Welcome to Cascade Orthopedic Supply, LP’s blog. If you are reading this, you are probably wondering who we are, what our blog is all about, and why we are here.
Cascade Orthopedic Supply, LP. was founded in 1973 and is distinguished as the leading orthotics and prosthetics distributor in North America. Cascade’s mission is to provide superior value and support on the products we source and the services we provide. Cascade has four distribution facilities located in California, Texas, Illinois, and Pennsylvania, allowing three day ground anywhere in the contiguous United States. Cascade’s 40+ year reputation is built on a continued commitment to excellence, investments in technology, and operational efficiency. Cascade is committed to helping customers build a successful practice and provide better patient care.
Our blog will help us better connect with you, our customers. We are looking forward to filling you in on what is happening in the O&P industry in areas like innovation, technology, events, industry leaders, people, and more. Major developments and reform are occurring in the O&P industry and staying in front of the trends is top of mind. We want this to be a place for you to learn, grow, ask questions, and get connected.
Be sure to follow us on social media via Facebook, Twitter, Instagram, or LinkedIn. We are excited to provide you with great content and make sure you know who Cascade is and what we are all about.
Competitive powerlifting? In Dallas, Texas? No sweat.
If there’s anyone who can speak with authority on sweat, it’s Dan Nunnelly. Consider this: Dan is a competitive powerlifter and strongman competitor. He lives in the scorching heat of Dallas. His gym doesn’t have air-conditioning, and temperatures can reach 100 degrees during his training sessions and competitions. Yes, Dan knows a thing or two about sweat.
Dan has been an amputee for five years, and he’s been competing in strongman competitions for four years. During workouts and competitions, his liner would often become loose because of excess sweat. That not only made him less comfortable, it made him less confident in the fit and security of his prosthetic.
“Doing strongman and also powerlifting, equipment is really important to me. If I don’t have the best equipment, it’s pretty much a no go.”
– Dan Nunnelly
When it came to finding the best liner, he needed two things: more comfort and more security. He needed a liner he could trust. Once he found the Alpha SmartTemp, he knew he’d found the best.
A life-changing solution.
Over the past few years, Dan has used both the silicone and gel models of the Alpha SmartTemp Liner. The result? “Life-changing.”
“I barely sweat at all in this liner. It pulls that heat away from you. I’m no longer walking around like I’ve got a waterbed in my prosthetic leg. No more of that squishing around everywhere.”
– Dan Nunnelly
It doesn’t lose its secure fit, either. No matter how hard Dan is pushing, he’s confident that the Alpha SmartTemp is ready for anything.
“I don’t know what magic they’re putting in there, but it seems to hold its form to my leg the way I need it to.”
– Dan Nunnelly
48% reduction in sweat? Get ready to believe.
What feels like magic is really groundbreaking technology. Like the Alpha SmartTemp Silicone Liner, the Alpha SmartTemp Gel Lineris a breakthrough advancement. It utilizes a proprietary blend of TPE gel and heat absorption technology to regulate skin temperature, absorb heat, and delay the onset of sweat.
The science backs it up, too. Participants in a randomized clinical study experienced a 48% reduction in sweat while wearing the Alpha SmartTemp Gel Liner compared to a standard gel liner.
Comfort makes a real difference.
Innovative heat management technology is just one way that the Alpha SmartTemp Gel Linerkeeps Dan comfortable and secure. The liner also utilizes one-way stretch Select fabric to control pistoning without the need of a distal matrix, while allowing circumferential stretch for easy donning. The flexible knee panel of abrasion-resistant fabric permits comfortable, easy flexion without pulling and tightening at the knee. And the panel and thin gel behind the knee allow for comfort when sitting or bending for extended periods of time.
“This liner isn’t just for athletes.”
– Dan Nunnelly
At the end of a workout, Dan puts away his weights but he doesn’t put away his Alpha SmartTemp. It stays on while he works at his job in the motorcycle industry. He’s on his feet with customers all day long, but since switching to the Alpha SmartTemp, he doesn’t have to take his leg off and wipe it down in front of customers and associates.
