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By Larry Huppin, DPM on 9/29/2011 9:56 AM
A treatment I use fairly regularly for patients with drop foot is a Dorsiflexion Assist Functional AFO. One problem I sometimes have with this device, however, is that the standard orthotic portion only extends to the metatarsals and that sometimes lets the toes excessively plantarflex.
By Larry Huppin, DPM on 9/26/2011 11:26 AM
Kevin Kirby, DPM gave a lecture at The Western this past June reviewing the current research on minimalist shoes; I thought the lecture was excellent and wanted all ProLab clients to see it so that they could better answer patient questions on barefoot running. 

Kevin recently repeated the lecture at a Fleet Feet store in Sacramento.  That lecture was recorded and we are happy to provide it to you below in four parts. The total length is about 30 minutes.  

By Larry Huppin, DPM on 9/23/2011 7:37 AM
A client called today asking about an orthotic prescription for lateral column overload. He was wondering if we might try a fifth metatarsal or fifth ray cutout. This would be similar to a first ray cutout that we might use for hallux limitus. This is an interesting idea and I actually have not tried it myself.

Our primary goal in this situation is to transfer pressure off of the lateral column and onto the medial column. If we can accomplish that then that should reduce the pain the patient is having from excessive lateral load. Below is the prescription we recommended:

By Dianne Mitchell on 9/15/2011 8:25 PM
I recently read an article that roughly posed the question: Do you have an orthotic "recipe" that you use for your patients' custom molded orthotics?
By Larry Huppin, DPM on 9/8/2011 1:26 PM
I just had a client call asking if there was any way to increase arch height on an orthosis. There are a couple of options, but first, let’s discuss arch height for a moment.

There are a number of studies that indicate that orthoses that conform closely to the arch of the foot are likely to be more effective at treating many of the most common complaints that we treat with foot orthoses – including plantar fasciitis, metatarsalgia and hallux limitus.

In order for an orthosis to conform close to the arch of the foot, several things must happen in the casting, prescribing and manufacturing of the orthosis:

By Larry Huppin, DPM on 9/1/2011 10:48 AM
I had an interesting patient today who presented with complaint of pain on the plantar aspect of her foot only when she used the elliptical machine. When asked to point to the most painful area, she pointed under the plantar lateral aspect of the foot, particularly near the styloid process. She had been to two other podiatrists. The first recommended anti-inflammatory measures, and the second made her a pair of orthotics, but they actually made the problem worse.

This seemed to be a fairly straightforward problem in that she had a plantarly prominent styloid process on the right foot, which was the painful foot. This is the area where she was experiencing pain. Obviously, the pain was secondary to pressure on the prominent styloid.

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