4/8/2010 8:00 AM
A client emailed some pictures today of a patient who was having heel cup irritation from his orthoses. You can see the pictures below. He wanted to know what we could do to fix the problem.
Unfortunately, there is no way to effectively adjust this orthosis to reduce heel irritation. The device will need to be redone with a more heel expansion on the positive to create a wider heel cup.
This problem occurs because the non-weightbearing cast does not indicate how wide the fat pad is during stance. This is a bigger problem for obese patients simply because they have more fat to displace upon weightbearing.
To avoid this problem, we ask that you measure the weightbearing width of your patients heels. In fact, we would like our clients to provide this information for EVERY PATIENT. You can use the link below to buy the caliper I use in my office.
Click here to purchase the caliper I use in my office. It costs about $15 at Amazon.