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Can Foot Orthotics Relieve The Pain Of Hallux Rigidus?

Doug Richie Jr. DPM FACFAS | 55,483 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.

Keys To Prescribing Orthotics For Sports, Neuromas And High Heels

Guest Clinical Editor: Joseph D’Amico, DPM | 11,837 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.

What Are The Best Orthotics For Plantar Fasciitis

Mark A. Caselli, DPM and Ellen Sobel, DPM, PhD | 606,208 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.

A Guide To Prescribing Orthotics For Alpine Skiing

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 14,861 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.

Why Orthotics Are Not The Answer For Plantar Fasciitis

Patrick DeHeer DPM FACFAS | 111,633 reads | 9 comments | 05/23/2011

There are approximately 2 million documented cases of plantar fasciitis per year in the United States. For most podiatrists, this is the most common foot pathology we see in our practices.1 The “sacred cow” in the podiatric community for plantar fasciitis has always been custom orthoses.

Why I Always Prescribe Full-Width Foot Orthotics For Overweight Patients

Larry Huppin DPM | 4,860 reads | 2 comments | 12/04/2012

I just saw a prescription come into ProLab Orthotics from a new client. The doctor noted on the prescription form that the patient had plantar fasciitis and weighed 280 pounds. Her prescription was for a Featherweight orthosis (a functional orthoses made from medium density EVA). She also ordered a standard cast fill and a standard width.

How To Recreate The Benefits Of Low Dye Strapping With Orthotics

By Scott A. Spencer, DPM | 15,407 reads | 0 comments | 06/03/2006

How many of us have put on a low Dye strapping that successfully alleviated the patient’s symptoms only to prescribe foot orthotic devices that did not have the same outcome? I would think anyone who has been in practice long enough has done this. What happened between the low Dye strapping and the foot orthotic device that changed the outcome we anticipated? One can use the low Dye as a treatment modality in and of itself or as a means of assessing whether or not a patient would benefit from a pair of foot orthotic devices.