The Foot Efx Family of Products

1
The Foot Efx Family of Products
2
WHERE DID THE SYMMETRY COME FROM?

• The Symmetry products are the result of years of
  research and a dedicated commitment to quality on
  the part of George Alznner. George Alznner, a
  Rumanian by birth, received training as a
  therapist in 1936. He began studies in
  orthopedics in West Germany where he received his
  Masters Degree in 1948, and subsequently spent
  another four years studying physiology.
• His studies and research through some twenty
  years of effort and observations of foot
  structure and foot related problems resulted in
  what was the beginning of the most advanced arch
  support design available at that time, the
  Alznner. It evolved from a simple theory that
  any arch support should bring an abnormal foot as
  closely as possible towards normalcy.
• Taking the original Alznner design to a higher
  degree of biomechanics and technology, taking
  into consideration modern lifestyles and
  activities, the original design was taken a few
  steps further. Thus, is born the Symmetry family
  of products - the most superior product line in
  the world today. The Symmetry is an enhanced
  version of the original Alznner of yesterday,
  but provides a more superior biomechanical
  function for the society we live in today.

3
What Is An Arch Support?

• An arch support is a device that is
  pre-fabricated to fit inside a shoe that alters
  or aids in a persons' gait pattern. It also
  serves the purpose of pressure relief. Whether it
  is localized or in a wide area, arch supports can
  be very effective in the healing process of
  something as simple as a painful callous area.
• The purpose of an arch support can be as
  wide-ranged as the materials that are used to
  fabricate such a device. The materials that are
  used depend on what the device is designed to
  accomplish. Arch support materials range from
  very rigid, such as graphite or acrylic, to very
  soft, such as plastazote or poron.

4
How Do I Wear Arch Supports?

• Most people can use their arch supports for a
  full day without experiencing any foot pain.
• However, others require a "break-in" period of
  several days before they can wear their arch
  supports all day. In these cases, we recommend
  you follow the wearing instructions provided by
  your representative at the time of purchase.
  Normally within three to five days, your arch
  supports can be used for a full day's activities.

5
Why Do Feet Hurt?

• Why do so many people complain of tired, achy
  feet and legs?
• The normal arch functions as a shock absorber for
  our entire body. Each time we step down we place
  up to 5 times our body weight on the foot,
  depending on whether we are walking, running,
  jumping, or carrying heavy loads. If the arch is
  either too low or high, it cannot function as
  efficiently as a shock absorber thus, the
  pressure of each step is absorbed by the soft
  tissues and bones of the foot. These structures
  are not designed to absorb these forces, and
  after a few hours they become "tired or achy."
• Biomechanical problems in the feet, such as
  pronation, may prevent the ligaments, tendons,
  and muscles from binding the joints together
  properly. This allows the joints to slip, the
  arch to collapse, and the bones to move into
  abnormal positions. When these actions occur, the
  foot can no longer act as an efficient support
  for the body. The results are feelings of fatigue
  and "achiness" which spreads to the legs and
  back.
• Loss of the protective fatty pads in the heels or
  balls of the feet can also lead to tired and achy
  feet and legs. These fatty pads act as cushions
  which absorb the tremendous forces that are
  applied to our feet with each step that we take.
  If these pads become too thin, or disappear all
  together, the bones and joints in the feet absorb
  these stresses instead. When this occurs, our
  feet become tired, "achy," and eventually
  painful. This fatigue eventually travels to the
  leg muscles, causing them to ache.

6
(No Transcript)
7
The Arch Solution

• Alleviating Foot and Leg Fatigue and Pain
• The most effective method of relieving foot and
  leg fatigue and "achiness" is to use
  custom-fitted arch supports. Custom-fit arch
  supports are measured specifically from your
  individual footprint, designed for your foot's
  structure, your lifestyle, and your shoes.
• The arch supports reestablish the normal position
  of the joints in your feet, thus allowing your
  feet to function efficiently again, helping to
  alleviate fatigue and "achiness."
• The arch supports are designed to support the
  four arches of the foot, allowing it to be the
  efficient shock absorber it was designed to be,
  when it is at its optimum height.
• Using modern materials which mimic the body's
  protective fatty pads, we once again maximize the
  shock absorption at the heels and balls of the
  feet. This will reduce the stresses and forces on
  the bones, joints, and muscles of the feet. The
  feet will feel younger, and foot and leg fatigue
  and pain will subside.

