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By Larry Huppin, DPM on 2/24/2011 2:07 PM
All of us at ProLab are proud to announce that Paul Scherer, DPM is the author of a new textbook on orthotic therapy:
"Recent Advances in Orthotic Therapy: Improving Clinical Outcomes with a Pathology-Specific Approach" by Paul Scherer, DPM. Published by Lower Extremity Review.

The book is focused on evidence based orthotic therapy and organized in a pathology specfic approach. Paul has done an exceptional job of pulling together the available scientific research to support the use of custom foot orthoses for different pathologies. Each chapter includes a guide on recommended orthotic prescription writing for functional orthoses ...
By Cherri Choate, DPM on 2/23/2011

A few years ago, I attended a lecture regarding the interconnections of fascia throughout the entire body.  I remember observing slide after slide of the fascia of the body that seemed to be one large mass that reached from hallux to cranium. 

By Larry Huppin, DPM on 2/21/2011 7:04 AM
Dr. Ron Valmassy discusses orthotics for pediatric flatfoot
By Larry Huppin, DPM on 2/17/2011 12:08 PM
In recent blogs I’ve mentioned the importance of orthoses conforming tight to the arch of the foot to achieve better clinical outcomes when treating many of the pathologies most commonly treated with custom orthoses. To confirm that your orthoses are conforming to the arch as they should, it is critical that you evaluate every pair of orthoses when they are dispensed to your patient.

There are several reasons why the arch of the orthosis may not conform adequately to the arch of the foot. These include
  • A negative cast that was taken with the first ray dorsiflexed :
  • A prescription that asks for a standard or maximum cast fill, rather than minimum
  • Overfill of the medial arch by the orthotic lab
The easiest method to evaluate arch height is to place the patient’s foot into casting position with the first ray plantarflexed. Hold the orthosis to the foot. In this pos ...
By Cherri Choate, DPM on 2/16/2011
The patient with the pes cavus feet, usually presents to the office after the 4th decade of life, as their feet and shoe fit become more painful.
By Larry Huppin, DPM on 2/11/2011 10:51 PM
A year or two ago I was talking to Kevin Kirby about troubleshooting orthotics and the subject of topcovers came up - proving once again that few people in the world live more glamorous lives than do podiatrists.

We all know how frustrating it can be trying to remove a topcover from an orthosis - specially if it's been glued on for a long time.

Kevin described a simple yet brilliant idea for easily removing topcovers.
By Cherri Choate, DPM on 2/9/2011
For a variety of reasons patients will often complain that they feel like they are tilting outward.  Two common reasons for this feeling are limb length discrepency compensation and habitual gait change due to pain/dysfunction.
By Cherri Choate, DPM on 2/2/2011
I am unaware of the exact statistic, but in my personal experience I would say that at least 15-20% of patient present to the office for complaints of heel pain.  One component of the treatment plan for these patients is biomechanical control.  Although the biomechanical component is usually addressed, the choice of when and how continues vary considerably.
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