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What Are The Best Orthotics For Plantar Fasciitis

Mark A. Caselli, DPM and Ellen Sobel, DPM, PhD | 602,144 reads | 6 comments | 12/03/2001

The irritation is the result of biomechanical deformities such as limb length discrepancy, gastrocsoleus equinus, and excessive foot or leg varus, producing midtarsal and subtalar hyperpronation. In turn, this pronation produces a stretch of the plantar fascia as well as unwanted pulling on the origin of the fascia (the medial calcaneal tubercle). The classic history of plantar fasciitis is marked by the insidious onset of sharp pain at the fascial insertion of the plantar surface of the anteromedial calcaneus.

Why Podiatrists Should Not Fear Custom Foot Orthotics At Costco

Doug Richie Jr. DPM FACFAS | 107,712 reads | 7 comments | 05/28/2009

A few months ago, a patient said she saw a service advertised at Costco, which provided custom foot orthotics to customers for a price of $89 per pair. She asked if I was concerned about this “competition” from a mass retailer. I replied that this type of commercial offering of custom foot orthotics would only help drive more patients into the offices of podiatric physicians.

Keys To Prescribing Orthotics For Sports, Neuromas And High Heels

Guest Clinical Editor: Joseph D’Amico, DPM | 11,736 reads | 0 comments | 09/25/2012

These experienced panelists discuss the unique challenges of fabricating orthotics and creating modifications for various types of sports, high heels and Morton’s neuroma.

Can Foot Orthotics Relieve The Pain Of Hallux Rigidus?

Doug Richie Jr. DPM FACFAS | 53,785 reads | 3 comments | 04/25/2012

I am always interested in theories and advice my colleagues post on the Internet regarding the use of custom foot orthoses to treat common pathologies. It is amazing to see the divergence of opinion regarding selection of materials, casting technique and prescription criteria to treat any single condition. Leading the list of pathologies that has the least agreement for orthotic therapy is hallux rigidus.

When Orthotics Can Treat Low Back Pain

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 44,158 reads | 1 comments | 04/03/2003

Have you seen your share of patients who have back pain as a result of compensating for gait-related problems? If so, you’re not alone. Some patients may indeed get relief from lower back pain after getting custom orthotics. With this in mind, our expert panelists tackle this important subject. Q: Podiatrists often report that many of their patients experience relief of low back pain after receiving custom orthotics. What is the relationship?

Ski Boot Orthotics: Plowing Through The Options

Clinical Editor: Howard Dananberg, DPM | 33,728 reads | 0 comments | 12/03/2002

As December arrives, patients who enjoy winter sports begin to think about skiing. Ski boot technology has come a long way in recent years, with many comfort features added to complement the performance the boots are designed to provide. Patients will often ask your opinion as to what they need and how they can enhance their skiing. With this in mind, our expert panelists offer their opinions. Q: What are the most interesting advances now available in ski boots for the upcoming season?

A Guide To Prescribing Orthotics For Alpine Skiing

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 14,676 reads | 0 comments | 04/03/2004

Patients who tackle the slopes have specific requirements for orthotics. In addition to reviewing the pedal mechanics and biomechanics of skiing, our expert panelists take a closer look at the design of ski boots and what impact the skier’s skill level will have on prescribing an appropriate orthotic. Without further delay, here is what they had to say. Q: What pedal mechanics are unique to skiing? A: During alpine skiing, the patient’s lower extremities never go through a complete gait cycle, notes Nicholas Sol, DPM, CPed.

Can Smart Orthotics Have An Impact In Preventing Ulceration?

hmpadmin | 11,781 reads | 0 comments | 05/20/2010
Q: Many studies that investigated the use of therapeutic footwear along with accommodative inserts have reported only moderate rates of efficacy in preventing diabetic ulcer recurrence. Can one attribute this to the oversimplification of the foot ulcer pathology? A:

Post-Op Orthotics: Can They Have An Impact?

David J. Levine, DPM, CPed | 13,575 reads | 0 comments | 12/28/2010

With a compelling case study, this author illustrates how the biomechanical needs of a patient can change postoperatively. Accordingly, he emphasizes the importance of a sound biomechanical assessment and gait analysis after surgery, and how these findings will influence conservative management postoperatively.

Study: Custom Orthotics Not Necessarily Better Than Prefab

By Brian McCurdy, Associate Editor | 20,526 reads | 2 comments | 02/03/2005

   Many podiatrists report positive benefits anecdotally of using custom orthotics to treat plantar fasciitis. However, a recent study published in the Journal of the American Podiatric Association (JAPMA) points out flaws in the current literature on the subject and suggests there is no current evidence basis to support the notion of custom orthotics being more effective than prefabricated orthotics for plantar fasciitis.