Orthotics Q&A

Guest Clinical Editor: Nicholas Romansky, DPM
22,409 reads | 0 comments | 11/22/2011
Are orthotics prescribed too much or are they underutilized when it comes to biomechanical issues in the lower extremity? In addition to emphasizing a tailored treatment approach for each patient, these experts also detail their casting methods and the standards they use to choose orthotic fabrication materials. | Continue reading
Guest Clinical Editor: Joseph D'Amico, DPM
14,051 reads | 0 comments | 07/25/2011
In addition to sharing their perspectives on rearfoot posting, these expert panelists discuss their approaches to assessing the effectiveness of their orthotic prescriptions and when it is time to replace orthoses. Q: How do you determine the type and amount of rearfoot posting you prescribe? A: Russell Volpe, DPM, prefers extrinsic rearfoot posting. He says it provides stability to the device along with the desired frontal plane correction. Dr. Volpe only switches to intrinsic rearfoot posting if there is a low volume in the counter of the intended shoe. | Continue reading
Guest Clinical Editor: Joseph D'Amico, DPM
15,403 reads | 0 comments | 05/18/2011
What is your approach and what has been your success with the conservative management of peroneal spastic flatfoot secondary to tarsal coalition? | Continue reading
Guest Clinical Editor: Paul Scherer, DPM
11,283 reads | 1 comments | 03/22/2011
Prefabricated orthoses can play a valuable role in the podiatric practice. Accordingly, our expert panelists offer insights on the key characteristics of these devices and how they utilize prefabs in the treatment of patients. The panelists also discuss the use of orthotics to prevent and treat common soccer-related injuries. | Continue reading
Guest Clinical Editor: Paul Scherer, DPM
16,531 reads | 0 comments | 01/27/2011
Our expert panelists discuss current approaches to orthotic management of pediatric flatfoot, whether functional orthoses can have an impact for hallux abducto valgus and when to employ orthotic modifications in rigid and semi-rigid devices. | Continue reading

12,277 reads | 0 comments | 11/19/2010

Prefabricated orthoses can provide improved support and other key benefits for patients with conditions such as plantar fasciitis. In addition to sharing their insights on OTC devices, these expert panelists provide pearls from their experience on common orthotic modifications that can have an impact.

Q: Do OTC orthotics play a role in your practice? If so, how much and what do you look for in an OTC device? | Continue reading

10,265 reads | 0 comments | 09/22/2010
Which paradigms, teachings and studies influence podiatric physicians who prescribe orthotics? These expert panelists enumerate what factors come into play when they dispense orthoses. Q: Which of the more current paradigms for foot function have the most influence in your practice? A: “Time devoted to evaluating a patient in regard to his or her function as well as the biomechanical problem prior to prescribing the orthotic device will result in greater success with the completed orthotic device,” advises Ronald Valmassy, DPM. | Continue reading

10,362 reads | 0 comments | 07/22/2010
Our expert panelists discuss whether reducing shear in patients with diabetes is comparable to reducing plantar pressure, when to change insoles and the optimum insole depth, and the future of computer-aided design for orthoses. Q: What is the role of “shear” in orthoses for patients with diabetes? Is “shear reduction” the new plantar pressure reduction? | Continue reading

12,023 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? | Continue reading
Ronald Valmassy, DPM
13,468 reads | 0 comments | 03/25/2010
   When treating patients with orthotic therapy, podiatric physicians may face various dilemmas on when to prescribe devices or how to treat patients who have used over-the-counter devices to no avail. These expert panelists discuss the use of orthoses after bunion surgery, “retail” orthoses and the treatment of pediatric patients among other issues. Q: When would you prescribe functional foot orthoses following bunion surgery? | Continue reading