Sesamoiditis - X1 Blade-S #6693 to Butler University

2/5/18
PA: Butler University Sports Medicine/Softball Player
DIAGNOSIS: Sesamoiditis
RX: Clyde's X1 Blade-S for Sesamoiditis Pain Relief
http://indianabrace.com/clydesx1gobladeforsesamoiditisdiscomfort.aspx
Plan: Fabricate LightFlex composite X1 GoBlade-S  #6693 with L for unrestricted foot and ankle motion during athletic competition (softball). Create 3.10mm great toe pocket for sesamoid relief and heel relief pockets. Maintain rocker shape forefoot for natural toe off. Pad heel with 1/8" plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone with ShearBan to prevent blistering during cutting. Add 1/8" plastizote to forefoot area covering 2nd thru 5th mets to the base of 5th mettarsal to unload 1st metatarsal.
FINAL SPECS: thickness and weight of X1 GoBlade-S #6693 (WT) 0.890 oz (L) 24.5cm (W at 1st MTP) 7.7cm ( Primary Shell D) 0.94mm (1st MTP Drop) 3.65mm
Sport: Softball
www.indianabrace.com
Call Clyde 800.253.6217 TXT: 317.445-1475

Sesamoiditis:8/11/17 X1 Blade #7537 Sesamoiditis Model/ To Austin, TX/S...

Sesamoiditis 1st MTP - X1 Blade-S #7535 to Lansine in Fairfax, VA 8/4/2017

Sesamoiditis Question for Clyde from Patrick / NYC

Hello Clyde , I have a question for you. I sustained a sesamoid injury in both feet last year as a result of doing squats with heavy weights in barefeet (very stupid). MRI and xrays do not show fractures. The diagnosis is inflammation of the sesamoid area/big toe joint. I've been experimenting with various types shoes and inserts (i.e. wide forefoot, stiff sole, rocker bottom, certain combinations thereof as it is not easy to find). 

I have a couple of questions about your XL Blades because I am trying to figure out how they differ from other carbon fiber inserts that I have purchases, such as from Return To Play, and MyFootShop.com.

I hope you do not mind indulging me.

One of the problems I have with the plates I've tried is they are so unforgiving. Stiffness is the goal, yes, but I have noticed that with this injury, I get a lot of stinging in the underside of the great toe joint especially when coming into contact with hard surfaces such as uncarpeted floor in barefoot (which I try not to do). I have placed carbon inserts into my shoes and used off-weighting materials like dancers pads, and cut holes in the insoles that sit on top of the carbon plate, but I still notice that when I walk and turn certain ways, depending on the shoe I am in, my foot "catches" on the plate in the sesamoid area and creates a sudden jolt of stinging. I have noticed in pictures of your plate that the big toe area seems to be depressed, it hangs a bit lower than the surface of the rest of the plate. Is that done so that the 1st metatarsal area is off-weighted even more and to prevent pressure from the carbon insert hitting the bottom of the toe joint like I have experienced? The other carbon inserts I have do not have that depressed area, so it makes me wonder if yours would work better.

The other questions I have is related to how I have trouble finding shoes that actually allow for the carbon plates to sit in. A lot of shoes do not have a flat surface/footbed area, so a flat stiff insert doesn't sit flat, it sort of bounces around since it is not coming into contact with the full surface of the footbed. I have a pair of New Balance 928 Walking shoes and they have a flat footbed on the inside, so the insert seems to work well in those, whereas in many shoes, especially something like an Oxford (like I need for the office), they do not, since there is curvature in the footbed in many Oxfords. I was wondering if that made sense to you, and if in your experience you have found that certain types of shoes work with your inserts better. I am guess also that with the stiffness, a rocker sole is going to make a more comfortable insert, since without the rocker, it is difficult to walk with a stiff insert. The challenge is also extra-depth, since adding the inserts underneath an existing insole and any additional padding makes for a very tightly packed shoe. That's a challenge I've had with other carbon inserts.  Extra depth, WITH a flat internal footbed, are not easy to find.

Anyway, if you would kindly consider my concerns as I determine whether or not it would be worthwhile for me to pursue your XL Blade, I would greatly appreciate it. It's been quite a challenge, and I"m sure you have heard these concerns from other clients. I have great respect for your field.

Thank you very much

Patrick M.

New York City

415.XXX.XXXX

Hello Patrick, Thanks for the question.

