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

By Cherri Choate, DPM on 2/23/2011

A few years ago, I attended a lecture regarding the interconnections of fascia throughout the entire body.  I remember observing slide after slide of the fascia of the body that seemed to be one large mass that reached from hallux to cranium. 

By Cherri Choate, DPM on 2/16/2011
The patient with the pes cavus feet, usually presents to the office after the 4th decade of life, as their feet and shoe fit become more painful.
By Cherri Choate, DPM on 2/9/2011
For a variety of reasons patients will often complain that they feel like they are tilting outward.  Two common reasons for this feeling are limb length discrepency compensation and habitual gait change due to pain/dysfunction.
By Cherri Choate, DPM on 2/2/2011
I am unaware of the exact statistic, but in my personal experience I would say that at least 15-20% of patient present to the office for complaints of heel pain.  One component of the treatment plan for these patients is biomechanical control.  Although the biomechanical component is usually addressed, the choice of when and how continues vary considerably.
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.
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