallux rigidus/workouts - London, England - 2/10...X1 Blade Light/turf toe/walking - Readfield, ME 2/11...X1 Blade Reverse Morton and X1 Blade Light/bilateral hallux rigidus with bone spurs/work - Short Hills, NJ 2/11...X1 Blade Reverse Morton/bilateral hallux limitus/work - Lima, Peru 2/11...X1 Blade Reverse Morton/hallux limitus/ADL - Bethesda, MD 2/12...X1 Blade Runner/ bilateral hallux rigidus/running - Coppell, TX 2/12...X1 Blade Shoe Stiffner "Stiff"/mid foot arthritis/ADL - Moab, UT 2/12...X1 Blade Reverse Morton/severe hallux rigidus with bone spurs/scientific field work - Chorleywood, Hertfordshire UK 2/13...X1 Blade Runner Pro/hallux rigidus/field hockey - Frederiksberg, Denmark 2/13...X1 Blade Runner/hallux rigidus/sport and work - Orchard Park, NY 2/14....X1 Blade Pro/hallux rigidus/running - Holyoke, CO 2/15...X1 Blades Pro/turf toe/ranching & Rodeo - Dearborn, MI 2/16...X1 Blade Poppers/bunion pain/ADL - Wakefield, RI 2/16...X1 Blade Pro/hallux rigidus/obstacle races - Heber Springs, AR 2/17...X1 Blade Reverse Morton/hallux limitus/ADL - Mexico City, Mexico 2/17...X1 Blade Light/turf toe/rehab -Makawao, HI 2/18...X1 Blade Runner/hallux rigidus/tennis,golf - Montreal, Canada 2/18...X1 Blade Runner/turf toe/running -  Greent, IN

Clyde's X1 BladeCreates Momentum for Marathoner

Clyde, I wanted you to see his follow up question and my response. I hope that he decides to order one of your inserts, and that he is able to write up a review for you. Thanks, Bill From:H., BILL Sent: Friday, October 19, 2012 7:12 PM To: 'max.lockwood@gmail.com' Subject: Re: RUNNING FOLLOW I read your question about the X1 Blade RM model and went for a run with one in my shoe to think about it. So far I had mainly just been paying attention to the lack of pain the X1 Blade gives me when I run. Yes the entire chain gets stronger. You can feel the extra boost of energy starting from the toes as you push off. This boost transfers to the rest of the foot and to the achilles as you pushoff and this energy creates more momentum for your legs. The X1 Blade RM also gives support to my hips and legs, more than my foot could without the insert with minimal strength in my big toe. The X1 Blade definitely allows me to run faster more easily for a longer length of time and protects my toe joint from further pain from bending excessively and putting all of my weight in the toe joint while running.

Running Faster with Clyde's X1 Blade RM Model

Max's Question? Sent: Friday, October 19, 2012 1:07 PM To: H.,  BILL Cc: clyde peach Subject: RUNNING FOLLOW Hi Bill, my name is Max Lockwood. I write/do reviews for a running trade journal, Running Insight. I am doing a review of Clyde's Hallux Limitus/Rigidus blades/inserts. I am a runner who has suffered with Hallux limitus for years. Clyde just sent me some samples to try out. He mentions you as someone(a runner) who has benefited from using them to improve range of motion and ability of your big toe. As a fellow runner I would love to get some additional insight. * How many miles do you run with them per week? * What was your running like before using them? * Do you have a severe case of rigidus/limitus? * are you a competitive runner/racer? * have they helped with the condition in general or only when using them? Feel free to provide any additional info as it pertains to the blades, your running, advocacy of the product, etc. I look forward to hearing from you Regards, Max

