By Larry Huppin, DPM on
9/23/2013 8:51 AM
I spoke with a ProLab client this morning who said he had a patient who presented with plantar fasciitis symptoms for which he made her a pair of posted orthoses with a minimum cast fill. The devices worked extremely well at relieving her symptoms. The only problem is now she is feeling like she is somewhat laterally unstable on the left side only. She states that she “wishes she had something to push her inward a little bit.”
I explained that this is a fairly common problem with patients who receive an orthosis that conforms extremely close to the arch of the foot. This type of orthosis tends to work the best at relieving tension on the plantar fascia and thus relieving plantar fascial symptoms but because it conforms so closely to the arch of the foot, there is a potential that the patient can feel it to be somewhat over aggressive in pushing them laterally.
There are couple easy ways to address this problem.