D.D. De Jager

We pair people with the correct braces which ensures successful rehabilitation outcomes. The practice stocks an extensive range of braces and splints from the world’s leading countries including Germany, Italy, Iceland, Switzerland and South Africa.

Compression Therapy 

Compression therapy is a treatment option for reducing oedema, swelling and other associated conditions affecting the upper and lower limb (both arms and legs). These garments apply graduated compression to the limb to reduce swelling and regulate blood flow. Compression therapy improves and restores the velocity and viscosity of blood flow; it also reduces and prevents oedema. This treatment plan is also commonly used in preventing venous diseases and lowers the risk of pulmonary embolisms.

Upper Limb 

Upper limb orthotics are designed to stabilize, protect, and improve the function of your arm, hand or fingers or a combination thereof. This is achieved by bracing your arm, hand, or finger which, depending on what is required, reduces the affected area’s range of motion to allow healing or supports the area which helps in reducing pain and discomfort. We offer our professional services by assessing and fitting upper limb orthotics, assuring you receive the correct treatment option.

Lower limb

Lower limb orthotics are external devices that support and improve the function of the lower body. Lower Limb orthotics are used to assist gait, reduce pain, decrease weight bearing control movement, control movement and minimize progression of the deformity skills and assist ambulatory patients in achieving near-to-normal gait patterns in walking.

Diabetics and Orthotic Care

As a diabetic, it is important for you to look after your feet because any wound that forms under your foot will take longer to heal due to the circulatory issues you have or may develop. We have a variety of orthotic devices ranging from total contact foot orthotics, designed to reduce shear forces to the soles of your feet, as well as diabetic shoes and socks. Should you develop an ulcer or have an existing one we have specially designed offloading shoes and foot orthotics to help off load the wound site and promote healing. These wound sites need to be constantly monitored, and the insoles may need to be adjusted to provide as much support and offloading as possible.

Custom Made Orthotics 

Depending on the diagnosis and the level of the injury or support needed, custom upper or lower limb orthotics can also be manufactured. This is usually done in more severe cases or when an off-the-shelf orthosis will not provide the required stability or will not fit according to the desired specifications. Common procedure of custom bracing is as follows (this will vary depending on the treatment plan and device chosen for each patient):

• Clinical evaluation by the orthotist Casting/moulding
• Manufacturing of the orthosis
• Test fit if needed (depending on the function of the brace)
• Making necessary adjustments
• Manufacturing of final orthosis
• Final fitting
• Follow up in 2 weeks for adjustments

Some examples of Custom-made Orthotics

Foot Orthotics

DD de Jager Inc Practice specialises in providing relief of foot pain & running injuries through the scientific prescription of foot orthotics and specialised footwear. The practice believes in managing not just the effect of foot pain, but the cause of the problem. Through gait analysis, pressure mapping and video analysis we can prescribe effective foot orthotics & footwear solutions.

Cranial Paediatric Helmets

Cranial Remoulding Orthosis is an infantile treatment only that involves a custom-made helmet. The helmet fits to the shape of the head and contains areas of space over the flattened regions. The spaces allow natural growth of the head in these regions over a period of several weeks or months, allowing the structures to correct itself. There are no areas of direct pressure applied therefore ensuring a safe and painless treatment. A head-shape deformity is generally noticed soon after the birth of your baby, within several days, weeks or months. General healthcare practitioners, and you as the parent/s or caregivers will be able to detect an abnormal head shape and/or asymmetries in the facial features and ears that do not resolve in several days. In the treatment of cranial remoulding, we aim for an early initiation to achieve the best outcomes. The ideal age of treatment is 4 to 6 months; however, we can provide a helmet for a baby till the age of 18 months depending on the severity and causative factor.

Ankle Foot Orthosis (AFO’s)

Custom AFO’s are designed in cases where specific requirements cannot be achieved by means of an off the shelf AFO brace, or the complexity of the ankle alignment or structure requires a custom design and fit. Common cases where custom bracing will be considered are: Cerebral Vascular accidents (CVA, Stoke), Traumatic Brain Injuries, (TBI)Spinal Cord Injuries, Traumatic Injuries, Nerve Impingement muscle, Dystrophy, (MD)Multiple Sclerosis and (MS)Guillain-Barre Syndrome.