Bill's Answer - Lockwood [mailto:max.lockwood@gmail.com

Max, I am glad to answer any questions you may have. I am 49 years old, and have been running for 4-5 years. I have had to have cheilectomy surgery to remove bone spurs from each of my first toe joints…my right foot was operated on in November of 2010 and my left foot in April of 2012. As I was recovering from surgery I had an incident with my left toe that created a turf toe-like effect in around July of this year, which set back my recovery. I was experiencing the pain of Hallux Limitus before I began running, so I am not sold that running is the cause of the condition. I still suffer from hallux limitus but have recovered from the surgeries and run with much less pain since the bone spurs were removed. The two surgeons I worked with both told me that I basically have no cartilage in the joints of my first toe. Therefore, with each step I have bone against bone if I try to bend my first to backwards more than 20 degrees, so I cannot run pain free. Since I cannot bend my toes backward, I get very little if any power or strength from my big toe. I have tried countless over the counter orthotics with little to no success, but I did settle on using a red cushioned orthotic from Spenco in which I was cutting out the first toe area. I am still using this in conjunction with Clyde’s inserts I have been using lately, by placing the Spenco cushion orthotic on top of the orthotic with the Morton’s reverse extension from Clyde. The shoes I use are Saucony Mirage II. I had been running in the Saucony Kinvara, but the Mirage adds some pronation control that keeps me from putting excessive weight on my big toe. To answer your questions: • I began marathon-type training in January 2010, and have been running an average of 50 miles per week since that time, except for the time periods I was recovering from surgery. I am running that many miles per week currently as well. I have run four marathons during this time. • Note that I just ordered one for my left foot in mid-September and a pair that I received last Friday. Running before using them since my surgeries has been difficult since I have the weakness that is caused by hallux limitus, since I cannot bend my toe backwards or push off effectively. I never realized how much this was impacting my speed until I used Clyde’s inserts. Running since my surgery has been less painful, but would become painful if I accidently bent it backwards too far. • I would say yes, I still have a severe case of hallux limitus. Both doctors I worked with stated I am at stage 3 of 4, with stage 4 being you cannot bend your toe back at all. I am grateful the bone spurs are gone, but I again I have no strength from my toes during pushoff until I ran with inserts from Clyde. • I am not a competitive racer. My marathon PR is 4:08. I love to run though. I know the inserts cannot give me speed, but I ran a 5 mile tempo yesterday with the inserts with reverse Morton’s extension in each foot and realized I was running faster more easily than I was without them just two weeks prior… 8:45 ish per mile two weeks ago verses 8:24 yesterday on the same route. There’s no way that increase is from conditioning I have gained in two weeks, it is just so much easier to run now that I have these inserts. • I am wearing the original X-1 Blade in my left foot during work hours and have been for the past month. I can definitely feel the relief and experience much less pain in the my left toe joint from walking during the day. I wear them with Rockport dress shoes that have a wide toe box. At night, I noticed I had much less pain than after walking all day without the inserts. I believe the insert is helping my toe completely heal from the surgery and the turf toe injury, and will protect me long term from excessive bending of the toe either through normal walking, or accidently such as if I step on a rock, tree root running on a trail, or turning too quickly. My foot is also more pain free after running when I use the inserts. I am sold on the version of the insert with the Morton’s extension for running. I believe the X-1 blade is a little too rigid if you run in them beyond 5 miles. For football, tennis or similar sport with quick change of directions I could see it being perfect, but on a long run the X-1 Blade made my foot and left toe more tired than usual. I don’t think you need the extra rigidity in the first toe for normal running. The version with the reverse Morton’s extension is not as rigid as the X-1. I think this thinner less rigid version is more preferable for long runs, as it still protects your toe, gives added strength support and doesn’t tire your feet over the long term of a long run. The cut out area for the toe is a must for hallux rigidus also. I want to see how the Morton’s extension version works when I get to runs of 18 miles+. I ran 13 miles last weekend and that is the longest run I have run so far. However, after trying countless of other inserts I could tell immediately I have hit on the right solution. If there is anything else you need let me know. Bill H.

X1 Blades Take Up Less Room in a Shoe

Question - Tue, Aug 7, 2012 at 6:56 AM, <3174451475@mms.att.net> wrote:

Contact Name: Phil G. Phone: 210 XXX 4841 Email Address: 86XXXXXX@gmail.com Comments or Questions: i have hallux limitus. I use stiff carbon inserts under my running shoe insoles that work pretty well but they take up too much space in my dress shoes that I wear every day, plus, they require an insole to cover them up which uses more space. Do your X1's require an insole to cover them? Do you find that they require a larger shoe size to avoid painful pressure on the toe joint?

