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By Larry Huppin, DPM on 6/29/2009 12:03 PM
Matrix Prefab Dropfoot AFOAre you treating drop foot effectively in your practice? In my practice I usually prescribe a dropfoot brace every few months or so. Yesterday, however, I had three patients referred in for dropfoot bracing.

Much like the treatment of PTTD when the Richie Brace (Functional AFO) and Arizona Brace ( ...
By Larry Huppin, DPM on 6/26/2009 11:57 AM
Chidren's prefabricated orthoticProLab has developed the only prefabricated children's orthosis in which the design is based on evidence based medicine.  If you see any children in your practice we recommend that you keep a supply in your office.   If you see a lot of kids, the ...
By Larry Huppin, DPM on 6/25/2009 6:51 AM
New Balance Water ShoeI have had a couple of patients lately who have developed posterior tibialis tendonitis while participating in water aerobics. Both patients have excessively pronated feet, a history of PT tendonitis and were previously successfully treated with the use of custom foot orthoses and stable shoes. For their water activities, however, they were, not surpisingly, going barefoot.

Both patients were successfully treated with the recommendation to use stable water shoes and the use of orthoses in those shoes. This has allowed them to continue their activity with much reduced stress on the posterior tibialis. For water activities, the best orthosis is the direct milled polypropylene without a cover - it ...
By Cherri Choate, DPM on 6/24/2009
On occasion we have orthoses returned after the patient has worn them for 1-2 years because the patient is complaining of pain in the arch.  One fairly common reason behind this is the purchase of new shoes.  Oftentimes patients do not recognize the symbiotic relationship between orthoses and shoes.  The new shoe has a stiffer sole, firmer upper and sometimes a foot bed that is narrower than the old shoes.  In addition, I have had many patients forget to take the stock insole out of their new shoe. so the orthosis is sitting up too high in the shoe, thus increasing arch pressure.  If new shoes are the unrealized issue, a new break in period may solve this temporary problem.
By Larry Huppin, DPM on 6/20/2009 12:10 PM
Finally! We can’t tell you how excited we are to have our new website go live. We’ve been preparing the content for several years, planning it for over a year and working steadily over the past 9 months or so. Our goal has been to build a site devoted to orthotic therapy education that will be a valuable resource for our clients, students and practitioners of orthotic therapy. The foundation of the site is evidence based orthotic therapy. We keep a close eye on the medical literature and incorporate our findings into all of our education programs, our consultations and our orthotic recommendations. Refer back often. This site will change and grow every month. In the near future you will see the first of a series of short videos with orthotic hints and pearls. We will also be offering a series of online “webinars” on evidence based orthotic therapy. We would love to have your feedback and suggestions on the website.
By Larry Huppin, DPM on 6/20/2009 11:58 AM
For patients with plantar fibromatosis who are experiencing pain from their fibromas, we have a prescription recommendation for their orthoses.

The goal when treating this problem with orthoses is the following:
1. Reduce pressure on fibromas
2. Reduce tension on plantar fascia
3. Allow for easy adjustment - especially making the sweet spot deeper if necessary

To accomplish this, the following orthosis prescription can be used: 
  • VF poly 3mm with EVA arch fill (using this combo will allow ability to grind directly into the orthosis - and even through the poly - if the sweet ...
By Larry Huppin, DPM on 6/20/2009 11:53 AM
Have you ever used orthotic therapy to help a runner keep running?   You may be giving them a longer life.  

After a 20-year study involving close to 1,000 middle-aged adults, researchers found that the running participants were half as likely to have died during the study period, compared with the nonrunners. The runners experienced less disability, too.

Exercise-Induced Longevity

In fact, the difference in mortality rates was phenomenal.  During the study, about 34 percent of the nonrunners had died by age 70 or so, compared with just 15 percent of the runners -- even though the groups were of similar age, weight, and health status.

The authors concluded that participation in long-term running and other vigorous exercise among older adult ...
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