“Whether you’re training or you’ve got to go to work or if you’re just out walking around with your friends, the convenience of not having that heat, the comfort of not having to deal with that heat or the sweat, is going to make a huge difference.”
The Kenevo® Microprocessor Knee features a lightweight design that adapts to different mobility capabilities and needs. The adaptive swing release allows for increased security when walking, while the automatic unlock and real time resistance adjustments provide a smooth sitting motion. The Kenevo brings the security of an MPK to an often underserved patient population.
Key Features & Benefits
Standing function has a range of stability options
Backwards walking support
Pre-lock for stability when standing up
Stumble recovery plus
Inertial motion unit
Color: Desert Pearl
Knee disarticulation and transfemoral amputees (unilateral and bilateral)
K2 – K3 Users
Patients who fulfill the physical and mental requirements for perceiving optical/acoustic signals and/or mechanical vibrations
Between managing a multimillion-dollar business, going to the gym regularly, traveling the world, and chasing her 3-year-old son around in the hot Texas weather, Bethany is about as busy and active as it gets.
Like all amputees, Bethany had trouble regulating her body temperature. Going from tough workouts in the gym to her busy work schedule, she would often get overheated. She would frequently have to empty the excess sweat from the liner, and she would lose so much volume that she eventually couldn’t even keep her prosthetic on.
Bethany had always been extremely active, and she wasn’t going to let her amputation slow her down. She needed a solution that could keep up with her lifestyle.
New Heat Management Technology
The SmartTemp Gel Liner is an innovative new solution, utilizing a proprietary blend of TPE gel and heat absorption technology to regulate skin temperature, absorb heat, and delay the onset of sweat. It works similarly to the Alpha SmartTemp Silicone Liner, but utilizes brand-new heat management technology.
In fact, participants in a randomized clinical study experienced a 48% reduction in sweat while wearing the Alpha SmartTemp Gel Linercompared to a standard gel liner.
For Bethany, the benefits were immediate and drastic. The first time she cleaned her house on a hot, 90-degree Texas day, she could feel the sweat on her head, her face, every part of her except her limb. Two-and-a-half hours of scrubbing, and she didn’t once have to take off her liner to empty the sweat. It was a profound moment for Bethany.
At her gym, where she works out with other adaptive athletes, she is the only person who doesn’t have to empty excess sweat.
“When others have to take theirs off to dump the sweat out, not this gal. I’m cool, calm, collected, and ready to confidently take on my world everyday with WillowWood!”
Better Comfort, Better Limb Health
The Alpha SmartTemp Gel Linerutilizes one-way stretch Select fabric to control pistoning without the need of a distal matrix, while allowing circumferential stretch for easy donning. The flexible knee panel of abrasion-resistant fabric permits comfortable, easy flexion without pulling and tightening at the knee. The panel and the thin gel behind the knee allow for comfort when sitting or bending for extended periods of time.
With the reduction of sweat within the liner, chafing and skin breakdown may be reduced while suspension strength of the prosthesis may be improved. Bethany didn’t experience any pressure, friction, or sores, and the Alpha SmartTemp Gel Liner didn’t pull on her skin or slide around, even during the course of her most active days. It went on and stayed on, a perfect fit.
“WillowWood’s Alpha SmartTemp Gel Liner keeps me in the game!”
Durability That Lasts
With all of Bethany’s previous gel liners, she has experienced notable wear. She has a bone pronouncement below her knee, which would damage the gel inside other liners, even with extra padding. She would constantly have to trade them out on warranty.
But with the Alpha SmartTemp Gel Liner, Bethany hasn’t experienced any holes, cracks, or damage in the gel, and the exterior and elastic have remained as durable as they were on day one.
“WillowWood liners get me to the finish line every time!”
As we head into the second half of 2020, we want to applaud our industry for working so hard to deliver exceptional patient care. As we continue to mitigate the impacts of this pandemic, it is important we stay connected and provide you with products, resources, and services that are accessible to you.
Keep reading to get the scoop!
Major New Product Adds
Cascade has added several new products so you have access to the solutions you need to support your patients.
In order keep you updated with current product availability, we have created a “COVID-19 Supplies” section on our website that highlights the PPE products that are available. This section of the site is updated regularly as we add additional products and inventory levels are adjusted.
