Quadra Steps

The QUADRASTEP® SYSTEM is based on a clinical assessment algorithm which identifies and differentiates the structural and functional aspects of the foot into 6 specific foot "types". Each foot type influences not only the patients gait but the conditions and pathologies which may affect them throughout their lives.


QUADRASTEP® orthoses are manufactured from an injection molded thermoplastic compound which has a unique combination of strength with a "soft-edge" feel which gives incredible support while maintaining high patient comfort and therefor improving patient compliance. The devices are a single piece incorporating all of the required postings, recesses and heel cup/sidewall heights to effectively treat the specific foot type diagnosed requiring no additional adjustments.



Possible Clinical Symptoms:
  • Lateral Ankle Instability
  • Peroneal Tendonitis
  • Heel Pain
  • 5th Metatarsal Base Pressure
  • Lower Back Pain
  • Sesamoiditis, Hammer Toes
  • Knee Recurvatum


Possible Clinical Symptoms:
  • Neuromas
  • Sesamoiditis
  • May occur with leg discrepancies
  • 1st Ray Hypermobility
  • Sacro-iliac Pain
  • Often Unilateral


Possible Clinical Symptoms:
  • Retrocalcaneal Bursitis
  • Lateral Hip Pain
  • Haglund's Deformity
  • Lower Back Pain
  • Iliotibial Band Syndrome
  • Pinch Callus Medial Hallux


Possible Clinical Symptoms:
  • Plantar Fasciitis
  • Metatarsalgia
  • Functional Hallux Limitus
  • Patellofemoral Pain Syndrome
  • Posterior Tibial Tendonitis
  • Neuromas
  • Dorsal Bunions


Possible Clinical Symptoms:
  • Plantar Fasciitis
  • Shin Splints
  • Tailor's Bunionette
  • Cubiod Syndrome
  • Medial Knee Pain
  • Forefoot Equinus


Possible Clinical Symptoms:
  • Plantar Fasciitis
  • Posterior Tibial Dysfunction
  • Tarsal Tunnel Syndrome
  • Patellofemoral Pain Syndrome
  • Subfibular Impingement
  • Hallux Limitus
  • Splayfoot

Little Steps

The Little steps are Designed to Improve:

  • Flat Feet
  • Balance
  • Coordination
  • Pain
  • Posture
  • Strength

What Can Be Done?

There are many things that can be done to manage a developmental flat foot. Your healthcare provider can help diagnose the condition and recommend appropriate treatment. Intervention may include balance and coordination exercises, in addition to little Steps Foot Orthotics for kids.

What are Little Steps?

Little Steps are pre-fabricated foot orthoses specifically designed for kids. Little Steps provide an affordable alternative to expensive custom foot orthoses while delivering a prescription based correction. This promotes earlier intervention and treatment of many musculoskeletal conditions common to children. Sizing ranges from a toddlers 7.5 through child's size 4.5 (euro sizes 23-36), suiting most kids up to ages 10-12.

What Make Little Steps Unique?

Little Steps provide the same functional foot control found in prescription foot orthoses. Some of these features are:
  • The most cost effective treatment option.
  • An ultra deep heel cup to maximize rearfoot control and realign the Achilles tendon.
  • Excellent arch support with a deep flare to assure both comfort and correction.
  • A unique thermoplastic compound which has a combination of strength and a "soft-edge" feel for patient comfort.
  • Little Steps are durable and easy to clean with soap and water.
  • Fit in most standard athletic shoes.

Is there a break-in period?

Yes. Most patients should be able to gradually increase their wear time over a 7-10 day period. This begins with normal activity and gradually works towards more strenuous activities, such as sports. It is recommended that all foot orthoses be worn with socks to avoid blisters.

Should I consider additional pairs of Little Steps Orthoses?

Most often, one pair of orthoses will suffice; however, having additional pairs offers the convenience of not having to move them from shoe to shoe.

Concern About Children's Feet

It is not uncommon for parents to be concerned about their child's "flat feet". Children normally possess an apparent flat foot during the first year of life. Some will outgrow this, but some will not.

Foot Facts:

  • It is normal for a child's foot to appear flat up until about the age of 2 due to a thick layer of baby fat that fills the arch area. As long as the child is otherwise healthy, and the foot is flexible and free of pain, then no treatment is necessary.
  • Most children will begin to walk by 12-14 months, although there is a great deal of developmental diversity among children.
  • As a child begins to walk, they will initially be unsteady, with awkward and erratic movements, as their brain learns to coordinate movement. During this time it is common for a child to walk on their toes.
  • Within several months of a child's first steps, they will begin to master their movements. They should begin to walk flat on their feet instead of on their toes.
  • A child's arch becomes more obvious around 3 years of age when the fat pad disappears. At this age it is normal to observe a good arch when the child is sitting or lying down. Upon standing however, the arch may look very low. In most cases, this may be completely normal.
  • When a child's arch is severely flat, coupled with an inward bowing of the ankles and Achilles tendon, they may have a true flexible flatfoot. This is also known as "developmental flat foot". This is a foot that has a normal looking arch when non-weight bearing and a flat arch in standing. Typically this condition is not painful, but may lead to postural concerns and poor muscle development.
  • It is uncommon for a child with a normal foot to complain of pain. Any complaint of limb or foot pain from a child should not be taken lightly. . "Growing pains" are not normal and are usually not the cause of foot and leg pain. Any child complaining of pain should be seen by their doctor to rule out a potentially serious condition.
  • In rare cases, some children may be born with a malformation of the ankle bone that causes a rigid flat foot, coupled with the appearance of a "rocker-bottom" foot. This condition, although extremely rare, is cause for serious concern and warrants an evaluation by a physician.
  • There are other serious joint problems, such as juvenile rheumatoid arthritis, that cause foot pain in children. This is the reason that foot and leg pain in children is always cause for concern.
Developmental Flatfoot is one of the most common conditions affecting the musculoskeletal system of children and teenagers. There is a tendency to under treat or ignore a child's flatfoot unless it is severe. Developmental flatfoot is the precursor to serious foot dysfunction and often results in some level of disability in the adult foot. Recognizing this anomaly early in life will save joints and musculoskeletal issues later in life.

Five Signs A Child May Have a Foot Problem

  • Your child cannot keep up with his peers
  • Your child withdraws from activities they usually enjoy
  • Your child does not want to show you his feet
  • Your child often trips and falls Your child complains of pain – IT IS NEVER NORMAL FOR A CHILD TO HAVE FOOT PAIN!!
American College of Foot & Ankle Surgeons, visit ACFAS.org)

What if A Child Continues to Toe-Walk?

It is normal for a child to walk on their toes for the first 2-3 months of walking. If your child continues to toe walk after this time, they should be examined to determine if they have tight heel cords (the tendon that connects to the back of the heel). Children who toe walk may simply require stretching of their heel cords or they could require other intervention. Although many children will continue to walk on their toes despite having normal heel cord flexibility, children with developmental flat foot may assume this position to gain more stability. Wearing supportive shoes in combination with a foot orthotic can help them.