Answer from Clyde

Dear Mr. Green -

The X1 Blades are less stiff and very thin  requiring much less space in a shoe than do regular carbon fiber plates. You can walk directly on the top of the X1 Blades without top cover for normal walking, because of the Blades smooth upper surface. Depending on the shoes upper depth and last  it is not normally necessary to move into a larger shoe size to accommodate an X1 Blade. Thank for your question. Clyde

X1 Blade Helps Users Hallux Limitus Post-op Pain

Sr Building Inspector-City of Santa Cruz

mike baldwin (watsonville, CA)

I have advanced bi-lateral Hallux Limitus and am 8 weeks post-op from an osteotomy on my right foot. I purchased Clydes X1 Blade for both feet, these things are great! They are reducing the post- op pain on my right foot substantially and the way my left foot feels may eliminate the need for surgery on it!! Thanks Clyde

X1 Blade with Reverse Morton's Extension - Ideal Applications

 A super light weight  (.07 oz.) and extremely thin (.04") energy storing orthotic with reverse Morton's extension. Created by Clyde Peach, CO (ABC Certified Orthotist - 1978) of Indiana Brace to treat patients with sesamoiditis or hallux limitus.

Ideal application

  Hallux Limitus - Clyde's X1's Blade with reverse Morton's extension reduces joint motion and off-loads the 1st ray reducing the jamming effect of functional hallux limitus. The X1 Blade's energy shell has multiple density zones so as  not to limit the entire foot, but adds an energy pop at toe off to help normalize assymetric gait.

  Sesamoiditis - Clyde's X1 Blade with reverse Morton's extension - the reverse Morton's extension off-loads the painful sesamoids while at the same time  stabilizing them. The X1 Blade's energy shell has multiple density zones so as not to limit the entire foot. The X1 Blade also adds an energy pop at toe off to help normalize assymetric gait.
www.indianabrace.com

Latest X1 Blade Orders with Diagnosis

The latest 2012 X1 Blade® shipped to: Cincinnati, OH "Called Clyde to Order...Referral from Lone Star Orthopaedics... 6/4/2012 10:03 AM" (Hiker model/hallux rigidus/aerobic exercise) - New South Wales, Australia "Online Order 6/2/2012 8:08 PM" (Pro model/turf toe/martial arts) - St. Louis, MO "Online Order 6/2/2012 11:20 AM" (Hiker model/hallux rigidus/running) - Philadelphia, PA "Online Order 6/2/2012 10:30 AM" (Hiker model/hallux rigidus/ADL) - Briarcliff Manor, NY "Order Online 6/2/2012 10:13 AM" (Hiker model/hallux rigidus/soccer)

Post- OP Hallux Limitus and Rigidus - X1 Blade User

Contact Name: Karen D. Phone: 207.xxx.xxxx Email Address: KD@xxxxxxxxxComments or Questions: Hi Clyde, I've been using one of your X1 Blades for Hallus Limitus/Rigidus for the past 10 months or so. (I had surgery to remove bone spurs in November, but still have considerable arthritis in the joint. I've been using your light model in my shoes as I generally walk 3-5 miles a day. Do you think I should use a feather model to use when I'm not out walking my dogs or one the trail (i.e. in the office or running errands around town)? Or just still with the light? I just ordered a second light insert and thought I'd check with you before you mail it out. Thanks! Karen.........Answer - Yes, sure try the Feather model for everyday walking. The Feather is geared for about 2500 steps per day (normal ADL walking)and will last for about a year. If you don't get as much pain relief with the Feather model as you did with the Lite model send it back for an exchange. Clyde

