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By Dianne Mitchell on 2/27/2013 5:27 AM
A cavus foot patient came into the office today for orthotics to be made. Her only complaint is "ball of foot pain." This is diffuse pain all the way across the ball of the foot - no one spot is more painful than another. She has no other foot /ankle problems and denies any knee/hip/back pain. What can you do to make this patient more comfortable?
By Dianne Mitchell on 2/25/2013 5:14 AM
A patient presented today with an ankle sprain. He also wears custom molded functional foot orthotics, however he states he doesn't always wear them, though they are comfortable. In evaluating the orthotics, I note that they contour well to the arch, are a good width for his foot, and are otherwise acceptable.
By Larry Huppin, DPM on 2/21/2013 9:16 AM
  The first metatarsal cutout or first ray cutout is a common modification used in orthotics to allow the first ray to plantarflex in order to treat functional hallux limitus. I think it should be noted, however, that if a practitioner takes extremely good negative cast and writes an appropriate prescription and uses an orthotic lab and does not overfill the medial arch the first ray cutout should rarely be necessary.
By Dianne Mitchell on 2/20/2013 5:08 AM
I was recently asked how do I decide to invert an orthotic versus medially skive a device.
By Larry Huppin, DPM on 2/19/2013 8:12 AM
  It is common to have full length covers on ski orthotics. Traditionally, a fairly rigid cover will cover the orthosis and extend all the way to the toes. When using the cover for ski orthotic it must be rigid in order to allow the device to easily slide into the boot. Soft covers tend to fold up underneath the orthotic as you are putting it into a boot.

This is how I have traditionally made orthosis for skiing. However, over the past couple of seasons, I have started making devices without covers. I find that it is much easier for the patients to put the orthosis into ski boots when there is no cover on the device.
By Dianne Mitchell on 2/18/2013 4:52 AM
Every once in awhile patients present to the office with what they are calling plantar fasciitis and tell me about the months of pain they have had and bring in several pairs of orthotics asking me what to do. My first thought is to make sure they actually have plantar fasciitis! What else can cause heel pain??
By Dianne Mitchell on 2/14/2013 4:51 AM
Just a note to wish everyone a HAPPY VALENTINE'S DAY!
By Dianne Mitchell on 2/13/2013 4:44 AM
A patient presented today with sinus tarsi pain. What can we do to open up that area during the gait cycle and decrease her pain? In stance she has a RCSP that is essentially perpendicular to the ground (surprisingly ), and just minimally pronated / everted.
By Dianne Mitchell on 2/11/2013 4:35 AM
Runner with Morton Neuroma pain: what to do ...
By Dianne Mitchell on 2/8/2013 4:29 AM
Today, a patient presented with "big toe pain" - she was pointed to the 1st MTPJ. She stated that standing on the foot all day at work increases her pain. She is otherwise not an active person and wanted to know what the problem is and what to do about it. On exam ...
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