The next 4 posts will be on limb length discrepancy and its place in a clinical biomechanical practice. If you are using orthotic devices, the lifts are placed under and up to 1/4 inch normally can...
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Orthotics for Hallux Abducto Valgus deformity
People who have the misfortune of developing bunions generally look down at their feet and see a bump growing on the side of the foot and a big toe pointing towards the second toe. If only it were ...
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Podiatrists role in Achilles Tendon Health
Copied from a Previous Post (this post will be a continuation) The achilles tendon, like the patellar tendon and the hamstrings, are primarily sagittal plane movers. The more you put them in the...
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Sport Specific Custom Foot Orthotics
The previous post in this forum emphasized a proactive approach to treating school aged patients’ biomechanical needs. Many of those young people may be trying out a new sport or activity tha...
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Barbie's New AFO
The release of the new Barbie movie has focused attention on the popular children’s toy. The maker of the doll line has recently added a Down's Syndrome Barbie to the lineup for the purpose o...
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Back to School
As the summer transitions into autumn, many households begin to focus their attention on preparing their students for the upcoming school year. One item on many shopping lists is very likely to be ...
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Biling Orthotic and Prosthetics of the Lower Extremity
I am delighted that KevinRoot Medical have invited me to provide a twice monthly column on billing and coding issues important to orthotic providers. These columns will provide you with a brief but...
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Creating a More Stable Medial Column
Great post Dr Blake! Thinking of this process of creating stability from a distal to proximal direction.
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Creating a More Stable Medial Column
In the treatment of the foot, and the lower extremity, we strive to make a foot less painful and more stable. Both the decrease in pain, and increase in stability, should guarantee increase functio...
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Type C: Designed to Make an Everted Heel Markedly Less Everted
The Introduction here has been consistent with all the discussions on orthotic types: With all patients, as I hear their complaints, and watch them walk and/or run, I am immediately designing the p...
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Type A: What is your Gold Standard?
@Eddie Davis Great point!! The valgus foot gets neglected, along with the motion of supination, which can be separate or go hand and foot with valgus feet. Thanks Eddie as always. Rich
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Type F: When to Really Valgus?
@Eddie Davis Thanks Eddie! Definitely first ray cut out would be great here!! Hope you are well, and thanks for commenting. Rich
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Type A: What is your Gold Standard?
Definitely making a printout of this. This area is not adequately addressed due to all the attention to the pronated foot. I see many patients with issues related to the "valgus" foot who ha...
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Type F: When to Really Valgus?
Great post by Dr. Blake! One thing to consider would be a first ray cut out. Treatment of the valgus foot is an area where prefabs and generic devices tend to fail. ...
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I Swear I've Been Framed!
The basic structure of a rigid foot orthotic device is referred to as the “frame”. Frames can vary by rigidity, thickness, depth, width and material. It helps increase accuracy and effe...
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Type D: The Types of Feet That You Want to Hold Inverted with Your Orthosis (Finale)
So, this post on holding some feet inverted has sort of gotten away from me, so I will attempt to rein it in. You have heels that you have bisected (post Type D: Part 2), measured RCSP and NCSP, an...
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Top Covers
Prescribing foot orthotics includes proper selection of materials to be used in the manufacture of the devices. Making the correct choices can determine the ultimate success or failure of the devic...
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Type D: Holding a foot inverted when it can not get to vertical, or should not be there (Part 2)
Here are the 6 types of orthotic devices I prescribe for my patients. This post and last post, and next week's post, will discuss the Type D. Type A: Gold Standard (for most getting the heel verti...
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Medial Arch Support
The ideal footprint often does not include the medial arch. The force of our body weight each step we take starts from the plantar heel, proceeds distally along the lateral midfoot foot, across the...
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Type D: When do we design a heel to held inverted? (Part 1)
Patients present with heels that should be held inverted, not vertical like the Gold Standard (Type A), or just less everted (like Type B). To summarize the last few weeks, the posts are about def...