ALPS VIP: Purchase any ALPS Liner and receive a VIP for $100.00
On June 1st, 2020, Cascade officially launched our new website. The site offers a fresh new look, robust search, online returns, multiple ways to change your shipping preferences, and many other great features. Be sure to check it out and let us know how we can improve your shopping experience.
Our Cascade Territory Account Managers are back and ready to help you and your practice thrive. Your Territory Account Manager can be reached by phone, email, and video conference. Be on the lookout for communication from the team!
Cascade has a clinical resource who is available to answer questions, give her advice, or provide your practice with education.
What Can Nina Help You With?
Technical and Fabrication Questions
Nina can be reached at via email at email@example.com or by phone at (530) 879-1573. To request a course for your facility, simply complete the form online, or reach out to your Cascade Account Manager for more information.
Business Consultation: O&P Insights
Cascade has partnered with O&P Insights to provide you with a professional resource who can deliver business education and provide helpful guidance so your practice can thrive in this ever-changing health care environment.
As we continue to reimagine distribution, it is important that we remain focused on the service and value we provide you! Please let us know what we can do to help and how we can make your experience with Cascade even better!
Ottobock Microprocessor products are now available through Cascade. We have bolstered our product portfolio with the addition of three lower extremity microprocessor products; the C-Leg® 4, Kenevo®, and Meridium Foot.
The C-Leg® 4 prosthetic knee features a stumble recover feature that provides patients stability and comfort on uneven surfaces. The real time swing phase control ensures precision due to the 3D motion analysis technology.
The Kenevo® microprocessor knee features a lightweight design with the ability to adapt to different mobility capabilities and needs. The adaptive swing release allows for increased security when walking and the automatic unlock and real time resistance adjustment provides a smooth sitting motion.
Standing function has a range of stability options
The Meridum Prosthetic Foot offers the latest technology to provide a product that closely mimics the anatomy of a human foot. The foot provides users with a higher level of security, along with an increased adaptability, and a more natural motion sequence. The unique 4-axis design adjusts itself immediately to the user’s walking speed and ground conditions, whether on slopes, stairs, or varying terrain. When sitting, the foot completely lowers itself to the floor to provide relief to the residual limb.
Movable ankle, midfoot, and toe region
Increased flexibility and stability
Hydraulic resistance is adjusted during initial ground contact
Full-surface contact provides stability and traction
Uniform load distribution helps with gait symmetry
Electronically controlled ankle joint gradually adjusts to user’s gait behavior
Automatically adjusts to various shoe heel heights, up to 5cm
The Alpha SmartTemp® Gel Liner is constructed with WillowWood’s proprietary blend of Thermoplastic Elastomer (TPE) gel and heat absorption technology. This technology allows the liner to absorb and store heat from a residual limb, delaying the onset of sweat. The liner releases the stored heat as the body cools down, stabilizing the skin temperature to keep the user comfortable all day. The transtibial liner features a flexible knee panel of abrasion-resistant fabric that allows for easy flexion without pulling and tightening at the knee.
Key Features & Benefits
Reduces sweat, chafing, and skin breakdown
Easy donning and doffing
One-way stretch fabric controls pistoning without the need of a distal matrix
Profile Types: Symmetrical, Uniform, and Progressive
Retrofits with Alpha Liners that have the same profile, base size, and umbrella style
Cascade is working to provide you with the resources you need to navigate these difficult times. Below you will find an overview of where you may be able to find additional capital to keep your business strong so you can provide essential care to your patients.
The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. You can apply through any existing SBA 7(a) lender or through any federally insured depository institution, federally insured credit union, or Farm Credit System institution that is participating. Other regulated lenders will be available to make these loans once they are approved and enrolled in the program.
As the Coronavirus (COVID-19) continues to impact our local and global communities, the safety of our customers, employees, and associates remain a top priority. Please rest assured, Cascade is proactively monitoring the situation and adapting our operations to ensure we are providing you with the essential products, supplies, and services you need to remain operational. Cascade is here for you during this unprecedented time and is fully functional, accessible, and connected to our supplier network to ensure we are meeting your changing needs:
Order Channels: All team members are working remotely and connected to our systems. Orders are being processed through all order channels: OPIE, the Cascade website, Customer Service (800-888-0865), Email (firstname.lastname@example.org), Fax (800-847-9180), and other integration platforms.
