Our clinic is proud to serve patients in Lincoln and the surrounding areas through a variety of orthotic and prosthetic services. We are committed to providing the best care for each patient by working closely with therapists and other professionals.
Premier O&P values the opportunity to accompany patients and their families through difficult times and to celebrate large and small achievements. To ask questions or to schedule an appointment, please call our office at 402-420-0426.
Brandon Green is a Certified Prosthetist/Orthotist. Brandon received his degree from the University of Texas Southwestern Medical Center. Since starting Premier O&P Inc. in 2012, Brandon has put an emphasis on patient care and outcomes. He specializes in pediatrics and lower limb orthotics/prosthetics. In his spare time, Brandon enjoys spending time with his wife and young son.
Trisha has been in medical billing for the last 20 years. When you call or stop in, she is likely the first person you’ll talk to. She is your go-to person to schedule appointments or to ask questions. Trisha and her husband, Jeff, have two children: Hayden and Reese. In her spare time, Trisha enjoys reading, traveling, and watching her children play sports.
Jill joined our team in February 2020 with more than 20 years of experience in durable medical equipment. She enjoys interacting with patients and ensuring they receive excellent care. Jill has an eye for detail and is focused on accuracy and making sure requirements are met for billing all insurance payors. Jill and her husband Nick have two children, Harleigh and Quinten. She loves being a mom and keeps busy with all of her kids’ activities. She also enjoys spending time on her parents’ farm.
"Before the brace, I could only work for an hour at a time because it hurt so bad. I got the brace as a last resort, but it has completely changed my life. Now I can do all my work without needing to sit."
"I like playing softball, and Premier O&P helped me be able to play! Every time we visit, they make us feel welcome. They are like family! They take a lot of stress off of us as parents with our very active seven-year-old."
"Brandon Green is an incredible practitioner. He makes my son with Down syndrome, who really hates having his feet touched, feel calm and comfortable at his appointments. Brandon patiently works with us to do whatever it takes to make the experience a positive one – so much so that now when I tell my son it’s time to see Brandon, he runs around the house yelling, 'Yay Brandon!'"
We custom fabricate all foot orthotics for many different conditions. First, we take a cast of the patient’s foot to create a positive model, then modify it to suit the patient’s individual needs. Common problems relieved by foot orthotics include plantar fasciitis, foot pronation, mild ankle valgus, foot pain, and leg length discrepancies.
An ankle foot orthosis is an orthotic device for the lower limb that encloses the ankle and foot and does not extend above the knee. There are many types of AFOs, which vary based on the material used and the amount of control needed — maximum control AFOs usually consist of plastic to stabilize the ankle. AFOs are prescribed for conditions like drop foot, ankle instability, contractures, and mild knee instability.
The upper limbs comprise a complex system of muscles, joints, ligaments, and tendons, which are capable of a number of distinct movements. For this reason, a wide variety of upper limb orthoses exist. Some simply decrease pain with limited movement, others provide functional movement.
A knee-ankle-foot orthosis spans the knee, ankle, and foot. Motion at all three of these lower limb areas is affected by a KAFO and can include stopping, limiting, or assisting motion. A KAFO is usually prescribed when other forms of bracing such as an AFO or KO are insufficient to adequately control the instability.
A knee orthosis or knee brace is used to strengthen the knee. It is worn around the knee and works by controlling how the knee functions. There are many different kinds of KOs, from post-operative to osteoarthritis. KOs can be custom fabricated or prefabricated based on the individual needs of the patient.
There are a number of common spinal orthotic designs to assist individuals with pathologies of the neck and back. Many back braces use the principle of an abdominal compression to relieve stress on the vertebra. For more serious injuries, a harder plastic shell may be used to control all motion in order to decrease pain or injury.
The past 20 years have seen significant developments in prosthetic technology. One reason the United States encourages research in this field is so that veterans may live at the highest possible quality of life after amputations during service; this technology typically advances the most during times of war.
Below knee prosthetics are the most common type of prosthesis. They consist of a foot portion, ankle, shank, and socket. The socket is made custom to an amputee's limb and gives him or her control of the prosthesis. Below knee prosthetic users do very well with a prosthesis, many times resuming the same quality of life they had before the amputation.
Above knee prosthetics are made with many of the same parts as below knee prosthetics, with the addition of a knee unit. There are many different types of components that can be used. A patient’s activity level often affects which components are used. This level may be either what the patient did before the amputation or can be assessed through an evaluation.
The more active the patient, the more complex the components that can help assist the amputee. However, patients with lower level function usually find more comfort in the lower level components. This is because the components at these levels require much less physical activity and do much of the work for the patient. Lower level components are usually the most stable and provide the user with the most security.
Pediatric orthotics and prosthetics require significant attention and detail in evaluation, castings, and follow up care. Because pediatric patients are constantly growing, therapists, doctors, and parents must work closely together to keep up. Our team often travels to therapy clinics to work alongside a patient’s therapist — thanks to this kind of teamwork with other healthcare providers, we ensure each child is treated for his or her specific needs.
A cranial remolding orthosis is used to correct the shape of the skull. Treatment generally takes three to four months. Helmets are not painful; they work by directing growth to areas of flatness. This creates a normally shaped head.