Orthotics Q&A
Given the variety of conditions one sees in practice and the challenge of ensuring optimal results with orthoses, expert panelists offer their take on utilizing orthotic modifications for different case presentations.
Q: What modifications would you make for a patient who has flexible forefoot valgus, excessive midstance and propulsive phase pronation?
A: As Richard Blake, DPM, notes, a... Read More.
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You may prescribe orthotics for a variety of problems. However, the success or failure of treatment may depend on the type of shoes your patients wear along with the type of modifications which you make to the shoe. With this in mind, our expert panelists address the use of shoe modifications as an adjunct to care.
Q: What type of modifications do you use most often and how does this affect... Read More.
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Using rearfoot posts on custom foot orthoses has become a mainstay of orthotic therapy in podiatry. However, it has been shown that measuring neutral position of the subtalar joint via inversion and eversion of the calcaneus is flawed in terms of its reproducibility. Studies concerning whether neutral position of the subtalar joint is a viable method of assessment have questioned the foundation... Read More.
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Choosing the most effective type of orthotic device for a given condition can be tricky as one must consider factors that include materials, potential modifications and cost.
Accordingly, the panelists discuss possible indications for OTC orthoses, conditions that are particularly challenging to treat with orthotics and the role of functional foot orthoses in managing bunion deformities.
Q:... Read More.
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You may find that even the best of custom foot orthotics are insufficient to manage a particular patient’s problem. Either too much force is applied to the foot or perhaps the foot orthotic cannot provide the necessary support. In some of these cases, one may consider using an ankle foot orthotic (AFO). In a follow-up to last month’s cover story, a panel of experts address how and when they... Read More.
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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... Read More.
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When patients have certain occupations, you may have to take a different approach to try to control abnormal forces in the foot. Obviously, performing a biomechanical evaluation is essential as you have to identify individual demands before tackling occupation-specific modifications. With this in mind, our panelists address the more demanding occupations and what considerations come into play... Read More.
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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... Read More.
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At this time of year, many people begin to run on treadmills after receiving them as holiday presents and some seek to lose weight during the winter months. However, treadmill use increases the amount of repetition, possibly leading to biomechanical injury and potentially complicating common conditions like plantar fasciitis. With that in mind, our expert panelists take a look at the finer points... Read More.
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When treating pediatric soccer players, you may see common conditions such as calcaneal apophysitis and injuries such as lateral ankle sprains. Prescribing orthotics for players also comes with its own set of considerations. Indeed, finding the right orthotic can sometimes be tricky. With that in mind, our expert panelists weigh in on how best to treat this unique group of patients.
Q: What are... Read More.
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When weighing the options for ankle foot orthoses (AFOs), you must consider many different factors in order to find the most appropriate device for the patient. Both hinged and non-hinged AFOs work well for patients with certain conditions but not so well for others. In addition, shoe modifications may be necessary in order to help ensure the success of the AFO. With these issues in mind, our... Read More.
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