8
Medical Research Case Study

• The orthotics story is a reasonable one, but
  surprisingly little research has actually taken a
  close look at the effects of arch supports on
  plantar fasciitis. To try to correct that
  situation, researchers at the University of North
  Carolina recently studied eight men and seven
  women who had experienced plantar-fasciitis
  symptoms for an average of 21 months. At the
  beginning of the research, all subjects walked
  100 meters while recording the pain experienced
  during the walk on a ten-point scale, with ten
  representing worst-possible pain. Bilateral,
  semi-rigid arch supports were custom-fit for each
  individual.
• The subjects then wore their devices as
  frequently as possible for the next 12 to 17
  days. When the subjects reported back to the
  laboratory, their levels of general foot pain
  measured with the use of a Foot Function Index
  had dropped by about 66. Average plantar pain
  during exercise was also appreciably lower,
  plummeting by around 75 from pre- to post- use.
  Only one of the 15 subjects had more pain during
  exercise after the 12 to 17 days compared with
  before the fittings.
• This new study suggests that mechanical factors
  causing a decrease in the arch height of the foot
  may well increase the risk of plantar fasciitis,
  and that if one can restore the loftiness of the
  arch with arch supports, strain and pain may
  decrease as a result. A couple of caveats are in
  order, however. First, it may be possible to
  return some lift to ones arches by carrying out
  arch-strengthening exercises (provided there is
  no underlying anatomical abnormality), and these
  exercises might also have a positive impact on
  athletic performance by making the foot more
  springy and energy-efficient. It is remarkable
  that individuals who had been suffering from
  plantar fasciitis for an average of 21 months
  (and in some cases as long as 96 months) were
  helped so dramatically over the 12- to 17-day
  period.

The Symmetry Products Are Designed To Exercise
The Arches In The Feet With Each And Every Step.
9
Arch Function

• The normal arch functions as a shock absorber for
  our entire body. If there was no shock absorber
  in the foot, the force of each step would
  eventually fracture or dislocate the bones of the
  foot, leg, and lower back. When the arch is flat
  (a flat foot), it is "sick" and cannot function
  properly. If left untreated, this will lead to a
  completely collapsed foot which cannot function
  as a shock absorber at all and, this in turn
  will cause constant pain in the foot, and
  eventually the knee, hip, and lower back.
• Causes The normal arch is made up of bones and
  joints which are held tightly together in a
  precise relationship. In order for the arch to
  flatten out, the ligaments and tendons which hold
  the bones and joints together must be more
  flexible than normal. This abnormal flexibility
  may be a result of the genes we inherit from our
  parents, the weakening of muscles and ligaments
  caused by advancing age, neuromuscular diseases,
  or injury. Injuries may include one severe
  trauma, or years of standing for long periods of
  time in the wrong types of shoes (those with high
  heels or those with poor support). This
  flexibility of the bones, joints, and soft
  tissues is what causes the foot problems which
  are related to flat arches or feet.

10
Foot Efx Products In The Work PlacePreventing
Foot Pain

• "When your feet hurt, you hurt all over." An
  employee's efficiency level, concentration,
  willingness to work and attitude greatly decrease
  when he/she is experiencing foot pain. This can
  lead to inattention on the part of employees,
  and, possibly, injuries.
• Detecting foot problems and resolving them
  quickly can also prevent injury to the knees,
  hips or back caused by "favoring" a painful foot,
  which is potentially more expensive, more severe
  and more difficult to relieve. In 1983, the
  American Podiatric Medical Association reported
  that 83 percent of the U.S. industrial work force
  had foot or lower leg problems resulting in
  discomfort, pain or orthopedic deformities.
• Most businesses have replaced the wood floors
  from 50 years ago with concrete, which is
  damaging to the lower extremities because it
  provides minimal resistance and no shock
  absorbency. It is becoming obvious that the
  percentage of employees that have foot and lower
  leg pain is increasing because of the longer
  standing requirements on the cement flooring.

