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Author: Dianne Mitchell Created: 5/16/2011 9:38 AM
Orthotic Therapy Blog

By Dianne Mitchell on 11/26/2012 6:31 AM
I am frequently asked by parents how often to be ready to have new custom orthotics made for their kids. The simple answer, every approx 2 shoe sizes. Also, many of my kids will actually complain that the orthotic really does fit too short or the arch hurts or is pressing on the wrong spot or is even creating irritation on the skin or allowing for their original pain to return. This could be a year later, or as seen in the office frequently, 6-10 months in a growing kid! If possible, I do attempt fitting my growing kids with the pre-fab kiddythotic but foot shape and mechanical control (and pain control) are not always as good as a custom deivce.
By Dianne Mitchell on 10/21/2012 8:48 PM
I just returned home from a wonderful weekend in the Napa Valley. I attended the 2nd Annual Learning in the Vineyards conference put on by Prolab Orthotics. The lectures started Friday afternoon with three workshops being offered. Attendees got the opportunity to choose two to attend. One included a tour of the Prolab Orthotic Facility where folks got to see how their foot molds turn into orthotic devices and learn about digital foot scanners. Paul Scherer DPM and Larry Huppin DPM ran this workshop. Another workshop was put on by Mark Reeves DPM concerning shoes! Excellent!
By Dianne Mitchell on 10/17/2012 10:05 AM
Saw a patient in the office today with orthotic irritation. He pointed to his rather prominent navicular tuberosity asking me if the orthotic rubbing on it could be fixed. He apparently had problems right away during the breaking in process and blistered and actually stopped wearing the devices until establishing care with me. This is a case where a sweet spot would have been great. However this is a completed pair of orthotics and a patient in pain.
By Dianne Mitchell on 10/4/2012 9:00 AM
Patient presented today for orthotic molding with a history of multiple 5th metatarsal base fractures. These were all stress fractures due to running activities with no major injury triggering these fractures. In looking at the patient's feet they are wide and pronated in stance. Interestingly the 5th metatarsals are quite prominent plantarly when evaluating the feet with the patient seated. How can you prevent further injury?
By Dianne Mitchell on 9/27/2012 7:19 AM
Drs Scherer and Huppin both wrote articles in this months Podiatry Management regarding things to think about when prescribing orthotics for diabetics. Check it out!
By Dianne Mitchell on 9/25/2012 7:15 AM
Check out this months Podiatry Management magazine. If you are a skeptic about scanning patients feet for orthotic devices ... well, so was I. Here is what I encountered and learned in the process! Enjoy the article.
By Dianne Mitchell on 9/18/2012 2:05 PM
New patients frequently arrive at my office with custom molded prescription foot orthotics complaining that they still have the same pain as before the devices were prescribed! (the orthotics didn't help!)
When I evaluate the devices they tend to be under-corrected.
By Dianne Mitchell on 9/12/2012 8:43 AM
Webinar Thursday 9-13 at 12:30 ... Here is your reminder to sign up!!

Topic: Can Foot Orthotic Therapy Decrease the rate of ACL Injuries?

sign up on the home page!
By Dianne Mitchell on 9/11/2012 8:15 AM
So, what is the best way to accommodate a prominent plantar fascia? If your patient has a prominent fascial band on exam it is important to take note of this structure in order to offload it so your patients doesn't irritate it on the device. Side affects of an irritated fascia include: pain and nodule (fibroma) formation.
By Dianne Mitchell on 9/6/2012 9:00 AM
I frequently see patients in the office who participate in cleated and skating sports and plan on fitting their orthotic devices into the shoe. It is very important to, at least, measure the inside heel width of the shoe and include that on the prescription. And, many labs prefer the shoe being mailed in with the foot molds.
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