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By Larry Huppin, DPM on 12/27/2012 11:58 AM
 cobra I prescribe a lot of Cobra Dress Orthoses for my patients who wear heels. I think Cobras are by far the best device for anything above a 1- inch heel. One advantage of Cobra’s is that the heel portion is flexible so they adapt very well to different heel height.

The ProLab Cobra orthosis as it is standardly produced works very well in the majority of high heels. If, however, your patient has a small fashionable heel above 3 inches in height, there are some additional adjustments that make it fit easier into the shoe.
By Dianne Mitchell on 12/24/2012 6:28 AM
Happy Holidays from Prolab Orthotics!
By Dianne Mitchell on 12/20/2012 6:15 AM
I see a lot of runners and frequently see shin pain suffering patients (tibial fasciitis/shin splints.) This particular patient had already seen another doctor and was prescribed orthotics. She didn't like them (rigid plastic) and was really skeptical about seeing me for new devices for the shin pain that didn't go away with the last pair.
After a careful work up to rule out other pathology and incorrect shoes and over training issues etc, I decided that orthotics should really help her
By Larry Huppin, DPM on 12/19/2012 8:24 AM
 One of the more common issues that patients might complain of when first wearing a new orthosis is that one or both orthoses may feel like they are “too far forward” in the shoe. The patient may even complain that he or she feels like the orthotic does not match his or her foot well. However, when you compare the orthosis to the foot, you will likely find that, as long as you took a good negative cast, the orthosis matches the foot very well. One of the great benefits of using orthotics from ProLab is that our cast work is extremely accurate compared to that used on most orthoses and so In most cases the orthoses will better match the foot.
By Dianne Mitchell on 12/17/2012 6:09 AM
Are you getting orthotics back that are too narrow in the heel cup?

If so, make sure to measure the weight bearing heel width!
By Larry Huppin, DPM on 12/13/2012 7:57 AM
 One of the questions we get a lot is what brands of sandals have removable insoles to allow them to accept custom orthotic devices.

First, if you are wanting to make a pair of custom orthotics for sandals, we do require that the sandals be sent to the lab with a prescription. We cannot make orthotics for sandals without the sandals themselves.

Some of the sandals with that do have removable insoles, and for which we can often make a custom orthoses are as follows:
By Dianne Mitchell on 12/13/2012 5:59 AM
How important is orthotic width in a device for a patient with posterior tibial tendonitis/dysfunction? simple answer: very important. These patients usually are severely pronated and flat footed folks and need a supinatory torque and likely a sweet spot for the prominent navicular tubercle to sit in for padding. All too often these patients present with devices that are too narrow and therefore are able to pronate right over the top of the device and continue to have pains/problems.
By Dianne Mitchell on 12/10/2012 5:54 AM
Patient presented to the office with anterior ankle joint pain, impingement/synovitis. Most of her pain is in flats and she says she loves her heels because her pain goes away. She wants to exercise in her athletic shoes more and wants to be comfortable. She otherwise has a minimally pronated foot type. What can you do with her orthotic?
By Dianne Mitchell on 12/6/2012 8:13 AM
Just saw a patient in the office with the complaint of increased ankle sprains since he got his new orthotics. He stopped wearing them since he thought maybe they were the cause.
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