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Orthotics

By Ian B. Griffiths, MSc, FCPM, FFPM RCPS (Glasg) and Simon K. Spooner, PhD

How much do individual perceptions of pain and preexisting perceptions of modalities factor into reported outcomes with orthoses? These authors assess biopsychosocial research findings from other fields and how they might apply to the use of…

In my last two blog posts, I discussed twisted plate orthotics. This is an orthotic theory and technique that surprisingly few podiatrists seem to use or be aware of. The primary reason I use a twisted plate orthosis is to address dorsal…

In my last blog post, I talked about the twisted plate orthotic discussed by Sarrafian and my use of lateral forefoot postings on those devices.1 Doug Richie, Jr., DPM, FACFAS then informed me that McConaill first mentioned this concept in 1945.2…

By Bruce Williams, DPM and Jeff Root
Point

Yes. Dispelling myths about the differences between casting and scanning, this author also notes that scanning is a cost-effective and time-saving alternative that should inspire providers to rethink their old algor

In 1999, I was asked to review a paper by Kogler and colleagues entitled, “The Influence of Medial and Lateral Placement of Orthotic Wedges on Loading of the Plantar Aponeurosis.”1 The researchers studied the tension in the plantar fascia and…

By Karen A. Langone, DPM, DABPM, FAAPSM

Custom orthotics can contain a multitude of features and modifications to facilitate effective treatment. With this in mind, this author reviews pertinent decision-making pathways for the optimal orthotic to help address conditions of the…

I attended the Federation of International Podiatrists (FIP) meeting in Miami, Florida last month and was honored to participate on a panel that discussed the best definition of a custom foot orthotic.

Keep in mind that this is a group of…

Root theory is not dead! In fact, a relatively recent study of patients with functional hallux limitus validated the practice of neutral suspension casting and fabrication of true functional foot orthoses.1

It is interesting that the only…

By Robert “Daryl” Phillips, DPM

Many podiatrists choose orthotics materials based on personal preference or practices learned during training. This author highlights pertinent biomechanical and scientific principles in determining the role and effect that stiffness has in…

As part of my biomechanical evaluation, I draw a line on the back of the heel that represents the bisection of the heel. I am sure my measurement is only accurate within a few degrees. However, I am trying to have a line represent an entire heel…

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