How is Motion Placed into an Orthotic Device and Evaluated?   The motion of pronation must occur at heel contact, and the motion of big toe joint dorsiflexion must occur at push-off. Not tr...

Someone asked how I check to make sure the orthotic was made correctly. That's a great question! Understanding that the process of orthotic treatment plan can be complicated and errors by both the ...

Custom made functional foot orthotic devices can be used both pre-op, post -op, or to conservatively manage permanently patients in Stage 3 or Stage 4 PTTD or Adult Acquired Flat Foot.   &...

Custom Orthotic Devices can be a crucial adjunct in the treatment of achilles tendon problems.   The achilles tendon, like the patellar tendon and the hamstrings, are primarily sagittal plan...

Any specialist who prescribed custom orthotic devices must know how to adjust when the patient complains of arch irritation.  Arch irritation may not be as simple as the "arch being too high"...

As we use biomechanics to treat metatarsal pain, we attempt to off load directly, support proximally, and restrict when we have to.  Custom orthotic devices are one of the mainstays of succes...

Forefoot extensions are defined as starting in the front of the plastic, and can be used to: (1) accommodate or off weight, (2) wedge (varus or valgus), (3) support, (4) cushion, and (5) restrict.&...

The contact phase of the Stance part of gait is all about internal rotation and pronation of the entire lower extremity, therefore, supination and external rotation at this time causes trouble. Th...

Many of you reading this are used to writing prescriptions for pharmaceuticals, writing orders for tests, consultations and treatments. You write chart notes and reports in such a way to convey inf...

Several recurring themes have manifested themselves during the brief time I have served as a clinical liaison for KevinRoot Medical. One of the objectives of this forum is to provide guidance to pr...

I have been fortunate enough to have had a 41-year career in my chosen profession of podiatry. I will admit there were many times during that career when I was ready to call it quits and move on to...

So, you’ve made a great orthotic for your patient, now what? Having a system in place for maintaining a thriving orthotic practice is easy to do and can be very beneficial to your patient's w...

  Hello, my name is Dr. Richard Blake, and I have just retired from practice after 41 years. My love of Biomechanics and Sports Medicine has made me want to continue to share with others. I w...

Heel lifts and padding are commonly utilized in orthotic prescriptions for various purposes, and are applied symmetrical except when dealing with a short leg.      Heel lifts an...

Phalanges, literally meaning "fingers", are used both medially and laterally on a CFO to provide more support. We call them Flanges on a Root orthotic but in mechanical control I like to think of t...

Designed originally by Dr Jane Denton, it provides incredible support to the lateral column        The Denton Modification is a simple, yet powerful, lateral arch fill. It goe...

What type of Morton's Extension are you looking for? Originally, Morton's Extensions were only for weight transfer to the 1st metatarsal when there was a long 2nd metatarsal or Morton's toe. Mort...

I think it is intuitive that the higher heel cups are in a functional foot orthotic devices the more it will stabilize.     This is yet another reason why custom foot orthotic device...

Using a heel lift as a treatment for limb length discrepancy is a common practice. At times it can be added to the orthotic device prescribed when fully documented as helpful to the patient. Heel l...

Tight achilles tendons cause tremendous pressure after the middle of mid stance (half way through the gait cycle) on the metatarsals leading to pain in this area. The achilles tendon is the stronge...