11
Foot Efx Products In The Work PlacePreventing
Foot Pain

• "When your feet hurt, you hurt all over." An
  employee's efficiency level, concentration,
  willingness to work and attitude greatly decrease
  when he is experiencing foot pain. This can lead
  to inattention on the part of employees, and,
  possibly, injuries.
• "Work-related musculoskeletal disorders are the
  most widespread occupational health hazard facing
  our nation today," says Charles N. Jeffries, the
  assistant secretary for occupational safety and
  health at the U.S. Department of Labor. "The most
  severe injuries can put people out of work for
  months and even permanently disable them."
• Detecting foot problems and resolving them
  quickly can also prevent injury to the knees,
  hips or back caused by "favoring" a painful foot,
  which is potentially more expensive, more severe
  and more difficult to relieve. In 1983, the
  American Podiatric Medical Association reported
  that 83 percent of the U.S. industrial work force
  had foot or lower leg problems resulting in
  discomfort, pain or orthopedic deformities.
• Most businesses have replaced the wood floors
  from 50 years ago with concrete, which is
  damaging to the lower extremities because it
  provides minimal resistance and no shock
  absorbency. It is becoming obvious that the
  percentage of employees that have foot and lower
  leg pain is increasing because of the longer
  standing requirements on the cement flooring.

12
Foot Efx Arch SupportsDesigned to Exercise
Strengthen!

• A part of the solution is to stress the
  importance of proper foot care and proper daily
  stretching of the plantar fascia. A person that
  is going to be standing, stationary or mobile,
  for an entire shift needs to properly prepare his
  or her feet daily.
• There are certain stretching exercises that can
  be done in the morning, at lunch and after work
  that will keep the muscles and ligaments warmed
  up and prepared to handle the physical stress of
  the day. Foot Efx Arch Supports are designed to
  stretch the muscles and ligaments in the foot
  throughout the day!
• Foot problems, especially plantar fasciitis, are
  a large problem in the standing work force. This
  diagnosis can lead to weeks of strapping and
  therapy (at up to 150 every visit) followed by
  functional orthotics (at approximately 400 per
  pair), and possibly surgery (approximately
  5,000). Every person that works in a standing
  position is susceptible to these problems.
  Essentially, the cost may range between 2,000
  and 5,000 (at minimum) per standing employee if
  this problem is not addressed and the proper
  precautions are not taken. Mobile employees
  should invest in an arch support that will absorb
  the shock and allow them to move from position to
  position without the hazard of tripping,
  slipping, and falling.
• With Foot Efx Arch Supports, the results will
  greatly improve and employers will decrease their
  pay-out in the medical care of the employee's
  feet, ankles, legs, knees, lower extremities and
  backs. Thus, increasing overall performance,
  productivity and morale.

13
What Causes Foot Pain?

• The most influential activity or foot position
  that affects foot pain is the stance. When a
  person is standing, the feet are dealing with two
  strong forces, one coming from the heel-to-ground
  contact and one from the vertical weight of the
  person. The three movements that are termed the
  "gait cycle" are also important in causing foot
  problems. The longest phase of the gait cycle is
  the contact. This accounts for 27 percent of the
  entire cycle and is where most of the damage
  takes place.1 A common problem is pronation,
  which is when a person turns the foot towards the
  inside so the sole bears most of the body weight,
  and is constantly making unbalanced contact with
  the ground. This causes the person to re-adjust
  his knees, hips, pelvic region and back to align
  himself enough to walk. When there is an onset of
  foot pain, notes the American Podiatric Medical
  Association (APMA), an employee should be
  examined by a podiatrist in order to prevent
  complications with the knee, hips, back, etc.
• Standing all day at a workstation can be
  especially detrimental to a person's body,
  according to the Canadian Centre for Occupational
  Health and Safety (CCOHS). Standing for long
  periods of time causes a decrease in the blood
  supply to the lower extremities and therefore
  increases fatigue and soreness in the muscles.
  Also, prolonged standing creates an accumulation
  of blood in certain areas of the feet and legs,
  which leads to irritated and inflamed veins,
  otherwise known as varicose veins. In addition,
  the continuous pressure on a person's feet causes
  bone misalignment and joint degeneration.
• Working in a mobile, rotating station is still
  bad for the lower extremities, but is better than
  stationary positions. When a person is in a
  rotating position, he or she is able to stretch
  and exercise different muscle groups and can
  avoid excessive stress from prolonged standing.
  However, at a stationary workstation, the feet
  and legs are under unrelenting gravity pressure,
  causing
• localized pressure points in the heels and
  the balls of the feet.

