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

By Cherri Choate, DPM on 1/28/2011
Are there times when patient's feet just don't tolerate the typical orthotic?  I recently evaluated a friend's feet who has not been able to tolerate even well made devices. 
By Cherri Choate, DPM on 1/19/2011
Sweet spots are a commonly ordered modification in orthotic fabrication.  They are often included in prescriptions for pathology such as plantar fibromatosis and posterior tibial tendon dysfunction (adult acquired flatfoot). 
By Cherri Choate, DPM on 1/12/2011
The first ray, and specifically related deformities, seem to garner a great deal of attention in the podiatric medicine/surgery field.  Most laypersons assume that if you have a "bunion" then the only appropriate treatment is surgery.  In some cases surgery is the answer, but pathology of the first ray is progressive, and mechanically based, so it would be logical to think that early intervention to adjust the poor mechanics, may help slow down this progressive problem. 
By Cherri Choate, DPM on 1/5/2011
The New Year is the trigger for many of us to make resolutions for life style modifications.  Perhaps it can also be a time for orthotic changes and modifications.
By Cherri Choate, DPM on 12/22/2010
After practicing for a number of years, I noticed a trend specifically related to women of menopausal age.  As a whole, they seemed to present with the most recalcitrant cases of plantar fasciitis/heel pain.
By Cherri Choate, DPM on 12/15/2010
Although the practice of medicine has existed for centuries, the term "evidence-based" is relatively new.  Many who have been in practice in recent years have witnessed this term being used by insurance companies to demand justification for treatment.  As I was researching the history of this most recent trend, I came across some articles that I found both fascinating and a little disturbing.
By Cherri Choate, DPM on 12/8/2010
Barefoot running has become somewhat of a craze in running communities.  I just heard a presentation yesterday on the differences between barefoot and shod runners. I found the topic somewhat intriguing, specifically because up to this point I had discounted barefoot running as a short lived phenomenon.
By Cherri Choate, DPM on 12/1/2010
Early theories regarding lower extremity biomechanics focused on static references and outcomes.  More recently, research has started to focus on more dynamic assessment tools and outcome measures.
By Cherri Choate, DPM on 11/24/2010
A common confusion on the ProLab prescription form involves the terminology of arch pad, arch fill and cast fill.  Each of these is distinctly different and should be used for distinct patient symptoms.
By Cherri Choate, DPM on 11/17/2010
Symptoms related to the pes cavus type foot are often more complicated than the more typical flat foot.  The majority of orthotic and shoe modifications are targeted at the flat foot but with careful consideration of the patient's activities, shoe type and symptoms, orthotics can be a very successful treatment option for the high-arched foot.
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