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By Dianne Mitchell on 1/30/2014 9:21 AM
Patient presented with a painful met head (2nd met). He is already wearing some custom molded orthotics and someone had added a met pad to the device. He removed it due to increased pain. What was the problem? What are your options?
By Larry Huppin, DPM on 1/27/2014 3:21 PM
  A ProLab client called today for a consult regarding a patient who is an 11-year-old soccer player and experiencing pain at the styloid process bilateral. The child has a metatarsus adductus foot type and a styloid process that is prominent both plantarly and laterally. Our goal for treatment is to decrease pressure on the styloid process and tension on the peroneus brevis. 

I suggested a vacuum formed polypropylene orthoses with a minimal cast fill. Vacuum formed polypropylene was suggested because we will have the ability to add a sweet spot for the styloid. Minimum fill was selected because it will most effectively transfer pressure from the lateral foot to the medial foot. 
By Larry Huppin, DPM on 1/20/2014 3:16 PM
  I had a consult call from a ProLab client this afternoon. He has a patient who suffered a midfoot fracture at the base of the fourth and fifth metatarsal shafts. He had no treatment at the time of the injury and he has healed with a large bone callus on the plantar surface of the metatarsals. They create a large prominence on the plantar foot. This area is taking excessive pressure leading to pain, keratoma formation, and occasional skin breakdown. Our client was looking for suggestions on an orthotic prescription for this foot.

Our primary orthotic goal is to transfer pressure off of the plantar prominence. We have a second goal of reducing friction in the area, which will help prevent callus formation and skin breakdown.
By Larry Huppin, DPM on 1/13/2014 12:06 PM
Soccer, lacrosse, and ultimate Frisbee are becoming more and more popular throughout the country. What ties these three sports together is the fact that most participants wear soccer shoes when playing them.

Traditionally, these sports have been played by kids whom we often treat for condition such as calcaneal apophysitis. However, more and more adults are playing these three sports, wearing soccer cleats to play them and developing plantar fasciitis. Today, I want to address what to look for in a prefabricated orthosis that will effectively treat plantar fasciitis and yet will also fit inside the often limited confines of a soccer cleat.

First, consider the...
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