14
What Causes Foot Pain? Contd.

• Eventually, this pressure can lead to stretching
  and straining of the plantar fascia, known as
  plantar fasciitis. It is estimated that 2 million
  people require treatment for plantar fasciitis in
  the United States every year. Plantar fasciitis
  is often associated with heel pain, but it
  involves more than the heel, notes APMA. There
  are many different causes of this diagnosis
  including prolonged standing, structural
  biomechanical imbalance, irregular movement and
  too much stress on the heel bone and attached
  tissues. Employees that stand on their feet all
  day are susceptible to this problem because of
  the amount of stress that is placed on the heel
  bone and the constant wear and tear of the
  connective tissues that comprise the plantar
  fascia.
• The age of workers is gradually increasing as
  baby boomers (over 50 years old) keep their
  positions in factories and industries where
  standing all day is a job requirement. The age
  increase leads to more lower extremity injuries
  because when a person ages, all the tissues in
  the body, including ligaments, tendons and
  fascia, lose their elasticity. The fascia and
  tendons decrease their shock absorbency and
  become more susceptible to tearing. The aging
  person also loses the fat pads on the bottom of
  the feet that helped absorb shock. Lastly, there
  is a decrease in the range of motion in elder
  employees due to the arthritic changes that
  occur. The decrease in range of motion leads to
  more shock transmitted up the leg, knee and back
  because the foot joint no longer moves properly
  to absorb the shock.

15
Preventing a Problem Before It Starts

• Foot Efx Products - A sure way for employers to
  prevent inflammation of the plantar fascia and
  minimize the occupational injury costs.
• A customized "Lower Extremity Symptoms Survey"
  was developed for evaluating lower extremity limb
  discomfort at manufacturing facilities where
  workers stand all day to perform their tasks. In
  recent pilot studies at an aluminum manufacturing
  plant and a large engine plant, employees in
  standing positions were either interviewed or
  asked to complete the survey themselves. The
  results indicated that the arch supports in their
  shoes greatly decreased their foot, ankle, knee
  and back pain.
• Arch Supports are ideal for mobile workstations.
  At the engine plant, there were numerous stations
  that required moving supplies repeatedly from one
  area to another area 20 feet away, which may be
  hazardous if mats are covering the floor. Arch
  Supports also provide relief by absorbing shock
  and preventing the degeneration of bone joints
  and bone structure.
• The type of arch support that will be most
  beneficial differs for each person. If an
  employee has pronated, or flat feet, then an arch
  support that has an arch build-up on the inside
  portion of the insole would be ideal. However, an
  employee who has high arches does not need an
  insole with arch support. Too much arch support
  for people who already have high arches could be
  more detrimental than beneficial.

16
Foot Efx Arch Supports In Sports Arch Supports
Help To Prevent Athletic Injuries

• Foot Efx Arch Supports are designed to address
  common foot related conditions for athletes. Did
  you know that one of the most common injuries
  athletes suffer from in early spring is shin
  splints? The classic setting for shin splints is
  an unconditioned athlete early on in the season
  of a sport that requires vigorous walking,
  running or jumping on hard surfaces. This can
  include any number of activities such as jogging,
  race-walking, tennis and basketball.
• Shin splints is a catch all term used to refer to
  any localized pain occurring in the lower leg,
  most often in the anterior compartment located
  between the two lower leg bones, the tibia and
  fibula. Because the lower leg is the prime shock
  absorber during impact activity, it is one of the
  most common sites for pain or injury. The cause
  of this syndrome is generally overuse, which may
  result in inflammation and possible micro tearing
  of the attachment of the muscles to the lower
  leg. Shin splints can be caused and further
  aggravated by repetitive pounding and impact in
  combination with other extrinsic and intrinsic
  factors. Like most other inflammatory conditions,
  pain will occur following activity. As the
  condition worsens, pain will become more constant
  and severe.
• It might help to remember that most athletic
  injuries result from one or a combination of four
  basic factors genes, mechanics, training and
  environment. The genetic factor is a weak foot.
  Athletes with flat or unstable feet are most
  prone to suffer from shin splints. This lack of
  an arch results in excess pronation, or a rolling
  inward of the foot. Most often, a physician will
  prescribe and treat these individuals with
  orthotics to correct this structural problem. The
  Symmetry products can be custom made to fit the
  precise needs of the individual athlete.
• Good mechanics can go a long way toward keeping
  your shins pain free. Many who suffer from shin
  pain fail to roll their heels or toes to the
  ground when participating in sports. When
  running, walking, or performing skills like
  jumping jacks or other impact maneuvers, the foot
  should disperse the impact over the greatest
  surface area, either heels to toes or toes to
  heels, depending on the activity. Landing
  repeatedly on the toes only is stressful to the
  shins and one of the primary causes of shin
  splints.

