What if I'm not weight bearing?

If your doctor hasn't recommended weight bearing on your injured leg simply wiggle your toes around and flex your foot. This should allow the microbeads to get into any potential "hot spots." Once you have done this, then proceed to use the included vacuum bulb to remove air until the pump no longer expands.

VACOped doesn't feel like other boots.

Our patented vacuum technology means no inward pressure. VACOcast creates a perfect mold of your limb like a plaster cast without all of the mess (and if you don't get it right the first time you aren't stuck with an ill-fitting cast for weeks). VACOcast will not feel the same as a pneumatic or foam based boot which rely on putting pressure on your limb to create stability. You have the ability to move and shape the beads for maximum comfort. Get the right fit for you.

In this example, air is forced out of a container to form a perfect mold of the hand. VACOcast uses this same principle to create a perfect fitting orthopedic boot, unmatched in its stability and comfort by any other boot on the market.

VACOcast vs VACOped

VACOcast Fit is a fixed position boot. VACOcast Pro/Achilles has a hinge mechanism, to adjust flexion and enable controlled ROM. VACOcast Pro/Achilles is the best boot on the market for Achilles injury.


One of the VERY best things about VACOcast is that it can be used immediately post surgery in place of a plaster cast. You have the right request to use your VACOcast in lieu of a plaster cast. Speak with your Orthopedic Specialist and if you would like any medical studies or information to provide to him/her before your procedure contact us at support@opedmedical.com.

Insurance MAY pay for VACOped

HCPCS L4360 is the billing code used by insurers. Request VACOcast before accepting any other "walking" boot from your physician. If you pay out-of-pocket you may still be eligible for some kind of reimbursement from your insurance company. Reimbursement rates vary depending on your coverage and carrier. Please contact your insurance carrier directly for more information.

Does my Medical Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) reimburse the purchase of VACOped?

Generally, out-of-pocket amounts paid for the diagnosis, cure, mitigation, treatment or prevention of disease or for the purpose of affecting any structure or function of the body may be eligible for reimbursement through FSA or HAS accounts. Your VACOped may just be used in such fashion, and therefore you can try to obtain reimbursement for your out-of-pocket expense through your FSA or HAS account.

To do so, please submit a claim for reimbursement to your FSA or HAS provider, which should include your product purchase invoice. Please note that certain information may be requested from your treating clinician, e.g. a prescription or medical notes.

VACOcast Tutorial Video (formerly VACOcast Fit)

Removing the vacuum insert: VACOcast + VACOped

Using the Vacuum Bulb: All Styles

VACOped Tutorial Video (formerly VACOcast Pro)

Replacing the vacuum insert: VACOcast + VACOped

Removable sole: VACOcast + VACOped

Sizing Guide

Shoe Size M 5-8 | W 6.5-9.5 M 8-11 | W 9.5-13 M 11+ | W 13+
Length Positions (Min/Mid/Max)* 9.3" / 9.7" / 10.1" 10.4" / 10.8" / 11.2" 11.3" / 11.7" / 12.2"
Foot Width 4.1" 4.7" 5.3"
Ankle Circumference 5.5-11" 8-16" 12-18"
Calf Circumference 9-15" 13.5-20" 15-23"

*Length Positions refers to the adjustable toebed settings. There are 3 settings that allow a single boot size to accommodate many shoe sizes.

Hours of Operation

Monday - Friday | 9AM - 4PM Eastern Time

Nights and Weekends

Unfortunately, we cannot offer support outside of our normal hours of operation listed above. If you have a medical emergency please contact your physician directly or call 911.

Our office is closed for the following holidays:

  • New Years Day (Jan. 1)
  • Martin Luther King Day (Jan. 19)
  • President’s Day (Feb. 16)
  • Patriot’s Day (Apr. 19)
  • Memorial Day (May 25)
  • Independence Day (July 4)
  • Labor Day (Sept. 7)
  • Columbus Day (Oct. 12)
  • Veteran’s Day (Nov. 11)
  • Thanksgiving (Nov. 26)
  • Day-after Thanksgiving (Black Friday)
  • Christmas Day (Dec. 25)
  • Boxing Day (Dec. 26)
  • New Year's Eve (Dec. 31)

Return Policy

By purchasing from OPED Medical, Inc. you agree to the following conditions.

You may return an OPED Medical, Inc. (VACOcast/VACOped) UNUSED item in NEW, RESALABLE condition within 14 days of receiving your purchase. Please note if you would like to return or exchange the item on this packing slip, enclose the packing slip in the returning package. Once we receive the package, we will refund you for the full product price, minus a 20% restocking fee, or ship the requested exchange to you. Shipping costs are NOT refundable.

An item that does not meet the above standard will not be eligible for refund or exchange.

  • DO NOT ship a return without first receiving a RETURN AUTHORIZATION. Anything returned without an RMA will not be eligible for a refund of any kind.
  • Restocking fee is 20% of the total cost of the items returned.
  • Customers are responsible for the cost of shipping back to OPED.
  • Shipping fees are non-refundable.
  • Close out item sales are final. No returns will be accepted.
  • Please allow 5-10 business days for your return to be processed or an exchange to be sent.
Before you ship an item please contact us at support@opedmedical.com with "RETURN AUTHORIZATION" as the subject line. Any items received without an RMA will not be eligible for return or exchange.