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...
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Type A: What is your Gold Standard?
The Gold Standard orthosis (Type A in my classification) is the functional foot orthotic device that you use the most and know the ins and outs of what it accomplishes. Nothing can change your Gold...
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How are your Accommodations?
The structure of the human foot presents many variables from one individual to another, as well as variations of left versus right foot in one individual. There are numerous landmarks present, ofte...
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Type F: When to Really Valgus?
The Introduction here is largely from last week: For over 50 years, designing an orthosis off an impression around subtalar joint neutral and midtarsal joint max pronated position has made a stable...
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Diagnosing Orthotic Problems
Biomechanics and orthotic production are learned skills, and just as in any other learned skill, practice makes perfect (almost). Like a batting average in baseball, 100 percent success in orthotic...
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Type E: How Do We Valgus Patients?
Valgus Tilts are used to get patients less inverted in RCSP or especially to attempt to stop the patient from supinating in contact phase. The 3 common times to valgus a patient (creating pronator...
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Type B: How to Varus 3 or 4 degrees?
Varus Tilts are used to get patients less everted in RCSP or especially to attempt to get the patient more in subtalar joint neutral. Varus Wedges stocked in the office can begin to varus the pa...
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Walking the Walk, Talking the Talk
No doubt, many of you reading this can relate, during social situations outside your professional atmosphere, new acquaintances will often ask for your professional advice when finding out what you...
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Everybody is an Expert
The client list at KevinRoot Medical consists of primarily podiatrists, but also orthopedists, physical therapists, chiropractors, orthotists from the United States, as well as internationally. You...