
Pioneer Orthotics & Prosthetics
Braces and prosthetic care in
Orange County

The only provider in Orange County, CA offering:
3D-Printed Talee Helmet for babies
3D-Printed Piro AFOs (ankle orthosis)
3D-Printed Raptor face mask
With two locations, Lake Forest and San Clemente, California, I provide all different orthoses and prostheses
Why Choose My Practice?

My name is Darya Shahrokhi, and I am a board-certified orthotist and
prosthetist.
With over 25 years of experience, I personally handle every step of your
care—from evaluation and measurement to casting, scanning, fitting, and
delivering your prescribed orthosis or prosthesis.
You won’t be seen by assistants, fitters, or other practitioners—only me.
I believe in providing hands-on care to ensure you receive the best possible
treatment.
I make it a priority to schedule patient evaluations as soon as possible, often the same day or the next business day, and strive to fit and deliver orthoses or prostheses at the earliest possible time.


My Mission
I am dedicated to providing top-quality orthotic and prosthetic care to improve the lives of individuals with musculoskeletal challenges. My goal is to make mobility and daily life easier for my patients through expert, personalized care.
My Qualifications
With a strong educational and professional background, I strive to offer the best possible service:
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Graduated from a top-ranked university in Tehran
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Board-certified by the American Board for Certification in Orthotics, Prosthetics, and Pedorthics (ABC)
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Fellow of the American Academy of Orthotists & Prosthetists
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CCS-paneled practitioner
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National board examiner
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Prosthetic, Orthotic, and Pedorthic (POP) Ambassador
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Office accredited by the American Board for Certification in Orthotics and Prosthetics
My commitment to excellence ensures that every patient receives the highest level of care and expertise.
What are orthoses and prostheses?
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Orthoses include devices such as knee braces, spinal braces (including scoliosis braces), ankle supports, foot orthotics (inserts), and more.
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Prostheses encompass devices such as below-knee and above-knee prosthetics, upper extremity prosthetics, and cosmetic prostheses.








If you’re experiencing pain in your knees, back, or any other joint and aren’t sure where to begin, just give us a call—we’re here to help.
I’ll personally answer your questions and guide you through the next steps. My team will then work with your doctor to obtain the necessary prescriptions and documents, verify your insurance benefits, and explain your coverage details.
If you’re unable to visit my office and live within a nearby area, I can come to you at your convenience—free of charge. Just ask!
FAQ:
❓ Do I need a prescription for your services?
✅ Yes, a prescription from your doctor is required for all services, whether covered by insurance or paid out-of-pocket.
❓ Do you have an in-house physician?
✅ No, we do not have a physician on staff. I am a board-certified prosthetist and orthotist.
❓ Which insurance providers are you contracted with?
✅ We are contracted with most major insurance providers, including Medicare and Medi-Cal.
Please contact us to confirm if we accept your specific insurance plan.
❓ Will my insurance cover the cost of services?
✅ Coverage varies depending on your insurance plan. Some plans include O&P services, while others do not. Additionally, deductibles and co-insurance may apply. We verify all coverage details before scheduling an appointment.


Cranial Remolding Orthoses for Babies with Flat Head
"Fitting and adjusting the custom made cranial remolding orthosis
(helmets for babies with flat head)
is within the scope of practice of Board Certified Orthotist"
As a Board Certified Prosthetist Orthotist (CPO) I do evaluate, scan, fit and adjust all cranial remolding orthosis myself.
Since this has to be done by certified orthotist, in my offices, there is no Nurse, Physical Therapist, Occupational therapist or certified orthotic fitter involved.
Common Challenges with Traditional Helmets
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Too much sweating and skin issues
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Too heavy
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Bad odor
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Too bulky
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Too many adjustments (every 1–2 weeks)
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Pushing eyebrows down

CHOC
Health Alliance
Provider
These issues are common reasons why children struggle to comply with wearing traditional helmets
A New Alternative: Talee Helmet
Until recently, there was no alternative option. That’s why Talee was designed.
I am proud to now offer Talee helmets in my offices.

