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By Larry Huppin, DPM on 12/30/2013 9:06 AM
I was recently asked "should prefabricated orthoses have top covers?"

The answer depends on the pathology. Whether you are providing a prefabricated or custom orthosis, your treatment goal should be to reduce stress on tissue that being overstressed. For plantar fasciitis, your goal is to decrease tension on the plantar fascia. If you are treating metatarsalgia, your goal should be to transfer pressure off of the metatarsal heads and provide cushion under the forefoot.
By Larry Huppin, DPM on 12/22/2013 9:02 AM
In last month's webinar on the treatment of plantar fasciitis with prefabricated orthosis, a participant asked how rigid should prefabricated orthosis be.

The answer to this is the same as with custom orthoses: they should be rigid enough to reduce stress on the tissue that is being treated.
By Larry Huppin, DPM on 12/18/2013 6:49 AM
Last month, I gave a Webinar on the use of prefabricated orthotics for treatment of plantar fasciitis. In that Webinar, which is available for ProLab clients to watch online, we reviewed the most effective orthotic modifications for treatment of plantar fasciitis. These include valgus forefoot correction and the use of a medical heel skive. You can read about why those modifications help treat plantar fasciitis here.
By Larry Huppin, DPM on 12/10/2013 12:58 PM
A ProLab client asked what type of orthotic should be used for fifth metatarsal head calluses. There are number of pages on this website that deal with the most effective orthotic prescription for metatarsal head calluses, but today I wanted to deal with what cast fill should be used for a fifth metatarsal head callus.

This is somewhat complicated since you want the orthosis to conform close enough to the arch of the foot that you transfer maximum pressure off of the fifth metatarsal head but not so much that the orthosis supinates the foot and pushes the foot onto the lateral column and fifth metatarsal head.
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