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By Dianne Mitchell on 10/29/2014 9:17 AM
Patient presents to the office with a painful arch on their orthotics. I troubleshoot orthotics in the office daily and during my exam I notice this patient has a very prominent plantar fascia band and there is remnant blistering in this distribution.
When you re-examine the devices, you notice there is not a plantar fascia groove. Can you add one? Sure! First, apply lipstick to this distribution on the patient’s foot and then press the device onto the patient’s foot to transfer the marking to the device. Next, apply 1/8” thick Korex directly to the orthotic shell dorsal surface to raise the entire orthotic surface higher, minus the region of the prominent fascia that is nicely marked for you. Finally, cover the device with a fresh top cover! When the patient is ready for a new pair of devices you can integrate the groove into the poly shell!
By Larry Huppin, DPM on 10/26/2014 11:35 AM
 A recent study, published in the Journal of American Podiatric Medical Association, evaluated the incidents, location, pain, and risk factors of blisters seen in ultramarathoners.

Research was conducted at a five-day multi-stage trail running competition. At the end of the each day, data was taken on the frequency of blisters, their location, their severity, and what preventative measures were used among 50 ultramarathon runners.

Findings:
By Dianne Mitchell on 10/22/2014 9:16 AM
I had the opportunity to attend and lecture at the Colorado State podiatry meeting a couple weekends ago. It was an excellent assortment of talks with numerous “take home and apply in the office” tools. But my two favorite talks were both presented by Dr Kevin Kirby. The first was “Successful Treatment of Peroneal Muscle / Tendon Disorders and the second a discussion of “Barefoot vs Shod.”
The barefoot talks are always pretty interesting, since we live in an environment where shoes are worn. I have a very small patient population who confess to me that they do any portion of their training barefoot, but many more that are/were part of the “minimalist” shoe fad. Unfortunately many of those patients became patients of mine due to stress fractures or other overtraining types of injuries. More importantly, once these folks were treated and healed, many of these folks had biomechanical findings that are nicely addressed with functional foot orthotics (cavus or planus feet with secondary tendonopathies ...
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