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

By Dianne Mitchell on 12/24/2012 6:28 AM
Happy Holidays from Prolab Orthotics!
By Dianne Mitchell on 12/20/2012 6:15 AM
I see a lot of runners and frequently see shin pain suffering patients (tibial fasciitis/shin splints.) This particular patient had already seen another doctor and was prescribed orthotics. She didn't like them (rigid plastic) and was really skeptical about seeing me for new devices for the shin pain that didn't go away with the last pair.
After a careful work up to rule out other pathology and incorrect shoes and over training issues etc, I decided that orthotics should really help her
By Dianne Mitchell on 12/17/2012 6:09 AM
Are you getting orthotics back that are too narrow in the heel cup?

If so, make sure to measure the weight bearing heel width!
By Dianne Mitchell on 12/13/2012 5:59 AM
How important is orthotic width in a device for a patient with posterior tibial tendonitis/dysfunction? simple answer: very important. These patients usually are severely pronated and flat footed folks and need a supinatory torque and likely a sweet spot for the prominent navicular tubercle to sit in for padding. All too often these patients present with devices that are too narrow and therefore are able to pronate right over the top of the device and continue to have pains/problems.
By Dianne Mitchell on 12/10/2012 5:54 AM
Patient presented to the office with anterior ankle joint pain, impingement/synovitis. Most of her pain is in flats and she says she loves her heels because her pain goes away. She wants to exercise in her athletic shoes more and wants to be comfortable. She otherwise has a minimally pronated foot type. What can you do with her orthotic?
By Dianne Mitchell on 12/6/2012 8:13 AM
Just saw a patient in the office with the complaint of increased ankle sprains since he got his new orthotics. He stopped wearing them since he thought maybe they were the cause.
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?
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