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By Larry Huppin, DPM on 3/28/2013 8:35 AM
Achieving optimum outcomes with orthotic therapy is dependent on a number of factors. These include proper prescription writing, correct casting technique, and high quality cast work in production methods by the orthotic lab. If you are ProLab client then you know that our cast work is the best in the industry and that we strive constantly to provide you with the education and information you need to write the best orthotic prescriptions.

Understanding orthotic material differences is often an overlooked but critical part of writing the correct orthotic prescription. This came up in a conversation I had with a ProLab client this morning when doing a consult regarding a patient with a Cavus foot structure.
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
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.
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 ...
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
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 ...
By Dianne Mitchell on 3/11/2013 5:57 AM
Some thoughts for making a laterally unstable hindfoot more stable on a functional foot orthotic. I see quite a few patients with recent ankle sprains who complain of feeling like they are going to re-sprain their ankle. I always make sure strengthening and proprioception-type exercises are being completed at home or with guided physical therapy. However, orthotics can help increase stability by creating a pronatory torque on the hindfoot.
By Larry Huppin, DPM on 2/28/2013 4:20 PM
There is an article published in the new issue of Lower Extremity Review that we are recommending for all ProLab clients. It is a review of current, past and upcoming materials used in orthotic manufacturing. A quote by Kevin Kirby, DPM in the article helps explain why this is important information for orthotic practitioners.

“It’s critical to understand how these different materials work,” said Kevin Kirby, DPM, an adjunct associate professor at the
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