17
Foot Efx Products In Sports Arch Supports Help
To Prevent Athletic Injuries

• Plantar Fasciitis an overuse injury in which
  the connective tissues on the bottom of the foot
  become inflamed is the most common cause of
  heel pain in athletes and may account for about
  15 of all foot-related problems.
• Athletes with plantar fasciitis usually
  experience pain upon initial weight-bearing in
  the morning, after periods of inactivity, when
  standing on hard surfaces, while standing on
  tiptoe, or while climbing stairs. Often, the pain
  of plantar fasciitis may subside after a few
  minutes of exercise, but discomfort tends to
  increase over the course of the day. Without
  appropriate interventions, plantar fasciitis can
  ultimately prevent athletes from training and
  competing in their normal ways.

18
Foot Efx ProductsFoot Comfort For The Entire
Family!

• We have identified the athletes and workers in
  the family but there are others too who will
  benefit from wearing Foot Efx Symmetry
  Lifestyle products.

19
Foot Efx Products for Little Feet

• In-toeing, out-toeing, flatfeet, knock-knees,
  bowlegs, toe-walking, sudden refusal to walk
  these afflictions of childhood are so common that
  together, they affect all children at some time
  during their growth and development. Flatfeet is
  the most common childhood foot problem.
• Pediatricians, orthopedic surgeons, podiatrists,
  grandmothers, and shoe salesmen all have strong
  opinions, yet all are so conflicting! Advice
  ranges from doing nothing, to shoes, to braces,
  and even to having surgery! The myths surrounding
  these conditions even cause professionals to be
  confused.
• What is a parent to do?

20
Foot Efx Products for Little Feet

• Are all children flatfooted?
• The unique arrangements of the bones of the foot
  and the ligaments holding them together provide
  the foot with a longitudinal arch, an
  architectural system that provides a stable yet
  flexible support for the body when standing and
  walking.
• In the child before age 3, the normal
  longitudinal arch of the foot is present, but
  often masked by the fat pad in the instep. Hence
  all young children before age 3 look flat-footed,
  even though they are not. After age 3, the fat
  pad disappears, and the arch becomes more
  evident.
• In some children, the ligaments of the foot are
  lax, thus allowing the longitudinal arch to fall
  on standing, giving rise to flexible flatfeet.
  This is especially pronounced in children with
  Downs syndrome, where the muscles and ligaments
  of the body are very lax. In rare instances,
  rigid flatfeet arises from abnormal foot
  development, as in congenital convex pes valgus
  and tarsal coalition.

21
Foot Efx Products for Little Feet

• What are the symptoms?
• Flexible flatfeet is asymptomatic, and the child
  is often brought to the doctor because of
  concerns about how the feet look when the child
  is standing or walking. Very often, one of the
  parents may have flatfeet and wants something
  done for Johnny so that he will not "suffer the
  same fate" as Daddy. Flexible flatfeet is not
  painful. Only the most severe cases may cause
  foot strain in adult life.
• Rigid flatfeet is more serious, and can be
  painful. Congenital convex pes valgus is present
  at birth, and is obvious to any observer. The
  foot is very rigid and need aggressive treatment.
  Tarsal coalition presents at around age 10 when
  the child starts to complain of foot pain during
  activities.

