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Current Insights On Functional Foot Orthotics And Choosing A Lab

Guest Clinical Editor: Dianne Mitchell, DPM | 5,996 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?

Modifying Orthotics To Resist Rearfoot Eversion In Hallux Limitus

Larry Huppin DPM | 2,331 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.

Are Physical Therapists Overlooking The Benefits Of Orthotics For Runners?

Jenny L Sanders DPM | 3,935 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.

When Patients With Plantar Fasciitis Are Not Getting Adequate Support From Their Orthotics

Larry Huppin DPM | 2,380 reads | 0 comments | 10/23/2015

I had a patient present in my office with a two-year history of fairly classic plantar fasciitis. She had seen another podiatrist during that time and had multiple treatments, which included orthotic devices, physical therapy, multiple injections bilaterally and standard anti-inflammatory measures. She sought me out to get a second opinion because she had not seen much improvement.

Foot Orthotics For Cowboy Boots

Larry Huppin DPM | 15,206 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.

Expert Insights On The Use Of Orthotics For Equinus And Flatfoot

Panelists: Joseph D'Amico, DPM, Patrick DeHeer, DPM, FACFAS, Russell Volpe, DPM | 8,137 reads | 0 comments | 05/20/2015

These knowledgeable panelists discuss the use of orthoses in the management of equinus, asymptomatic pediatric flatfoot and peroneal spastic flatfoot secondary to tarsal coalition.

Q:

What are your most effective orthotic treatments and modifications for patients with lower extremity equinus?

Utilizing Semi-Custom Orthotics For Neuromas

Nicholas A Campitelli DPM FACFAS | 15,616 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.

Can Orthotics Have An Impact On Tarsal Tunnel Syndrome?

Dianne I. Mitchell, DPM, and Paul R. Scherer, DPM | 29,580 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.

Do Runners Need Orthotics?

Nicholas A Campitelli DPM FACFAS | 60,112 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?

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

Guest Clinical Editor: Joseph C. D’Amico, DPM, DABPO | 23,895 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.