Keys To Prescribing Orthoses For Limb Asymmetry And Heel Pain

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Guest Clinical Editor: Joseph D'Amico, DPM

   Dr. D’Amico notes that the majority of biomechanically induced heel pain is precipitated, perpetuated or aggravated by propulsive phase hypermobility with secondary over-stretching of the medial and middle slips of the plantar fascia. Therefore, he calls it imperative not only to control rearfoot alignment and function, but to control the forefoot as well. Dr. D’Amico says this may involve extending forefoot posting to the sulcus to maximize “on forefoot” control. In speedy walkers or during sports participation, he notes appropriate forefoot posting is critical for success in the management of biomechanically induced heel pain.

   Dr. Beekman is a Diplomate of the American Board of Podiatric Surgery. He is also a Fellow of the American Academy of Podiatric Sports Medicine.

   Dr. D’Amico is a Professor and Past Chairman of 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. He is also a Fellow of the American College of Foot and Ankle Orthopedics and Medicine, a Fellow of the American Academy of Podiatric Sports Medicine and a Fellow of the American College of Foot and Ankle Pediatrics. Dr. D’Amico is in private practice in New York City.

   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. Wernick is a Professor in the Department of Orthopedic Sciences at the New York College Of Podiatric Medicine. He is also a Diplomate of the American Board of Podiatric Orthopedics and the Medical Director of Eneslow Comfort Shoes and Langer, Inc.

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