Clyde's X1 Blade Customer Comments

Hi Clyde: I received the first pair or what I already have. Thanks. I'm attaching some information that you probably already know but might still be interesting. Some misc comments: 1. I only have a problem with my left toe and right foot is thankfully normal. However it seems that in order to have an even gait that wearing same thing in both shoes makes sense. I don't know if I'm right here. What do you think? Have you ever had anyone do what I'm doing before? I'd really like to know as I don't want to mess up my feet in the long run. 2. Going thinner is definitely the right direction with your inserts. Because of the bunion on the top of my toe your insert can sometimes crowd the toe box and it is far to uncomfortable to wear with many shoes. It really depends on the shoe. 3. Regarding shoes I can not recommend highly enough for your clients the New balance MW 928 walker. It is the update to there very successful 927 which I also wear. I can walk pain free in these shoes. I put your insert in them for extra firmness. The other brand that is surprisingly comfortable and cheap are called Flip Flops. They are made in Britain and I can also walk without insert pain free in them. I wouldn't try to run but it does the trick as a casual. I hope this gets out to help others they have been a godsend to me. 4. Regarding reverse morton's extensions and the literature that I'm enclosing from Dr. Kirby in California it appears he is the leader amongst DPMs in the orthotics area. I don't know why but he is quite highly regarded. However, there is no literature or comparative research which shows that reverse Morton's work better for Functional Hallux Limitus or Structural Hallux Limitus. Indeed the criteria for defining the difference between the two conditions is confusing. I know because two DPMs called my case by both. The last DPM, Dr S.S., was the most credible and all the others seem to look up to him as a sage in the field of foot surgery. It seems agreed that for Hallux Rigidus a full Morton's extension is called for. In fact the article you sent me by the Rochester orthopod I believe just used a carbon plate to firm up the whole foot. Correct? Have you wondered what one of your inserts would be like if you just made the whole toe unit in the same firmness as the extension? It might be interesting because it would seem that you want an even consistent bending of the toes through the gait but maybe Morton figured that out. 5. The problem with your competition is that the products are far to rigid and thick to work for any length of time for most people in most shoes. This is IMO of course. There is no reason to have a rigid plate all the way through your foot where the need is specific to the toe. I do believe that the additional firmness that your inserts brings does help support things overall. The best studies done thus far aren't very good but they show that off the shelf inserts work just as well as the hyped up custom inserts and I'm in agreement. This works to your benefit of course. I'm still astounded that after seeing 4 very busy DPMs - 3 of which recommended Youngswick or variation osteotomies that Dr. S.S. debunked the whole procedure saying that Youngswick doesn't even do Youngswick procedure anymore. Wouldn't you think that there would be some general consensus? At least within a 70 mile radius amongst DPMs in South Florida? Looking forward to trying the reverse m. ext. Regards, Carl

Clyde's X1 Blade Warranty Question

On Tue, May 22, 2012 at 11:50 AM, <3174451475@mms.att.net> wrote: Contact Name: PS Comments or Questions: What is your warranty policy? About a year ago I bought two X1 blades for my sons turf toe in both feet. He has used them a lot and LOVES them!! They have worked great helping him compete at his highest level again. We have referred a lot of friends to your product also when asked what helped him overcome his turf toe issues. Unfortunatly yesterday running a sprint in track one of the inserts snapped in half behind the ball of foot in the front arch area. As much as these cost I just assumed there was a lifetime warranty if anything like this happens. Please let me know. Thanks, PS Answer: There is a one year warranty on any of Clyde's X1 designs.

New Testimonial from Carl for Clyde's X1 Blade / hallux limitus

" After trying multiple orthotics and seeing 5 DPMs in the last month I can say that your blades are the best answer to dealing with Hallux Limitus of my type - which is called structural Hallux Limitus. The last DPM that I saw who is quite famous amongst DPMs strongly recommended that I get a Morton's extension and so after researching the subject I tried your product and several others. The difference I see in your product versus the pure carbon plates is that the plates are too hard and brittle throughout the whole shoe where there is no need for the stiffness making them very uncomfortable. The X blades are stiffest where you need it with a little bit of give - which is the best orthopedic solution. I use them in conjunction with an over the counter orthotic and I can walk or play a round of golf pain free. Also, my gait has improved since I don't have to supinate my foot to avoid the pinch in my toe. My profession for 25 years has been as a venture capitalist investing and managing clinical testing of medical devices throughout the world so I have a reasonable amount of experience enabling me to better investigate the efficacy of medically related products. I appreciate your product. "