Custom Orthotics & Prosthetics
in Portland and Salem, Oregon
A Step forward, LLC, is a premier Orthotic and Prosthetic company opened in May, 2006 by Megan McCarthy CO, LO. She has worked in Portland, Oregon since arriving from Toronto, Canada in 1996. She has over 25 years experience designing orthoses of all types. She has specialized pediatric training in gait evaluation and scoliosis bracing. Megan also has success in helping the geriatric community maintain their mobility.
We are proud to announce that A Step Forward has been accredited by the American Board for Certification in Orthotics and Prosthetics (ABC). ABC has been credentialing practitioners and organizations since 1948 in accordance with established standards of excellence in the delivery of comprehensive patient care.
We pride ourselves on working within multidisciplinary teams to determine the best possible treatment options available. We specialize in custom work and make almost all of the devices on-site. This allows for faster turn-around times and easier adjustments. During our evaluation process, we take individual needs into account and make sure that we are fabricating the best device possible. When fabricating the prostheses and orthoses, we use various materials including carbon, kevlar, titanium, plastics, foams, and leather, as well as the latest components from prosthetic technology.
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Custom Made Orthoses
designed and fabricated in Portland and Salem, Oregon
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An orthosis is a device that adds support, protection and control to an existing body part. Orthoses are described by acronyms that are characterized by the joints they cross or support.
For the lower extremity we fabricate foot orthoses (FOs), supermallelor foot orthoses (SMOs), ankle foot orthoses (AFOs), knee ankle foot orthoses (KAFOs), and hip knee ankle foot orthoses (HKAFOs).
For upper extremety we fabricate hand orthoses (HOs), wrist hand orthoses (WHOs) and wrist hand finger orthoses (WHOFs). We will also fabricate elbow orthoses (EOs) or shoulder elbow orthoses (SEOs).
For spinal control and support and scoliosis treatment we fabricate lumbar saccral orthoses (LSOs), thoraco-lumbar saccral orthoses (TLSOs) and cervical thorasic lumbar saccral orthoses (CTLSO).
We also treat infants who suffer from plaigiocephaly with cranial remolding orthoses. We are certified to use the Starband FDA approved cranial system.
designed and built by us
Prosthetics are devices that replace a missing body part. We fabricate prostheses for all areas of the body - both lower extremity and upper extremity prostheses.
There have been many technological advances in recent years in the field of prosthetics. Computerized knees, ankles, wrists, and fingers have made huge functional improvements in people’s day to day lives. We will evaluate and develop the most appropriate device for each person we see. Our goal is always to provide the most comfortable, functional and attractive prostheses possible.
Please contact our office to see if we are currently accepting new prosthetic patients.
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Partial Foot Prosthesis
Our mission at A Step Forward, LLC is to simply provide excellent quality orthotic and prosthetic services to all of our patients. We are dedicated to working within multi-disciplinary teams to achieve the best possible results for our patients. Our goal is to treat everyone with care and respect and we pride ourselves in helping people with their mobility and physical needs.
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This is a list of the larger insurances for which we have contracts.
Megan McCarthy is a certified/licensed orthotist (CO, LO) who has been working in the field since 1990. She received an Honors B.SC. in Kinesiology from the University of Waterloo in Canada and went on to finish post-graduate work in Orthotics and Prosthetics from George Brown College in Toronto. She completed her orthotic residency at Shriner’s Hospital in Portland, Oregon in 1997. She was nationally certified in orthotics in 1998. Megan has focused her orthotic practice on pediatric, spinal (specifically scoliosis), and neuromuscular disorders. She is also well trained in podiatric, functional foot orthotic assessment and fabrication. Among her strengths is her compassion for people and her ability to solve difficult orthopedic and neuromuscular situations. She lives with her goofy corgie named Rhys.
Mike Vanek is our lab manager. He is a registered orthotic and prosthetic technician (RTPO) and a certified Orthotic Assistant (COA). He has worked in the orthotic and prosthetic field since 1997 and has lived in the Portland area since 2000. Mike has worked at Shriner's Hospital in Portland and in Salt Lake City, and is an expert on pediatric orthotic and prosthetic device fabrication.
Mike is an avid fisherman and bow hunter and will often treat us all to his own delicious smoked salmon.
Candace Landschoot is our office manager. She has been in the medical field for over 10 years and with the company since its inception in May 2006. Candace is originally from New Jersey but relocated to Portland in 2004. She has two small children who keep her life very busy. Candace spends her free time gardening, reading and baking. She is also an avid runner who participates in many events throughout the Portland community.
Sarah has been running the front office since 2011. She handles patient relations including scheduling and insurance authorizations. Sarah is a local Oregonian raised in the Cedar Hills area. In her spare time she enjoys hanging out with her friends and her dog Braxston who resides under her desk at work. When she's not at work you might find her snowboarding, hiking, traveling, gardening, attending Blazer games, Beaver/Duck football games or even Timbers games.
8605 SW Terwilliger Blvd
Portland, OR 97219
744 Hawthorne Ave. NE
Salem, OR 97301
©2015 A Step Forward, LLC
Orthotics & Prosthetics Designed and Fabricated in Portland and Salem, Oregon
A Step Forward is
accredited by the
American Board for
Orthotics & Prosthetics
8605 SW Terwilliger Blvd, Portland, OR 97219
phone: (503) 478-0600 | fax: (503) 478-0602
744 Hawthorne Ave NE, Salem, OR 97301
phone: (503) 798-4988 | fax: (503) 798-4989
University of Washington
A Step Forward, LLC is proud to be affiliated with the University of Washington in Seattle, WA. We provide clinical training for undergraduate clinical orthotic and prosthetic students.
Oregon Health Sciences University
A Step Forward, LLC works closely with Children's Rehabilitation and Development Center (CDRC) at OHSU. We provide an introduction to pediatric orthotic applications to licensed physical therapy fellows and doctorial physical therapy students from Pacific University. We strongly believe in the sharing of ideas and the improved treatment outcomes experienced through a multidisciplinary team approach.
We have been invited to lecture on site at Pacific University to the first year class of graduate Physical Therapy students. As we are able to provide current clinical applications for the theory that they are learning, the students have felt the full lectures to be extremely beneficial early in their curriculum.
George Fox University
Recently, Megan has also had the pleasure of lecturing to the graduate Physical Therapy students at George Fox University in Newberg, OR. She loves teaching and sharing ideas with such enthusiastic people who really want to make a difference in the rehabiliation world. Hopefully, over the next few years more teaching opportunities will emerge.
"Megan and her staff have always been very friendly, courteous, helpful, and of course professional. I am so grateful that my podiatrist refers his patients to A Step Forward. My orthotics have always fit well. Megan monitors and will remold them slightly if a problem does occur. They also seem like part of my extended family-they care, support and encourage!"
"You guys are awesome. Working with you all has been so rewarding. You always work with my progressions making any tweaks and adjustments to the devices you have created for me. My sincere thank you for helping me walk once again and for the caring touch."
"Working with you is always an extremely positive and accommodating experience."
"Great staff, comfortable surroundings, and quality work"
"I have seen a great progress with my son since coming here. I am very happy with all the help we get at A Step Forward."
"You all are wonderful! Thank you for creating such a fantastic environment for kids, offering such outstanding service and high quality products. You all have always gone above and beyond for us. Thank you!"