Can A Reverse Morton’s Extension Be Beneficial For Treating Functional Hallux Limitus?

Jenny L Sanders DPM
11/6/13 | 5332 reads | 0 comments
Functional hallux limitus is a loss of metatarsophalangeal joint (MPJ) extension during the second half of the single support phase when the weightbearing foot is in maximal dorsiflexion. Functionally, it constitutes a sagittal plane blockade during gait. As a result, the mechanical support and stability mechanisms of the foot are disrupted with important consequences during gait.1 Read More.

How Evaluating Sock Liners Can Provide Diagnostic Insights

Jenny L Sanders DPM
10/7/13 | 4647 reads | 0 comments
A sock liner in a running shoe acts as a moisture barrier between the foot and the insole of the shoe, and provides light cushioning as well. Not all shoes have sock liners but those that do can provide a wealth of information for you and your patients. An easy way to educate patients about their foot function is to show them their sock liner wear patterns. Read More.

How Shoe Stretchers Can Help Your Patients Get A Perfect Fit

Jenny L Sanders DPM
9/5/13 | 6767 reads | 0 comments
Just like clothes, few shoes fit perfectly "off the rack." Most need some tailoring to fit. Do your patients have bunions, hammertoes or other deformities that make shoes difficult to fit? If so, a shoe stretcher can help. Patients will often pay to have a single pair of shoes stretched, but you can teach them how to stretch all of their tight fitting shoes at home easily, safely and for a lot less money. Read More.

Easy Ways To Help Patients Monitor Shoe Wear

Jenny L Sanders DPM
7/2/13 | 2140 reads | 0 comments
It always surprises me when an injured athlete comes into the office with excessively worn running shoes and doesn’t know how old they are. Did the athlete buy them six months ago, a year ago? Has the athlete had the shoes for more than a year? Read More.

Passing Along Recommendations To Patients For Orthotic-Compatible Sandals

Jenny L Sanders DPM
6/4/13 | 10583 reads | 0 comments
The most important consideration when making a custom orthotic for a sandal is to make sure the sandal that the orthotic will be going into has a removable foot bed. Next, the orthotic should be made specifically for the purchased sandal. In order to accomplish this, I have my patients purchase the sandal first and then send the sandal and the custom orthotic prescription to the lab for a precise fit of the orthotic into the sandal. If you order an orthotic first and then try to fit to the sandal after the fact, it rarely works. Read More.

What Summer Sandals To Recommend To Patients

Jenny L Sanders DPM
5/6/13 | 12703 reads | 0 comments
With summer just around the corner, patients are already starting to ask, “What sandals do you recommend”? The following are my recommendations for brands that I have had success with for my patients. In general, sandals having multiple, adjustable straps provide the best fit. This month, I will give non-orthotic sandal recommendations. Next month, I will recommend orthotic friendly designs. Chaco ( ). Chacos are some of my favorites. Their signature styles use fully adjustable/sliding straps to accommodate varying foot volumes. Read More.

How To Prevent Heel Slippage From An Orthotic

Jenny L Sanders DPM
4/1/13 | 4229 reads | 1 comments
Heel slippage arising from a dispensed orthotic is not an uncommon problem. Ways to address this problem include modified shoe lacing (lock-lacing) and tongue pads. For a how-to on lock-lacing, see my prior post at . Read More.

How Patients Can Get An Aerobic Workout While Staying Off Their Feet

Jenny L Sanders DPM
3/7/13 | 6842 reads | 0 comments
Not being able to exercise due to foot injury, surgery or lower extremity immobilization can be a frustrating problem for patient and physician alike. We want our patients to be adherent to our immobilization instructions and patients want to continue their cardio fitness workouts in spite of immobilization. For the past two years, my office has been recommending the following YouTube video by Laurel House: . Read More.

How To Create A Morton’s Extension Splint For Acute First MPJ Injuries

Jenny L Sanders DPM
2/4/13 | 2892 reads | 1 comments
Our clinic treats a large number of athletes having sustained acute injuries of the first metatarsophalangeal joint (MPJ). To reduce first MPJ motion, we fabricate a Morton’s extension splint, which temporarily restricts motion to allow healing. This splint is easy to make, cost-effective and patients can use it with any shoe providing they wear socks. Read More.