The Vasyli Howard Dananberg Orthotic makes treating 1st Ray Function easier. The worlds first professional orthotic device with removable first ray sections has been designed with Proximal and Distal plugs which can be removed individually or together as necessary. Due to the variations experienced in the length of a patients foot/toes, the plugs can be removed when the orthotic is fitted, ensuring the head of the 1st MPJ coincides with the removed plug. In cases where maximum effect is required (Structural Hallux Limitus – SHL), both plugs can be removed offering a larger path of least resistance to the joint in an effort to enhance 1st ray function. In addition to the removable plugs, this orthotic is also heat moldable, to personalize the rearfoot control A selection of additions are also available to enhance the “fine tuning” of the orthotic. The flexibility of the design of the VHD allows for a wide combination of applications to address your patients Tri-Planar motion problems.