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!