9/15/2011 8:25 PM
I recently read an article that roughly posed the question: Do you have an orthotic "recipe" that you use for your patients' custom molded orthotics? I asked myself this question and quickly answered "no". If these are to be truly custom devices, then every patient should have a device that contours to their individual arch, as well as corrections that control and support their specific mechanics.
A great example of not using an "orthotic recipe" occurred today in the office. A patient presented with a flat, pronated foot on the right, and a high arched foot with metadductus and an uncompensated forefoot valgus on the left (which further increased the heel inversion and resulted in peroneal muscle belly pains).
This patient has two very different appearing plaster impressions, which require different corrections. In addition to writing different prescriptions, it is important to inform the lab that the feet are asymmetric.