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Author: Cherri Choate, DPM Created: 6/20/2009
Orthotic therapy blog

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 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 ...
By Cherri Choate, DPM on 2/24/2010

con-sult-ant ((kən sult′'nt):  
one who is called on for professional or technical advice or opinions

Responsibilities of the Prolab Consultants:
1)  Discuss a challenge case
2)  Give a non-judgmental opinion on a biomechanical scenario
3)  Keep abreast of current trends, technologies and ideas in ...

By Cherri Choate, DPM on 2/17/2010
As we start the 21st Century, life expectancy is continuing to increase.  Infact, here are a few statistics provided by
              "The number of people 60 or older will grow to nearly 2 billion in 2050, for the first time in rec ...
By Cherri Choate, DPM on 2/10/2010

We often receive requests for "flexible"  or "soft" functional orthoses.  For shell material choices we can use either plastazote or polypropylene.  In most cases I prefer the use of polypropylene.   When I hear "flexible" I think of less control, so there are a number of ways to create a more flexible orthotic.
  1)  Choose the most flexible shell
           The most flexible polypropylene we use at ProLab is the 1/8" VF device (black or natural)
  2)  LImit the control of the device
      & ...

By Cherri Choate, DPM on 2/3/2010

Among the many questions surrounding the pediatric flat foot, is the possible whole body affects of the pathology.  The discussion regarding when and if to treat will become more clear as we have more evidence to help formulate an answer.  An article by Lin from the Journal of Pediatric Orthopedics in 2001, evaluated children with flat feet to determine if their activity levels were different than children wtihout flat feet.  The designation of "flat foot" was based on longitudinal arch height.  Interestingly, they found that the younger children tended to have a higher propensity for flat feet.  In addition they found that the presence of flat feet correlated with lower performance of certain ...

By Cherri Choate, DPM on 1/27/2010

About a month ago, I tried on a popular "rocker soled" shoe for the first time.  Although I did not purchase it, I started wondering about our professional approach to shoe trends.  Since most shoes are not a medical product, there is not a mandate for any supporting medical research.  Yet, we include shoes as part of our treatment regimen for patients on a daily basis.  Many trends come and go quickly, but some get a foothold in the market and become permanent options.
To saitisfy my curiousity, I would like to know what your current opinions are regarding the rocker type of shoes that are now on the market?  A few studies have been completed, but I am interested in personal expeiernce.   If you have a moment to write a quick Blog in ...

By Cherri Choate, DPM on 1/20/2010
As our population ages, and remains active, foot health will become more complex.  The term "geriatric" leads one to image an elderly patient who is sitting by the window in their easy chair, but in many cases this image is far from the truth.  Attempts to formulate a "geriatric" orthotic would be challenging due to the variability of this population.  What can be discussed are a few consideration due to the natural process of body aging.  Three common changes with age include poor balance, diminished sensation and decreased fat pad.  Addressing each of these as you consider an orthotic for a patient later in years may include the following considerations:
     1)  Balance-  Decreased ...
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