By Larry Huppin, DPM on
5/5/2014 4:38 PM
A patient came in to pick up her orthotic devices this morning. She has worn orthotics for years for several pathologies but what we were addressing primarily today was pain secondary to digital contracture. She is starting to get more pain at the distal aspect of her toes secondary to hammertoes and pressure on the distal aspect of the digits. In the past, she has found that shoes that have a crest in them tend to work well for her. In particular, she has found that the crest in Birkenstock sandals help keep her toes straight and decrease her symptoms. Because that has been effective, we wanted to add a crest pad to her orthotic devices.