Ensuring Orthotic Efficacy For Adults And Children
- Volume 24 - Issue 8 - August 2011
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Dr. Valmassy normally does not replace the polypropylene device. He notes that a polypropylene rearfoot post typically assists in the longevity of the orthosis. With a softer type or rearfoot post such as cork or EVA, which introduces some heel contact shock absorption, Dr. Valmassy finds that the posts have to be replaced approximately every five years. With a composite orthosis such as a sports device, which is fabricated of polypropylene, Spenco and EVA, he notes it is not uncommon for these devices to compress over a period of from one to three years. At this point, they usually require replacement, according to Dr. Valmassy. When a patient’s symptoms return or increase, he will often consider recasting the patient for a more aggressive type of orthotic device.
“Now that I have been in practice for over three decades, I still see patients that have devices that I prescribed 25 years ago or more, and the devices still contour well with the patient’s foot,” says Dr. Valmassy.
Dr. Jordan is a Past Associate Professor in the Department of Orthopedics and Pediatrics at the New York College of Podiatric Medicine in New York City. He is a Diplomate of the American Academy of Cerebral Palsy and Developmental Medicine, and a Diplomate of the American Board of Podiatric Orthopedics and Primary Podiatric Medicine. Dr. Jordan is in private practice in Smithtown, N.Y.
Dr. Valmassy is a Past Professor and Past Chairman of the Department of Podiatric Biomechanics at the California College of Podiatric Medicine. He is a staff podiatrist at the Center for Sports Medicine at St. Francis Memorial Hospital in San Francisco.
Dr. Volpe is a Professor in the Department of Orthopedics and Pediatrics at the New York College of Podiatric Medicine in New York City. He is in private practice in New York City and Farmingdale, N.Y.
Dr. D’Amico is a Professor and Past Chairman in the Division of Orthopedics at the New York College of Podiatric Medicine. He is a Diplomate of the American Board of Podiatric Orthopedics and Primary Podiatric Medicine, and a Fellow of the American Academy of Foot and Ankle Pediatrics. Dr. D’Amico is in private practice in New York City.