Why Parents Choose the Talee Cranial Remolding Orthosis
Talee helmets are designed to overcome the challenges of traditional cranial helmets. Parents appreciate that Talee is:
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FDA cleared
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Lightweight and comfortable
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Designed with advanced high-resolution scanning and 3D printing for a better fit
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Made to reduce or eliminate sweating, thanks to its breathable design
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Easier to manage, requiring fewer office visits and adjustments
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Available in different colors, so families can choose a style they like


Understanding Plagiocephaly and Brachycephaly
(Note: The following is general educational information only. It is not intended as a diagnosis, treatment plan, or medical advice. Please consult your pediatrician or a certified orthotist for personalized guidance.)
Plagiocephaly
Plagiocephaly is the most common type of skull deformity in infants. Parents often begin to notice signs around 6–10 weeks of age.
Common features include:
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Asymmetrical skull shape
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Flattening on one side of the back of the head (unilateral occipital flattening)
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Ear positioned slightly forward on the flattened side
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Forehead more prominent on the flattened side
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Possible facial asymmetry
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May be associated with torticollis (tight or limited neck movement)


Brachycephaly
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Central occipital flattening
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High and sloped skull. The head is excessively wide for its length
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May be accompanied by a prominent, bossed forehead


Common Causes of Infant Head Shape Deformities
Several factors can contribute to plagiocephaly and brachycephaly, including:
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Prolonged time lying on the back (supine position)
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Limited tummy time while the baby is awake
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Congenital muscular torticollis, neck weakness, or restricted range of motion
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Higher frequency in males (approximately 2:1 compared to females)
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Breech or transverse presentation during birth
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Multiple births (e.g., twins)
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Premature birth
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Extended use of positioning devices (such as car seats, swings, or strollers) that restrict head movement




FAQ:
❓ Is it difficult for babies to adjust to the helmet?
✅ Most babies adapt to wearing the helmet within a week or less.
❓ Does the helmet put pressure on the baby’s skull?
✅ No, the helmet applies no direct pressure on any part of the skull.
❓ How long does the treatment take?
✅ The duration depends on the baby’s age at the start of treatment and the severity of asymmetry.
The earlier the treatment begins, the faster and more effective the results.
❓ Is wearing the helmet for 23 hours a day mandatory?
✅ Yes. Starting from Day 5 after receiving the helmet, it must be worn for 23 hours per day.
Learn more about our baby helmets for flat head syndrome by visiting the
Talee free evaluation

Piro 3D PRINTED ANKLE ORTHOSIS
3D-printed orthoses are the ideal choice for a treatment plan due to their precise manufacturing process.
From capturing the limb's shape with a high-accuracy scanner to fabricating the device with a 3D printer, this method ensures a lightweight, precisely fitting, and appropriately strong orthosis.





Neurological Conditions
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Cerebral Palsy (CP) – To address spasticity, crouch gait, or foot drop.
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Spina Bifida – To provide stability and prevent deformities.
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Muscular Dystrophy – To compensate for muscle weakness and improve mobility.
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Peripheral Neuropathy – To assist with foot drop and improve gait.
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Charcot-Marie-Tooth (CMT) Disease – To support weakened muscles and correct foot positioning.
Orthopedic & Developmental Conditions
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Idiopathic Toe Walking – To prevent excessive plantarflexion and encourage heel strike.
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Clubfoot (Post-Corrective Bracing) – To maintain corrected foot position and prevent relapse.
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Tibial Torsion – To provide rotational control when needed.
Injury-Related & Post-Surgical Support
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Post-Surgical Support (e.g., after Achilles tendon lengthening, osteotomies, etc.) – To protect healing structures and ensure proper alignment.
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Traumatic Brain Injury (TBI) or Stroke – To provide stability for impaired motor function.
Indications for Piro 3D-Printed Ankle Orthoses




