Orthotics Q&A

12,371 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
13,874 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

30,006 reads | 0 comments | 02/01/2010
   These expert panelists share their most commonly used orthotic modifications as well as insights on using highly inverted orthoses and the lateral Kirby skive. Q: What are the most common orthotic modifications that you prescribe and why? | Continue reading

12,968 reads | 0 comments | 09/22/2009
   These expert panelists expound on the use of orthotic treatment for a range of issues including hyperpronation, overuse injuries and posterior tibial tendon dysfunction. They also discuss treating pediatric patients with both flexible flatfoot and those with non-compensating equinus.    Q: What are your insights into the orthotic treatment of pediatric flexible flatfoot following reconstructive surgery? | Continue reading

11,092 reads | 0 comments | 07/28/2009
   In addition to discussing the most common problems they see with orthosis irritation and how they remedy these issues, the expert panelists weigh in on two recent studies and their potential impact.    Q: What is the most common orthosis irritation problem that you see in your practice and how do you solve it? | Continue reading
Guest Clinical Editor: Patrick DeHeer, DPM
16,668 reads | 0 comments | 06/01/2009
   Orthotic modifications can play a valuable role in the treatment of various lower extremity ailments. Accordingly, these expert panelists offer their insights on the use of orthoses and key modifications within the treatment plan for turf toe injuries, posterior tibial tendon dysfunction (PTTD) and lesser metatarsal stress fractures.    Q: What is the preferred treatment for turf toe injuries in terms of orthotic modifications? | Continue reading
Guest Clinical Editor: Cherri Choate, DPM
12,963 reads | 0 comments | 03/27/2009
Guest Clinical Editor: David Levine, DPM, CPed
8,049 reads | 0 comments | 01/30/2009
   While more research continues to emerge on biomechanics, some physicians feel it is not emphasized enough in podiatry and that other specialists may be gaining more of a foothold in prescribing orthotic devices. Accordingly, expert panelists discuss these controversial issues and examine the potential impact for the profession.    Q: With much emphasis in our podiatry journals on surgery, where and how do you see biomechanics in our profession evolving?    A: As David Levine, DPM, CPed, notes, orthotic devices came of age in the 1970s in th | Continue reading
Guest Clinical Editor: Ronald Valmassy, DPM
26,303 reads | 0 comments | 09/30/2008
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 flexible forefoot valgus pronates late in the gait cycle because it initially supinates in contact phase. He emphasizes that control of this foot primarily depends on four factors. The first factor is | Continue reading
(Photo courtesy of Ronald Valmassy, DPM)
Mary Keen, MD, emphasizes the importance of gait training with a pediatric physical therapist.
Guest Clinical Editor: Edwin Harris, DPM
11,326 reads | 0 comments | 09/03/2008
Given that toe walking and other gait disturbances are common among children, these expert panelists take a closer look at these conditions, offer keys to the diagnostic assessment and share their insights on appropriate treatment modalities and physical therapy regimens.

Q: What is your treatment plan for children with diplegia and hemiplegia?
A: Mary Keen, MD, says most children with diplegia and hemiplegia walk so she strives to facilitate independent ambulation. In order to achieve safe, efficient ambulation, Dr. Keen says children need ad | Continue reading