22
Foot Efx Products for Little Feet

• What is flatfeet?
• Flatfeet is a condition where the longitudinal
  arch of the foot is absent. It is also called pes
  planus or pes valgus, since the heel or hindfoot
  is often in valgus or flared outwards.
• Flatfeet may be flexible or rigid. Flexible or
  postural flatfeet is when the arch is present
  with the foot non-weight bearing, and absent when
  the foot is weight bearing. Rigid flatfeet is
  when the arch is absent regardless of weight
  bearing, and is usually associated with a rigid
  or inflexible foot.

23
Foot Efx Products for Little Feet

• What does your doctor do about it?
• For the majority of children with flexible
  flatfeet, no treatment is necessary, especially
  under the age of 3. In older children where the
  longitudinal arch is pronounced, arch supports
  may be needed. For children, ready-made
  custom-fitted arch supports are recommended,
  since they have a habit of outgrowing them rather
  quickly. The arch supports are usually worn from
  age 3 to age 8. It is important to understand
  that they do not correct or reverse the flatfeet,
  only control it. At the end of treatment, the
  child may still end up with some degree of
  flatfeet. The purpose of the arch supports is to
  prevent it from getting worse. As mentioned
  above, if the arch supports can prevent flatfeet
  from getting worse, no pain or disability need by
  expected in adult life.

24
Foot Efx Products for Little Feet

• CHILDHOOD OBESITY is a growing concern around the
  world. In the United States obesity related
  health expenditures have raised a red flag to
  state health care officials its a 7.7 billion
  dollar market to date in the State of California
  alone. Foot Efx Lifestyle Products for children
  are designed to provide comfort, balance and
  support for children promoting fitness and active
  participation in sports at an early age, thus,
  improving the quality of life for the child for
  years to come.
• Overweight children experience foot pain due to
  weight bearing pressure the same as adults. If
  a young child feels off balance, or if their feet
  hurt, they tend to become sedentary. Sedentary
  children become overweight and this can cause bad
  habits that last a lifetime. Overweight
  children, become overweight adults thus, the
  increased percentages of Type II diabetes.

25
Growing OldBalance, Comfort Support

• For people over 65, falling can be deadly.
  According to the United States Centers for
  Disease Control and Prevention, falling is the
  leading cause of injury-related death in people
  over 65, primarily the result of hip fracture
  complications. And with a growing population of
  elderly people living longer and healthier lives,
  falling has become a growing concern. By the
  year 2020, medical costs from hip fractures
  aloneresulting from falling accidentsare
  expected to cost the United States healthcare
  system between 20 and 50 billion dollars.
• Why do people fall more as they age? There are
  intrinsic changes associated with the aging
  process. The changes that increase the risk of
  falling are a degrading musculoskeletal system,
  sensory function, and gait changes associated
  with aging.

26
Growing OldBalance, Comfort Support

• The maintenance of balance is controlled by three
  senses Vision, vestibular apparatus and the
  proprioceptive system. In other words, sight,
  inner-ear function, and sense of touch, or
  tactile sensation. We maintain balance with these
  senses.
• Three factors contribute to falling as we age.
  You can divide slip-and-fall accidents into three
  different stages Initiation, or the beginning of
  a slip, detection, or when we realize we're
  slipping, and recovery. There is the initiation
  process, where you slip a little bit, and in
  order to make a recovery, you have to detect that
  you're falling, which is assessed by your
  vestibular and proprioceptor system, which is
  your vision, inner-ear, and sense of touch. After
  that detection period, you have to make some
  recovery. So the initiation, detection and
  recovery phases are all altered for the older
  individuals, because we have a gait change and
  the sensory change, as well as musculoskeletal
  degradation.

27
Growing OldBalance, Comfort Support

• At what age does falling become a real risk?
• It's different for everybody, but after about
  fifty-five, our muscle mass begins to decrease
  and all of the factors associated with
  musculoskeletal degradation begin to develop.
  Including bone loss. Also around age fifty-five,
  there is a drastic decrease in strength of the
  lower extremities. This reduction in strength
  affects our gait style, or the way we walk.

