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By Larry Huppin, DPM on 5/19/2014 3:34 PM
  I just spoke to a ProLab client who has a patient with large fibromas and he wants to be able to accommodate for those. We were trying to decide whether he would have us add the accommodation at the lab or whether he would make the accommodation himself. He does have a full lab at his office and it is easy for him to do his own accommodations.
By Larry Huppin, DPM on 5/12/2014 3:32 PM
  I spoke to a ProLab client this morning who is considering getting a ProLab foot scanner in order to replace plaster casting in his office. He was concerned, however, because he sees a lot of diabetic patients and tends to do a lot of accommodative orthoses and he is wondering if the scanner was appropriate for that. Before we answer these questions, I think we have to first define accommodative and functional orthotics.

A functional orthotic is one where the forefoot has been balanced to the rearfoot. This is the most basic of definitions. In general, the cast that is used for this type of foot
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.
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