All my X1 Blade structural designs are tailored to specific applications (sesamoiditis being one) using a combination of mediums: composites (carbon fibers both bidirectional and unidirectional and glass),  a unique low coefficient of friction film, and compression resistant polyethalene foams. Unlike a "carbon fiber plate" that is uniform in density and stiffness (like a rigid dinner plate) the X1 Blade orthotic varies in density and flexibilty. We achieve this by varying the fiber orientations along the laminate structure in three zones - rear, mid, and forefoot. This variable design allows for a more natural foot motion.

The X1 Blade for sesamoiditis ingredients are:

1) 3 Flex Zones (TriFlex) - 1) Rearfoot  -fexible and padded for heel strike 2) Midfoot - flexible so as

X1 Blade for Sesamoiditis

not to restrict ankle motion during activity 3) Forefoot - stiff minus with a 2mm drop under great toe lined with low friction film (ShearBan).

2) Rocker Shape to encourage a more natural gait and fit the curvature of a standard shoe shape. A flat "carbon fiber plate" is only good for children who are toe-walkers. It will to get them into a more natural heel toe toe gait. As you have found it is very difficult to walk normally with a stiff flat "carbon fiber plate" in your shoe. There is a biomechanical reason for that!
3) Medial Toe Wedge - The 2mm drop under the great toe creates a 1mm medial wedge that shifts some of the ground force off the 1st MTP (sesamoids) to the 2 through 5 met heads during weight-bearing.
4) 2mm poyethalene foam (compression resistant) - added to forefoot zone to shift more ground force from 1st MTP to mets 2 through 5.
5) Specs: Weight: Usually 1+ ounce depending on the shoe size.  Thinness: from 1mm to 2mm in thinness depending on the flexibility zone.

The shoe issue. What I say is:  if you decide to order an X1 Blade for your sesamoiditis when you get it try it without an insert in the shoe to see if it will work for you and if so deal with the shoe issue last.

Patrick, I have made several of these  X1 Blades for sesamoiditis (usually for athletes) with a 100% money back satisfaction guarantee, and so far I have never gotten one back. 

ABC Badge

So I would say give it a try! 

Clyde Peach, CO
indianabrace.com

Sesamoiditis / X1 Sesamoiditis Blade to Adam in Baindbridge, IN

Published on Apr 25, 2017
Order Taken: WebSite Order 4/24/17 / Shipped 4/25/17 USPS Priority Mail
PA: Adam R./ Baindbridge, IN
RX: Clyde's X1 GoBlade for Sesamoid Pain Right Foot
DX: Sesamoiditis
ICD-10-CM Billing Code : M89.371
Plan: Fabricate X1 GoBlade #7443 with StifFlex midfoot for unrestricted ankle motion during regular ambulation. Create .06" great toe pocket for sesamoid relief and heel relief pockets. Maintain rocker shape forefoot for natural toe off. Pad heel with1/8" perf plastizote for heel strike relief to prevent plantar fasciitis. Cover great toe relief zone with ShearBan to prevent blistering work. Add 1/8" perf plastizote to forefoot area covering 2nd thru 5th mets to the base of 5th mettarsal to unload 1st metatarsal. Specs: thickness and weight of X1 GoBlade #7443 (1/25 ") - 1.250 oz
Sport: ADL
User Comments: None
Website: www.indianabrace.com
Contact: Call: 800-253-6217 Text: 317-445-1475 Email: clyde.peach@gmail.com
Practitioner: Clyde Peach, CO - ABC Certified Orthotist #1321

Adam's X1 Blade #7443

American Board for Certification in Orthotics & Prosthetics

Sesamoiditis Blades to Notre Dame Athletics

X1 Blade for Fractured Sesamoid

X1 Blade #7011 for fractured left sesamoid bone to:
Shawn B./Locust Grove, OK
Injury: fractured sesamoid bone left
Sport: football
X1 Blade Model: Pro with deep relief pocket
X1 Blade Spec:
Weight: 1.036 oz
Thickness: 0.0325"
Stiffness: Variable - stiff under great toe only
Padding: 1/8" moleskin heel / ShearBan big toe

Stop the Ouch! X1 Blade #7006 to TCU Athletics - Sesamoiditis

X1 Blade #7006  - Diagnosis - Sesamoiditis
Specs:
Weight:  0.734 oz
Thickness : 0.0120"
Rigidity:: Light Mid and Hind Foot - Stiff Great Toe
Relief Pocket : Deep for Relief of Sesamoiditis
Heel Padding : HaPad 1/8"Moleskin
Great Toe Shear Relief: ShearBan
 Product #: RTL+ Light Deep F1 28R