28
Growing OldBalance, Comfort Support

• The Importance of Proper Balance
• While we don't give much thought to it, balance
  starts with our feet. If they lack proper
  stability our whole body can feel out of sorts.
  We can suffer unexplained pain and discomfort in
  our legs, back, joints, neck and throughout our
  whole body. Every pair of shoes that you wear
  changes your balance, whether they are new shoes
  or well worn. This puts additional stress on your
  lower back, joints and muscles. It increases your
  chances of foot roll, weakness and debilitating
  injury. It's no surprise that nearly 20 of
  adults suffer from some sort of foot injury each
  year.
• Thousands of people have found relief and
  returned to active lifestyles simply by improving
  the alignment of their bodies through the daily
  use of arch supports. They didn't do this through
  painful surgery, expensive medications or
  experimental medical procedures. They found a
  natural, easy and affordable method to regaining
  balance in their lives, and it was as easy as
  slipping on their shoes.
• We offer products that help to realign your body,
  straighten your posture and re-balance your
  weight from the feet up. Foot Efx Arch Supports
  cradle your feet, supporting and reducing the
  pressure across the structure of your foot. The
  result? Support that brings you a new level of
  comfort, softening and spreading the impact with
  every step you take.

29
When Will I Feel The Foot Efx EFFECT

• You'll Notice The Foot Efx Experience Instantly
• Over the years, the wear and tear we put on our
  feet make them susceptible to a host of problems
  that affect our entire bodies. If you're like
  most people who have tried arch supports from
  Foot Efx, you'll immediately notice less tension
  in your back and neck. You'll stand up
  straighter, breathe easier and notice an
  immediate difference. You'll get incredible
  relief that will enable you to work, exercise or
  enjoy a day of leisure pain free. You will feel
  energized, renewed and have new spring in your
  step. You will enjoy a quality of life you may
  have forgotten.
• At home, work or play Foot Efx arch supports
  will benefit your every walk of life.

30
(No Transcript)
31
Arch Supports Weight Gain I have gained 25
pounds, why do my feet hurt?

• Carrying heavy loads, whether they are heavy
  trays of dishes or heavy pieces of equipment,
  will also place increased and abnormal forces and
  weight on our legs and feet. These forces and
  weight will eventually cause the body's natural
  shock absorbers (the arches of the feet) to
  collapse, and our fatty cushions to be destroyed.
  As this occurs, our feet and legs become "tired,"
  producing aches and pain in the feet and legs.
• Similarly, when we gain extra weight, our feet
  and legs do not become larger and stronger.
  Carrying extra weight will tire the feet and legs
  out quickly, causing "achy" and tired feelings.
  This may eventually lead to pain.

32
Arch Supports Weight GainI have gained 25
pounds, why do my feet hurt?

• Each time we take a step forward, all of our body
  weight first rests on the heel of one foot. As
  our weight moves forward, the entire foot begins
  to bear the body's weight, and the foot flattens
  and this places a great deal of pressure and
  strain on the plantar fascia. There is very
  little "give" to the plantar fascia, so as it
  stretches only slightly, it pulls on its
  attachment to the heel. If the foot is properly
  aligned this pull causes no problems. However, if
  the foot is "pronated" (the foot rolls inward,
  causing a break down of the inner side of the
  shoe), the arch falls excessively, and this
  causes an abnormal stretching of the relatively
  inflexible plantar fascia, which inturn pulls
  abnormally hard on the heel.
• The same pathology occurs with "supination" (the
  rolling of the foot outward, causing a break down
  of the outer side of the shoe). Supinated feet
  are relatively inflexible, usually have a high
  arch, and a short or tight plantar fascia. Thus,
  as weight is transferred from the heel to the
  remainder of the foot, the tight plantar fascia
  does not stretch at all, and pulls with great
  force on its attachment to the heel.
• In both cases, the abnormal stress placed on the
  attachment of the plantar fascia to the heel
  usually causes pain, inflammation, and swelling.
  If this process continues, the plantar fascia
  partially tears away from the heel. The body will
  fill in this torn area with calcium eventually
  it becomes bone, and a heel spur results.

