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By Larry Huppin, DPM on 3/29/2010 1:57 PM
If you ever grind polypropylene, you know it can look a bit rough after grinding. If you are going to be grinding poly in your office, you should have the ability to polish it also.  Read here why you should have a grinder in your office.

To polish polypropylene, we recommend the use of a Ticro Cone. This is a Hot Dog shaped f ...
By Larry Huppin, DPM on 3/25/2010 1:19 PM
Over the past several weeks we have discussed five critical rules for casting for functional orthoses.  Following these rules will assist you in providing optimum clinical outcomes to your patients.

All five rules are listed below with links to the blog entries that discuss each rule in detail
By Cherri Choate, DPM on 3/24/2010

See full size imageI had a conversation with a friend and colleague today about my concept of the "hybrid" orthotic. His question was regarding a patient of his that was diabetic, but very active and suffering from symptoms secondary to flexible flat feet. This patient had been casted for custom orthotic in the past, but he continued to have problems secondary to his flat feet.  My friend and I discussed the merits of treating this "diabetic" patient with something other than a ...

By Cherri Choate, DPM on 3/17/2010

     How much value does the footprint have in our everyday practice?  I remember when I first started practice one of the pieces of "equipment" that we acquired was an ink pad impression kit.  We did use it occasionally as a pateint demonstration tool for health fairs, but it was not used as a tool for decision making.  I also remember the first article I read in Runner's World magazine where the footprint was ...

By Larry Huppin, DPM on 3/15/2010 1:00 PM
In part 1 of this series, we discussed the first two of our Five Rules of Negative Casting: It turns out that casting with a plantarflexed first ray may have other benefits. A cadaveric study by Kogler in 1999 found t ...
By Larry Huppin, DPM on 3/11/2010 7:51 AM
Casting Criteria for Optimum Clinical Outcomes

When casting for functional foot orthoses, in what position should the foot be held in order to achieve optimum clinical outcomes. McPoil et al looked at this question in 1989 and found that foam box semi-weightbearing casting resulted in a forefoot-to-hindfoot angle that was significantly smaller than the angle measured using either of two nonweightbearing methods.(2) It is suggested by McPoil that the difference is due to the inability of the midtarsal joint to lock using the semi-weightbearing method.

Davis et al did a similar study in 2002 where they compared methods for taking a negative cast of the foot.(3) Non-weightbearing plaster was compared to semi-weightbearing foam. Their conclusions were that NWB casting ...
By Cherri Choate, DPM on 3/10/2010

While I am sitting here at the lab looking out the window, I am finally greeted with sunshine!  This is the first completely sunny day in months and it immediately makes me think of sandal orthotics.  As everyone knows, this is a challenging issue for many patients during the summer.  Many labs, including Prolab, have Sandal orthotics, and they certainly help fill this part of this void.  They are made for specific sandals that have footbeds that are completely removable.  Many patients needs have been satisfied with these devices. 

BUT, there ...

By Cherri Choate, DPM on 3/3/2010
See full size image
Childhood obesity is receiving attention from all corners of the globe.  In  2002 a European Task Force on Obesity called it a "pan-European epidemic."  As always it is important to look beyond the present moment, in order to see the possible long term effects of this signiciant problem.  Two groups, (Morrison 2007 and Mauch 2008) published studies regarding foot morphology of normal, overweight and ...
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