We pair people with the correct braces which ensures successful rehabilitation outcomes. The practice stocks an extensive range of braces and splints from the world’s leading countries including Germany, Italy, Iceland, Switzerland and South Africa.

Compression Therapy 

Compression therapy is a treatment option for reducing oedema, swelling and other associated conditions affecting the upper and lower limb (both arms and legs). These garments apply graduated compression to the limb to reduce swelling and regulate blood flow. Compression therapy improves and restores the velocity and viscosity of blood flow; it also reduces and prevents oedema. This treatment plan is also commonly used in preventing venous diseases and lowers the risk of pulmonary embolisms.

Upper Limb 

Upper limb orthotics are designed to stabilize, protect, and improve the function of your arm, hand or fingers or a combination thereof. This is achieved by bracing your arm, hand, or finger which, depending on what is required, reduces the affected area’s range of motion to allow healing or supports the area which helps in reducing pain and discomfort. We offer our professional services by assessing and fitting upper limb orthotics, assuring you receive the correct treatment option.

Lower limb

Lower limb orthotics are external devices that support and improve the function of the lower body. Lower Limb orthotics are used to assist gait, reduce pain, decrease weight bearing control movement, control movement and minimize progression of the deformity skills and assist ambulatory patients in achieving near-to-normal gait patterns in walking.

Diabetics and Orthotic Care

As a diabetic, it is important for you to look after your feet because any wound that forms under your foot will take longer to heal due to the circulatory issues you have or may develop. We have a variety of orthotic devices ranging from total contact foot orthotics, designed to reduce shear forces to the soles of your feet, as well as diabetic shoes and socks. Should you develop an ulcer or have an existing one we have specially designed offloading shoes and foot orthotics to help off load the wound site and promote healing. These wound sites need to be constantly monitored, and the insoles may need to be adjusted to provide as much support and offloading as possible.

Custom Made Orthotics 

Depending on the diagnosis and the level of the injury or support needed, custom upper or lower limb orthotics can also be manufactured. This is usually done in more severe cases or when an off-the-shelf orthosis will not provide the required stability or will not fit according to the desired specifications. Common procedure of custom bracing is as follows (this will vary depending on the treatment plan and device chosen for each patient):

• Clinical evaluation by the orthotist Casting/moulding
• Manufacturing of the orthosis
• Test fit if needed (depending on the function of the brace)
• Making necessary adjustments
• Manufacturing of final orthosis
• Final fitting
• Follow up in 2 weeks for adjustments

Some examples of Custom-made Orthotics

Foot Orthotics

DD de Jager Inc Practice specialises in providing relief of foot pain & running injuries through the scientific prescription of foot orthotics and specialised footwear. The practice believes in managing not just the effect of foot pain, but the cause of the problem. Through gait analysis, pressure mapping and video analysis we can prescribe effective foot orthotics & footwear solutions.

Cranial Paediatric Helmets

Cranial Remoulding Orthosis is an infantile treatment only that involves a custom-made helmet. The helmet fits to the shape of the head and contains areas of space over the flattened regions. The spaces allow natural growth of the head in these regions over a period of several weeks or months, allowing the structures to correct itself. There are no areas of direct pressure applied therefore ensuring a safe and painless treatment. A head-shape deformity is generally noticed soon after the birth of your baby, within several days, weeks or months. General healthcare practitioners, and you as the parent/s or caregivers will be able to detect an abnormal head shape and/or asymmetries in the facial features and ears that do not resolve in several days. In the treatment of cranial remoulding, we aim for an early initiation to achieve the best outcomes. The ideal age of treatment is 4 to 6 months; however, we can provide a helmet for a baby till the age of 18 months depending on the severity and causative factor.

Ankle Foot Orthosis (AFO’s)

Custom AFO’s are designed in cases where specific requirements cannot be achieved by means of an off the shelf AFO brace, or the complexity of the ankle alignment or structure requires a custom design and fit. Common cases where custom bracing will be considered are: Cerebral Vascular accidents (CVA, Stoke), Traumatic Brain Injuries, (TBI)Spinal Cord Injuries, Traumatic Injuries, Nerve Impingement muscle, Dystrophy, (MD)Multiple Sclerosis and (MS)Guillain-Barre Syndrome.