Heel lifts are one way to try to take tension off an Achilles injury. There is concern of long term use of heel lifts because this generally leads to a shorter heel chord. Although studies ...

  Ben Pearl, DPM  practices at Arlington Foot and Ankle. His practice has an emphasis in sports medicine which is complimented by his own participation in running, skiing , cycling and s...

Biomechanics 2 Q & A   When you want to support forefoot varus deformities, yet not block first ray plantarflexion, how can you adjust the overall width of the orthosis (basically wide...

@Lucy Best You are so right Lucy. Orthoses are a tool we use to achieve biomechanical success for  our patients. They are much more important than may other things we do. They have the power ...

Patient #19: Anterior Shin Pain                             &n...

I totally agree with you. This is the way I work in my private practice. In the local hospital the patients tell me that they often have to pick up the orthotic insoles from an office and don't hav...

Biomechanics 1 Q&A   There is both intrinsic (built within the plastic) and extrinsic (attached to the plastic) forefoot varus support. What seems to be the highest tolerated intrinsic...

Patients may come into your offices with Grade 1 through 4 Bunions and want help slowing them down. Probably Stage 4 are too far gone, but there are many conservative tips you can give them for the...

     A few posts ago I discussed (really just reviewed) the Inverted Forefoot Deformities, and today I will do the same with Everted Forefoot Deformities. Typically seen with the pat...

The last two installments in this forum dealt with the first two steps of required documentation for reimbursement for custom foot orthotics. To summarize those steps were proper clinical documenta...

I seldom take the time to comment about the opinions of others, however the short essay regarding Orthotic Packaging by Mr. Rosler is one that I'm going to have to totally disagree with. The reason...

We all see so many posterior tibial tendon injuries. I have attached a video for patients to attempt their own taping with Leukotape and Coverall. This has been an excellent technique to eliminate ...

When an eye doctor hands your prescription glasses over to you, you already know what to expect—frames you’ve picked out, fitted with the correct lenses.  The surprise? A really c...

Patient #20: Dorsal Foot Pain in College Softball Pitcher                        &nbs...

     As you know many patients have inverted forefoot deformities. This is the relationship between the forefoot and rearfoot in neutral subtalar joint positioning. Typically measure...

Assuming all the clinical requirements for the medical necessity for custom foot orthotics have been met, what other issues must the chart documentation address? There are two major issues which m...

Case History: Medial Knee Pain in a  Runner History and Chief Complaint A long distance runner began to get right medial knee pain  It came on running over 5 miles, but now bothers...

Please review the following video on Metatarsal Doming. It is a great exercise for patients to strengthening their intrinsic arch muscles.     

Years ago, I made my living selling copy machines. I was very very good at it. My secret?     I reached out to prospective customers with often funny, business greeting cards asking ...

  As I have harped on before, mechanical problems like abnormal or excessive pronation can cause a myriad of issues from the foot and proximally. I love the Rule of 3 defined: It takes 3 issu...