By Dianne Mitchell on
5/20/2013 7:06 AM
I see a bunch of kids in the office for orthotics and many of them see me frequently for new top covers. The most frequent reason, is: the orthotics got wet and the cover either came off or smells or looks poor. I was also getting similar complaints with the rearfoot post becoming saturated. Typically this involves a puddle at recess that got played in and the shoes are soaking along with the socks and the orthotic device. As everything dried out that evening, parent and child observed damage.
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By Dianne Mitchell on
5/16/2013 7:54 AM
A woman came into the office today for custom orthotics and wants them to fit in as many shoes as possible. She understands the types of flats she should be in and really didn't want to have to buy a bunch more shoes to accommodate the orthotic.
Some thoughts ...
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By Dianne Mitchell on
5/13/2013 9:44 AM
A patient presented to the office today with a severely planus foot and associated arch pain/strain, posterior tibial tendon dysfunction, sinus tarsi and calcaneofibular impingement. He was miserable and was seeing me for custom orthotics in hopes of the pain being reduced. In stance there was a large degree of bow-legged deformity also in addition to the feet being completely flat to the floor. What to do ...
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By Dianne Mitchell on
5/9/2013 7:34 AM
We all see patients in the office who have sustained an inversion ankle sprain. We also see patients who continue to sprain their ankle multiple times later. What can we do to an orthotic prescription to decrease the inversion forces?? How do you create a pronatory torque?
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By Dianne Mitchell on
5/6/2013 7:19 AM
We frequently see painful inner-metatarsal space neuromas in the office. Once you confirmed this is indeed a neuroma and not metatarsalgia, capsulitis, stress fracture, etc ...
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By Dianne Mitchell on
3/25/2013 6:43 AM
Saw a child in the office today who simply doesn't want to play sports because of foot pain. He pointed to the arch/heel/and posterior tibial tendon distribution as pain locations despite a history of custom molded orthotic intervention. On exam, there is really only tenderness on palpation at the navicular tuberosity. All other pain spots happen with activity. This is a flexible flat foot on exam with equinus.
The currrent orthotics are
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By Dianne Mitchell on
3/20/2013 6:29 AM
A cyclist came to the office today for orthotic molding. He has been in orthotics in the past in running shoes and felt like he would benefit from the additional support in the cycling shoes. This is a flat footed patient with h/o plantar fasciitis and is a distance cyclist, spending many hours on the bike. He reported arch pains at 50+ miles.
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By Dianne Mitchell on
3/18/2013 6:15 AM
Saw a patient today for orthotic molding with a painful Morton Neuroma. She had quite a bit more pathology though ... pronated flat feet with everted calcaneus, hallux valgus with bunions, and equinus deformity! Some thoughts for orthotic modifications for a neuroma ... assuming the hindfoot is well controlled with a great orthotic mold and rx for the lab ...
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By Dianne Mitchell on
3/17/2013 6:56 AM
Just a note to wish you all a Happy St Patrick's Day! Don't forget to wear green!
From Prolab Orthotics
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By Dianne Mitchell on
3/13/2013 6:05 AM
I had a patient in the office today, referred over with custom molded orthotics that she doesn't like, seeing me for an orthotic evaluation and fabrication of new devices ... she didn't seem too happy about this. The devices are quite old and she never really wore them much because she could not seem to get used to them. She reports the big toe hurts and pointed to the 1st MTPJ. On exam this is a functional hallux limitus and in stance she is pronated with an everted calcaneus. When standing on the orthotics, she continued to pronate right over the medial edge of them.
What to do ...
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