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

By Cherri Choate, DPM on 4/28/2010

 The lateral (inversion) ankle sprain is the most common sports injury. In fact, the inversion ankle sprain may have actually been the impetus for the development of the "RICE" treatment option. With this being said, once the early phase is over and the patient is "back to normal", treatment often becomes inconsistent and ineffective. What is the most effective means of treating chronic ankle instability due to chronic sprains or poor mechanics?

By Cherri Choate, DPM on 4/21/2010
See full size imageJust like an old pair of shoes, replacing an old pair of orthotics can become a frustrating situation for the physician and the patient.  Many patients have "worn in" their devices to the point of ultimate comfort but limited therapeutic use.  This balance must be recognized and discussed PRIOR to an attempt at making a new pair of devices.  In my experience, usless there are significant symptoms present, it may be more beneficial to create a devices that are as close to p ...
By Cherri Choate, DPM on 4/14/2010

Just yesterday, I was speaking with someone who was having foot pain ...

By Cherri Choate, DPM on 4/7/2010
Since I live in California, I fight the flip flop battle nearly every day of the year.  I discourage the use of flip flops for a variety of reasons, but most importantly because they are unstable and cause numerous foot complaints.  I found some interesting reading on flip flops, inlcuding a letter written in 1967 by a British phsyician regarding some issues with the growing fashion trend of flip flops.   
 The use of flip flops as the sh ...
By Cherri Choate, DPM on 3/31/2010
 I was having a discussion with a group of students this week regarding the effect of equinus on gait. As a group, they quickly determined that the metatarsal area would likely have increased pressure since the foot with equinus exhibits early heel off. This student discussion reminded me how often we forget to take a step back when assessing recalcitrant foot ulcerations in light of biomechanical etiological factors. So often the list of culprits leading to non-healing include osteomyelitis, soft tissue infection, inadequate off-loading, non-compliance, poor glucose control and inappropriate wound environment. These issues are often explored in depth, but the off-loading modification usually is limited to thicker aperture pads, use of a CAM walker or sometime of felt/foam with a surgical shoe. Too often, exploration of the biomechanical cause is forgotten.
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 ...

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