33
Arch Supports Weight Gain

• Treatment The Foot Efx Solution
• Treatment must be directed towards realigning the
  foot as it goes through the gait cycle, and
  reversing the abnormal effects of pronation and
  supination on the plantar fascia and heel. In
  doing this, the abnormal pull of the plantar
  fascia on the heel will be made to disappear.
  This in turn, alleviates the pain and
  inflammation at the heel. Realignment, or proper
  positioning of the foot, is accomplished through
  the use of arch supports. The arch support gently
  holds the foot in a proper or neutral alignment
  when it strikes the ground, preventing pronation
  or supination. The arch supports will also
  reduce the pull of the plantar fascia on the
  heel, by supporting the arch and cushion the
  heel, to provide an immediate decrease in pain.
  Arch supports not only relieve the pain, but they
  will also prevent it from returning.

34
Pregnancy Related Foot and Back Pain Foot Efx
Arch Supports

• Pregnancy triggers many different changes in a
  woman's body. Many women have common complaints
  throughout their pregnancy. One of these
  complaints, often overlooked, is foot pain. Due
  to the natural weight gain during pregnancy, a
  woman's center of gravity is completely altered.
  This causes a new weight-bearing stance and added
  pressure to the knees and feet.
• Two of the most common foot problems experienced
  by pregnant woman are over- pronation and edema.
  These problems can lead to pain at the heel,
  arch, or ball-of-foot-pain. Many women may also
  experience leg cramping and varicose veins due to
  weight gain. Because of this, it is important for
  all pregnant women to learn more about foot
  health during their pregnancy to help make this
  nine month period more comfortable for them.
• Comfort is just steps away at Foot Efx.

35
Pregnancy Related Foot and Back Pain Foot Efx
Arch Supports

• Pregnant women need to observe good foot health
  to prevent pain and discomfort. Since the body
  undergoes changes and acquires a new
  weight-bearing stance, women should wear shoes
  with broad-based heels that provide support and
  absorb shock. Additional body weight also calls
  for more support, to prevent foot "breakdown."
  Comfort is just steps away at Foot Efx.

36
Pregnancy Related Foot and Back Pain Foot Efx
Arch Supports

• Over-pronation and Edema are very common foot
  problems during pregnancy.
• Over-Pronation, also referred to as flat feet, is
  caused when a person's arch flattens out upon
  weight bearing and their feet roll inward when
  walking. This can create extreme stress or
  inflammation on the plantar fascia, the fibrous
  band of tissue that runs from the heel to the
  forefoot. Over-pronation can make walking very
  painful and can increase strain on the feet,
  calves and/or back. The reason many pregnant
  women suffer from over-pronation is due to the
  added pressure on the body as a result of weight
  gain. Over-pronation is also very prominent in
  people who have flexible, flat feet or in people
  who are obese.
• Edema, also referred to as swelling in the feet,
  normally occurs in the latter part of pregnancy.
  Edema results from the extra blood accumulated
  during pregnancy. The enlarging uterus puts
  pressure on the blood vessels in the pelvis and
  legs causing circulation to slow down and blood
  to pool in the lower extremities. The total water
  fluid in the body remains the same as before
  pregnancy, however it only becomes displaced.
  When feet are swollen, they can become purplish
  in color. Sometimes extra water can be retained
  during pregnancy, which can add to the swelling.
  If there is swelling in the face or hands, a
  doctor should be contacted immediately.
• Treatment and Prevention Over-Pronation can be
  treated conservatively with "ready-made" arch
  supports. These inserts should be designed with
  appropriate arch support and medial rearfoot
  posting to correct the over-pronation. Proper
  fitting footwear is also very important in
  treating over-pronation. Choose comfortable
  footwear that provides extra support and shock
  absorption. It is important to treat
  over-pronation for pain relief but also to
  prevent other foot conditions from developing
  such as Plantar Fasciitis, Heel Spurs,
  Metatarsalgia, Post-Tib Tendonitis and/or
  Bunions.
• Comfort is just steps away at Foot Efx.

37
Who Should Wear Foot Efx Arch Supports?Everyone!

• Children
• Youth Athletes
• Athletes
• 55 Group
• Industry (anyone on their feet all day)
• The Overweight Person
• Expecting Mothers
• Foot Efx Arch Supports
• Foot Comfort for the ENTIRE Family!