Written by: Larry Huppin, DPM
8/10/2009 9:25 AM

If you have a patient with a severe flatfoot, a PTTD for example, who continues to pronate excessively even when wearing a foot orthosis or Ankle-Foot orthosis, consider prescribing shoe modifications.

Two modifications can help these patients significantly:
1. Medial Flare (medial expansion of midsole and outersole)
2. Medial Buttress  (strengthening the medial wall of shoe)

A good pedorthist or shoe repair center can help you. If you don’t have someone in your community, mail-in shoe modification facilities are available. 

ProLab medical consultants are experts at prescribing shoe modications and can help you determine the best modifications for your patients. ProLab clients can consult with a medical consultant any weekday at no charge. 

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