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

By Dianne Mitchell on 2/27/2013 5:27 AM
A cavus foot patient came into the office today for orthotics to be made. Her only complaint is "ball of foot pain." This is diffuse pain all the way across the ball of the foot - no one spot is more painful than another. She has no other foot /ankle problems and denies any knee/hip/back pain. What can you do to make this patient more comfortable?
By Dianne Mitchell on 2/25/2013 5:14 AM
A patient presented today with an ankle sprain. He also wears custom molded functional foot orthotics, however he states he doesn't always wear them, though they are comfortable. In evaluating the orthotics, I note that they contour well to the arch, are a good width for his foot, and are otherwise acceptable.
By Dianne Mitchell on 2/20/2013 5:08 AM
I was recently asked how do I decide to invert an orthotic versus medially skive a device.
By Dianne Mitchell on 2/18/2013 4:52 AM
Every once in awhile patients present to the office with what they are calling plantar fasciitis and tell me about the months of pain they have had and bring in several pairs of orthotics asking me what to do. My first thought is to make sure they actually have plantar fasciitis! What else can cause heel pain??
By Dianne Mitchell on 2/14/2013 4:51 AM
Just a note to wish everyone a HAPPY VALENTINE'S DAY!
By Dianne Mitchell on 2/13/2013 4:44 AM
A patient presented today with sinus tarsi pain. What can we do to open up that area during the gait cycle and decrease her pain? In stance she has a RCSP that is essentially perpendicular to the ground (surprisingly ), and just minimally pronated / everted.
By Dianne Mitchell on 2/11/2013 4:35 AM
Runner with Morton Neuroma pain: what to do ...
By Dianne Mitchell on 2/8/2013 4:29 AM
Today, a patient presented with "big toe pain" - she was pointed to the 1st MTPJ. She stated that standing on the foot all day at work increases her pain. She is otherwise not an active person and wanted to know what the problem is and what to do about it. On exam ...
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
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