Learn more about our custom 3D-printed AFOs by visiting the Piro 3D-Printed Ankle Orthosis page

The leading dynamic
scoliosis bracing treatment
Sometimes children cannot tolerate rigid braces and may become non-compliant. Adults, on the other hand, often seek supportive solutions to help reduce scoliosis-related pain and prevent the condition from worsening.
SpineCor could be the answer for you!
SpineCor Treatment
SpineCor treatment is the leading dynamic bracing solution for managing scoliosis and hyperkyphosis in children and adults.
Centred around the use of a customised spinal brace, with exercises when required, SpineCor treatment keeps the body moving whilst intelligently managing the spinal position in a curved spine.
SpineCor Treatment can successfully treat many different curve types... from small curves to larger and multiple curves.
Regular reviews throughout the treatment process allow for adjustments to be made to the brace, helping to achieve the best results for you. Unlike some other treatments, SpineCor treatment maintains the stability of the curve and muscle strength. This leads to better long term results.
The SpineCor Ultimate Brace
SpineCor Ultimate Braces are customised to the needs of each patient. The lower part of the brace acts as an anchor for the upper corrective part of the brace, whose bands wrap around the body to control the position of the spine. The corrective bands push, pull or twist the trunk in order to off-load or improve the position of the spine.
The brace is easy to put on and take off. Worn comfortably under clothing, it is fully flexible, allowing you to carry on with your daily life, including sporting activities.
Its discreet nature means the brace in undetectable under normal clothing, making it more appealing to patients, helping to achieve better results.
Design Features
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Delivers effective scoliosis control whilst preserving near normal movement.
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Provides postural correction, pain relief, and prevention of progression for adults.
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Enables the child’s body to develop naturally as they grow.
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Worn discretely and comfortably under clothing.
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Better treatment acceptance, helping to achieve better results.
SpineCor Treatment will slow down or stop the progression of a child’s scoliosis during the remainder of growth. It may even reduce the size of the curve.
SpineCor Treatment is appropriate for children from 5 years old with Idiopathic Scoliosis from 20 – 40 degrees.
SpineCor Treatment can be used for children with Hyperkyphosis above 60 degrees.
Brace Wear: SpineCor braces are worn for 20 hours per day during treatment.
SpineCor® Ultimate treatment for Children

SpineCor Treatment for Adults
SpineCor Treatment may reduce pain associated with adult scoliosis and Hyperkyphosis.
SpineCor Treatment is appropriate for adults of all ages with Idiopathic or Degenerative Scoliosis greater than 20 degrees.
SpineCor Treatment can be used for adults with Hyperkyphosis above 60 degrees.
Brace Wear: SpineCor brace wear time will be advised by the clinician at the time of brace fitting.

Treatment Results
When compared to rigid treatment options
(TLSO & Providence orthoses), SpineCor® treatment produces better results in children with Adolescent Idiopathic Scoliosis with curves between 25° and 40° Cobb angle.
The statistics show a greater chance of preventing surgery and a much higher ability to produce stable correction of curves.
(Data presented here are based on SpineCor research)

Learn more about the
Spinal Q Posture Shirt
From teenagers to seniors, many people struggle with hyperkyphosis (often referred to as “round back” or “postural kyphosis”).
Traditional braces and supports designed for this condition often come with challenges such as heavy weight, discomfort under the arms, and low compliance.
Alignmed®, a U.S.-based company, designed the Spinal Q Posture Shirt® to address these issues and significantly improve patient comfort and compliance.
Spinal Q Posture Shirt has been approved by the Pricing, Data Analysis, and Coding (PDAC) Contractor and is covered by most health insurance plans.


Learn more about the
3D PRINTED FACE MASK

A 3D-printed face mask is a protective gear designed to prevent facial injuries during sports activities
I now offer 3D-printed Raptor Masks by scanning your face using one of the most precise scanners available in my offices









For more information, visit the