Distribution Center Service: There are no changes to order cut off times or inventory availability in any of our four warehouses. All warehouses are fully staffed and processing orders daily. Inventory of essential supplies, including items like gloves, face masks, and cleaning supplies are being closely monitored and functional substitutions are being researched. Any inventory shortages will be communicated to customers.
Logistics and Operations: UPS, our primary shipping carrier, has assured us of their operational stability during this pandemic. UPS owns Air and Ground cargo shipping networks and are domestically not experiencing capacity issues. UPS is committed to maintaining their transportation network and mitigating the impacts of COVID-19 so service levels will not be disrupted.
Contingency Shipping Plans: Customers are welcome at any time to call Cascade Customer Service (800-888-0865) and request a change in address (at no charge) to redirect shipments to an alternate business address, residence, or UPS Access Point. Customers can find the nearest UPS Access Point here.Please note: many retail UPS Access Points (like CVS or Michaels) have reduced hours and closures are contingent on county, city, and state mandates. Please make sure to check your desired UPS Access Point prior to scheduling a shipment redirect.
Planning: During this challenging time, we ask you to plan for your future needs and order products and supplies immediately. If you have an urgent order, please alert our staff and we will prioritize your order processing and arrange for expedited delivery times.
Credit and Financial Constraints: We understand that all small and medium sized businesses are under tremendous financial stress. We ask that during this time of uncertainty, you maintain communication be with our Credit and Collections Team (800-888-0865 extension 2003), so we can support you during this time of need.
We are confident that through technology, we can maintain the same exceptional level of service and support. Thank you for your continued support, together we will continue to fulfill our critical role in the healthcare continuum.
The Agilium® Vantage is a low-profile wraparound knee brace designed to provide lasting pain relief for patients with mild to moderate unicompartmental osteoarthritis. The dynamic Y force strapping system unloads the affected compartment of the knee with one pull, while reducing rotation and providing increased stability.
Single, low-profile metal upright with hinge for fixed flexion and extension limits
Lightweight, breathable material prevents popliteal bunching for user comfort and increased compliance
Easy to don and doff
Four adjustable, numbered closure straps for quick and easy application
Trimmable sleeves to fit a broader range of patients with three sizes to reduce inventory
Manufacturers Warranty: Six Months
Recommended LCodes: L1843, L1851
Mild to moderate unicompartmental knee osteoarthritis
Medial or lateral knee pain
Rheumatoid knee arthritis
Post-operative meniscus reconstruction or ligament injuries needing unilateral relief
Cascade Special Promotion
From now until June 30th, 2020 receive $100.00 off the cost of the Agilium Vantage.
The Koa™ LP is a moderate to high activity fiberglass prosthetic foot that provides both smooth rollover and energy return. With one of the lowest build heights among fiberglass feet, the Koa LP can be used with longer residual limbs and a range of components. The foot’s multiaxial split keel design delivers excellent ground compliance on a variety of terrain and provides greater stability for those adjusting to a new prosthesis. The Koa LP foot is suitable for both transtibial and transfemoral amputees up to 365 pounds.
Ultra-low profile with a functional sandal toe
Split-keel design delivers inversion and eversion
Adjustable heel density
Recommended LCodes: L5981, L5986
Foot shell sold separately
Clinical Features & Benefits
The ultra-low profile allows the Koa LP to be used with amputees who may have longer residual limbs.
The fiberglass design provides increased flexibility, creating a more comfortable experience when walking up and down slopes, stairs, and rolling terrains.
Clinicians should consider using the Koa LP for users who need room for other components. With its low profile, low build height, multiaxial rotation, and high energy return the Koa LP is well-suited for active users.
The split keel and heel deliver excellent ground compliance on a variety of terrains and provide greater stability for those adjusting to a new prosthesis or for amputees who traverse multiple types of terrain and need a foot that can provide stability.