X1 Blade #6691 to Bloomington, In - Sesamoid Area Pain

X1 Blade #6691 to a female basketball player in Bloomington, IN player had a right sesamoid bone removed; still having pain when running, limited.
X1 Blade features :
Weight: 0.632oz
Thickness: 0.035"
Density Zones: Variable
Sesamoid Pocket: Deep
Wedging: Lateral thrust to offload 1st MTP
Padding - ShearBan Heel & Great Toe

X1 Blade Question - Pain in Ball of Foot

X1 Blade with Relief Pocket

Hi Clyde,

I have been looking for an insert for the pain in the ball of my foot and this looks to be perfect for my needs. I just have a couple of questions:

1) I will mainly be using the device to play football (soccer) and was just wondering what the 'relief pocket) found in the PRO+ version was, and what benefits it has.

2) I currently use Orthosole inserts, which do help a great deal. I assume the X1 will fit underneath insert.

3) Very importantly, do you ship to the UK (London). I tried entering the post code for a delivery estimate, but it returned an error. Also, I assume all sizes are 'one size bigger' as they are US sizes.

Kind Regards,
Damian.

Clyde Peach <clyde.peach@gmail.com>	8:17 AM (23 hours ago)
to Damian

Hello Damien / The Pro+ relieves the pressure under great toe for users who suffer from sesamoiditis pain, the Blade fits under an existing insole, and I ship Blades worldwide. Thanks - Clyde

Sent from my iPhone

Dennis D. from Blacksburg, VA Ordered X1 Blade RTL for Sesamoiditis

X1 Blade RTL with Relief Pocket

New Order (#4550)

Inbox

x

www.indianabrace.com	9:48 AM (2 hours ago)
to me

You have received a new order.
You may view the detailed order information on your control panel, or just follow this link:
https://02B20D1.NETSOLSTORES.COM/mcp/sales/orders/edit.aspx?order=147316
For your records, the order confirmation email is copied below.

Order Confirmation

Thank you for your order, Dennis D. Your order number is: 4550 Date of order: 5/3/2014 9:48 AM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To Dennis D. 6XX Wxxxxxxx Drive Blacksburg, VA 24060 United States Phone:540 553 1053	Bill To dennis dean 6XX Wxxxxxxx Drive Blacksburg, VA 24060 United States Phone:540 553 1053
Additional Information Diagnosis: I just placed an order and realized I ordered the wrong product. Is it possible to cancel that order and replace with this one please? Are you the same Clyde Peach of running fame from Brebeuf High School? I was a couple of years behind you?
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?: Sesamoiditis 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: $5.85 Tax: $0.00 Order Total: $135.35

Happy We Found X1 Blade RTL's for My Daughter's Sesamoiditis!

> From: clyde.peach@indianabrace.com

> To: lisa_xxxxxxx@hotmail.com
> Date: Wed, 5 Mar 2014 15:42:01 -0500
> Subject: X1 Blade Survey
>
> Dear Elizabeth,
>
> Thank you for your recent Order#4417 for a pair of my RTL Blades. I hope they met your expectations. Please let me know.
>
> Clyde
> 

Clyde - My daughter has been using them for 2 years now in select softball she is 14. Happy we found them!  It is part of her uniform can't play without them she loves them. She uses them to relive her sesamoid pain and is able to play all weekend tournaments.

X1 Blade RTL for Sesamoiditis to Wellesley, MA

X1 Blade RTL Model with Sesamoid Relief Pocket

Megan H. ordered a pair of my X1 Blade RTL Models on 12/18/13 for her bilateral fractured sesamoid bones.

Virginia Tech Orders X1 Blades

Virginia Tech Orders X1 Turf Toe and Shoe Stiffner Blades.

X1 Turf Toe Blade

Flying With An X1 Blade

X1 Blade RTL for Seasamoid Pain

Hi Clyde, 

I bought your X1 Blade RTL Model for sesamoiditis and was wondering what it was made of? 

I have to fly in two weeks and wondering if I can get through the metal detector with it in my shoe. 

Any advice on flying with it? 

Thanks - Louise E.



Hi Louise,  Yes to your question and safe travels.

