Orthotics Q&A

Guest Clinical Editor: Doug Richie Jr., DPM, FACFAS
| 2,102 reads | 2 comments
Acknowledging changes in the way podiatry students learn orthotic therapy, these experts discuss how such changes affect the quality of casting, and how young practitioners can gain casting experience. They also discuss common questions from prescribing podiatrists and debate the value of over-ground weightbearing scanners. Q: Has the decline in the formal teaching of foot orthotic therapy at... Read More.
Guest Clinical Editor: David Levine, DPM, CPed
| 1,771 reads | 0 comments
These expert panelists expound on replacing orthoses, determining which type of orthoses to fabricate and what types of shoes patients should wear with orthoses. Q: How can you tell when it is time to replace orthotic devices and do you rely on objective or subjective measures? A: David Levine, DPM, CPed, notes the question of replacement frequently arises even when a patient presents for a non... Read More.
Guest Clinical Editor: Bijan Najafi, PhD
| 3,374 reads | 0 comments
These expert panelists discuss the pros and cons of custom foot orthoses and their biomechanical benefits, whether ankle foot orthoses (AFOs) can prevent falls in older patients, and how to prescribe orthotics for older patients. Q: How we can explain the controversy regarding the benefit of custom foot orthoses for the management of foot pain? A: Although custom foot orthoses seem to be a... Read More.
Guest Clinical Editor: Joseph C. D’Amico, DPM, DABPO
| 4,615 reads | 0 comments
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. Q: What method do you use for assessing limb length discrepancy and how do you determine if the degree of discrepancy is contributing to the presenting... Read More.
Guest Clinical Editor: David Levine, DPM, CPed
| 5,996 reads | 0 comments
Our expert panelists discuss the importance of biomechanics in their practices and expound on how to properly apply biomechanic principles with orthotics as well as how to remake devices when patients complain that the orthoses are not right for them. Q: How has the way that you apply biomechanics in your practice changed over the last 10 years? A: David Levine, DPM, CPed, cites several reasons... Read More.
Guest Clinical Editor: James Clough, DPM
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Can orthoses have a positive impact for conditions such as Achilles tendinosis, posterior insertional spurs on the calcaneus and plantar fasciitis? Our esteemed panel weighs in with their perspectives. Q: Do you think orthotics can be helpful for Achilles tendinosis? If so, can you explain how they help and what you do with your devices to improve outcomes for this condition? A: James Clough... Read More.
Guest Clinical Editor: James Clough, DPM, FACFAS
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These expert panelists examine the role of orthoses in the management of common clinical presentations such as bunions, hammertoes and Morton’s neuromas. Q: Do you think orthotics can be helpful in the treatment of bunion deformities? A: James Clough, DPM, FACFAS, notes most people have some limited motion of the first metatarsophalangeal joint (MPJ), which causes compression of the joint when... Read More.
Guest Clinical Editor: Alona Kashanian, DPM
| 6,619 reads | 0 comments
Our expert panelists discuss the role of orthotics, orthotic modifications and other conservative solutions for pregnant women, female athletes and CEOs in dress shoes. Q: What is your treatment protocol for the active pregnant woman with medial calcaneal neuritis and associated plantar fasciitis? A: Alona Kashanian, DPM, notes the multifaceted etiology of medial calcaneal neuritis with... Read More.
Guest Clinical Editor: Joseph D’Amico, DPM
| 7,631 reads | 0 comments
These experienced panelists discuss the unique challenges of fabricating orthotics and creating modifications for various types of sports, high heels and Morton’s neuroma. Q: What are some key orthotic considerations for a sport or sports that you are particularly familiar with in treating athletic patients? A: In regard to sports activities, Ronald Valmassy, DPM, finds that the standard three... Read More.
Guest Clinical Editor: Joseph D'Amico, DPM
| 7,876 reads | 0 comments
Given the common presentation of limb asymmetry, these panelists describe how leg length discrepancy affects orthotic prescription. They also offer insights on effective orthotic management of patients with heel pain. Q: In what percentage of patients do you find differences in lower extremity structure or function, and how does this asymmetry affect your orthotic prescription? A: All four... Read More.
Guest Clinical Editor: Denise Freeman, DPM
| 10,529 reads | 1 comments
Our expert panelists discuss the pre-casting workup for orthotics, the advantages of plaster casting and the importance of checking range of motion. They also offer pointers on what you should look for before sending casts to the lab and troubleshooting when patients say their orthotics are not working correctly. Q: What biomechanical assessments optimize a pre-casting workup for functional... Read More.
Clinical Editor: Nicholas Romansky, DPM
| 6,961 reads | 0 comments
These expert panelists explore the efficacy of orthoses for hallux limitus, the impact of orthotic devices on the kinetic chain and key considerations with topcovers. Q: How do you use orthotics for hallux limitus? A: David Levine, DPM, CPed, notes hallux limitus can be a challenging problem to treat conservatively and surgically. He says it is helpful to distribute the pressure more evenly... Read More.