Inside Insights On The Evolution Of Orthotic Therapy

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Pushing down on the first metatarsal during the negative casting process optimizes the position of the first ray and enables one to capture a valgus forefoot to rearfoot relationship. Douglas Richie Jr., DPM, notes a deterioration in the quality of impres
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Author(s): 
Guest Clinical Editor: Douglas Richie Jr., DPM

    “Podiatry, alone and by itself, can lose its position of dominance in orthotic therapy if it (podiatry) chooses to ignore the science of biomechanics and its clinical applications,” continues Dr. Smith. “Unless the pedorthists and physical therapists make a concerted academic and clinical effort to understand and treat the foot, podiatry is in no imminent danger of losing its dominance in the field of orthotic therapy.”

   Even if DPMs lose interest in CFO therapy, Dr. Richie warns that a lack of understanding of biomechanics will significantly impair their surgical ability. “Unless we continue to combine the teaching of biomechanics with surgery, our profession will produce inadequately trained foot and ankle surgeons,” points out Dr. Richie.

Dr. Richie is an Adjunct Associate Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt College. He is the Immediate Past President of the American Academy of Podiatric Sports Medicine.

Dr. Scherer is the Chairperson of the Department of Applied Biomechanics at the California School of Podiatric Medicine at Samuel Merritt College. He is also the CEO of ProLab Orthotics/USA.

Dr. Smith is the Vice President of Northwest Podiatric Laboratory and is a Professor Emeritus at the California College of Podiatric Medicine at Samuel Merritt College.

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