Clyde


 

Maggie Reviews X1 Blade RTL for Sesamoiditis - "Miracle"

Hoosier Clyde's X1 Blade RTL Model

Contact Name: maggie Phone: 716XXXXXXX Email Address: mosxxxx7@verizon.net 

 Order #3763

Hey Clyde thank you! 

Just wanted to let you know what a "miracle" the X1 Blade RTL is. I am a runner suffering from fractured sesamoiditis, I am now back running faster than I ever expected and pain free!

The design is spot on and light weight. It alleviates the pain and keeps the swelling down after a run. 

I can't thank you enough...so happy I found the X1 Blade RTL ! 

GO HOOSIERS! 

Maggie

____________________________________________________________________________

Order Number:	3763
Order Date:	5/10/2013 11:06 AM

Status:	Shipped * Archived
Reference:	H15933
Tracking Number(s):	9405XXXX9930XXXX051205

Customer Information

Name: Maggie R. Guest Email Address: mosxxxx7@verizon.net

Order Invoice

Shipping Method: USPS Priority Mail Product Name Part No. Mfg. 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: Right Size: Women's 11 Men's 10 / 27 CM What is your injury?: Sesamoiditis 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 Add-Ons: $0.00 Shipping: $5.85 Handling: $0.00 Tax: $0.00 Order Total: $135.35 Net Revenue: $135.35

X1 Blade for Sesamoiditis - Maggie Has A Question

Hello Clyde,

 

I just bought the X-1 Blade (RTL Model) for sesamoiditis. I am a distance runner and I was told by my doctor to wear the insert in all of my shoes for 2 weeks straight and then I can run. When I begin to run do I keep the insert in my shoe? If so, how long do I run with it in my shoe for?

 

Thanks

 

Maggie Rxxxxxx

 

Clyde Answers Maggie : Rule of Thumb - Only if there is still pain in the sesamoid region of your great toe otherwise d/c.

Maggie - Lockport, NY - X1 RTL Blade/Sesamoiditis

New Order (#3763) Sesamoiditis - X1 RTL

X1 Blade RTL

www.indianabrace.com	11:06 AM (4 hours ago)

Order Confirmation

Thank you for your order, Maggie Rxxxxxx. Your order number is: 3763 Date of order: 5/10/2013 11:06 AM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To Maggie Rxxxxxx 4X5 Lxxxxx Street Lockport, NY 14094 United States Phone:716-XXX-3XX0
Additional Information Diagnosis: sesamoiditis need for running
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: Right Size: Women's 11 Men's 10 / 27 CM What is your injury?: Sesamoiditis 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: $5.85 Tax: $0.00 Order Total: $135.35

Duncan from England - Do You Ship to the UK?

Contact Name: Duncan Jxxxxxx Phone: 00447XXX42XXX1 Email Address: Daxxxxxxxx74@gmail.com Comments or Questions: Hi I am interested in a pair of  your RTLinserts for sesamoid injury. Do you ship to the uk? How much would that cost?

Thanks Duncan  Yes I ship to UK shipping about £15 with duties and taxes £15. 

Clyde

Sesamoid Pain - X! Blade RTL Model User Now Pain Free!

Clyde, 

I could not be more pleased with the X1 Blade RTL Model. 

This thing is incredible. The design is perfect. The rigidity and spring is spot on. I have dealt with fractured (shattered into multiple pieces) sesamoid bones for years. 

When I wear the X1 RTL now, I am completely pain free. I haven't seen another orthotic product that even comes close to this one - and I have searched high and low. 

Thanks for creating and making the X1 RTL available. 

Sincerely, Jonathan Exxxxx On Tue, Apr 23, 2013 at 10:58 AM 

__________________________________________________________________________

Order Number:	3632
Order Date:	4/1/2013 2:50 AM

Status:	Shipped * Archived
Reference:	001676
Tracking Number(s):	7994 XXXX 2048

Customer Information

Name: Jonathan Exxxxx Price Level: General Email Address: jonathan.xxxxxx@gmail.com Customer Number:
Shipping Information Jonathan Echols 2XX5 Xxxxx Point Dr. Waco, TX 76710 United States (254) 7XX-1XX1

Order Invoice

Shipping Method: FedEx 2Day® 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: Left Size: Women's 12 Men's 11 / 28 CM What is your injury?: Sesamoiditis 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 Add-Ons: $0.00 Shipping: $23.50 Handling: $0.00 Tax: $0.00 Order Total: $153.00 Net Revenue: $153.00