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Current Insights On Functional Foot Orthotics And Choosing A Lab

Guest Clinical Editor: Dianne Mitchell, DPM | 5,879 reads | 0 comments | 03/20/2015

Our expert panelists discuss the role of functional foot orthotics in their practices, their approach to patients referred to them for custom orthoses, keys to selecting orthotic labs and whether healthcare changes will have an effect on the perception of orthotic outcomes.

Q:

How do you currently position functional foot orthotic therapy in your office?

Are Physical Therapists Overlooking The Benefits Of Orthotics For Runners?

Jenny L Sanders DPM | 3,707 reads | 1 comments | 12/16/2014

Last month, I attended the second annual Science of Running Research Symposium, sponsored by the California Physical Therapy Association and CAL-PT-FUND. I was the only podiatrist in attendance.

The main speakers included Irene Davis, PT, PhD (Harvard University), Bryan Heiderscheit, PT, PhD (University of Wisconsin-Madison) and Chris Powers, PT, PhD (University of Southern California). All are heavy hitters in the world of physical therapy research, specifically biomechanics and running. They have published over 250 scientific studies combined.

Modifying Orthotics To Resist Rearfoot Eversion In Hallux Limitus

Larry Huppin DPM | 2,263 reads | 0 comments | 12/19/2014

When the rearfoot everts, it forces the medial forefoot into the ground. This results in a dorsiflexion force on the first ray and jamming of the first metatarsophalangeal joint (MPJ) as the patients begins to toe-off.

An article published several years ago in the Journal of the American Podiatric Medical Association gives us some good data on this relationship.1 Harradine and Bevan did a preliminary study on the effect of rearfoot eversion on maximal hallux dorsiflexion, finding that hallux dorsiflexion decreases with rearfoot eversion.

Foot Orthotics For Cowboy Boots

Larry Huppin DPM | 14,089 reads | 1 comments | 04/03/2014

It is always a challenge to fit orthotic devices in cowboy boots. First of all, let me say that since I practice in Seattle, I am not the most experienced practitioner in fitting orthoses into cowboy boots. I am sure my colleagues in Phoenix, Austin, and other parts of the Southwest have much, much more experience using these types of devices. Given that, I have had several patients for whom I have made orthotics for cowboy boots. While I have ended up frustrated several times, I seem to have found a formula that works well.

Can Orthotics Have An Impact On Tarsal Tunnel Syndrome?

Dianne I. Mitchell, DPM, and Paul R. Scherer, DPM | 28,281 reads | 0 comments | 11/25/2013

In a review of the literature and their clinical experience, these authors discuss the pathomechanics of tarsal tunnel syndrome, keys to the differential diagnosis and the role of functional foot orthotics in treating the condition.

Utilizing Semi-Custom Orthotics For Neuromas

Nicholas A Campitelli DPM FACFAS | 15,165 reads | 6 comments | 09/19/2013

Too often, physicians prescribe custom fabricated orthoses to treat a forefoot issue when they can address the problem through the use of a semi-custom orthotic.

Do we need to cast, mold and scan the foot, et cetera, to produce a custom rearfoot shell, which we can attach to the forefoot device? Do we need to control the rearfoot to help the forefoot pathology? The debatable answer is that it depends on the pathology.

Orthotics Are Not Biomechanics

Kevin A. Kirby, DPM | 8,771 reads | 0 comments | 11/21/2012

Over the past quarter century of lecturing at national and international seminars on the topics of foot and lower extremity biomechanics, foot orthotic therapy and sports injuries, I have had the pleasure to meet many podiatrists who share my interest in these subjects.

Current Insights On The Use Of Orthotics For Limb Length Discrepancy And Morton’s Syndrome

Guest Clinical Editor: Joseph C. D’Amico, DPM, DABPO | 23,028 reads | 0 comments | 09/17/2013

These expert panelists share their approach to limb length discrepancies and the roles that orthotics and orthotic modifications can play in addressing these discrepancies. They also offer pearls on conservative care for Morton’s syndrome.

Why Wider Orthotics Tend To Be More Comfortable

Larry Huppin DPM | 3,738 reads | 0 comments | 02/06/2013

I had a patient come in recently for dispensing of new orthotic devices. He had worn orthoses for years and was starting to get a return of his plantar fasciitis symptoms. Another podiatrist provided the previous orthoses.

Do Runners Need Orthotics?

Nicholas A Campitelli DPM FACFAS | 58,764 reads | 20 comments | 02/15/2012

I routinely have runners present to our office demanding orthotics for their shoes. Even more common is the request for replacement orthotics. The question is: Should they even be running in an orthotic?