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Author: Larry Huppin, DPM Created: 6/20/2009 9:45 AM
This blog is designed to provide foot orthosis and ankle-foot orthosis practitioners and students with unique and practical information on foot orthotic therapy. We will provide insight on what’s new in the literature regarding orthotic therapy, orthotic hints and pearls, practice managment information, our opinions on new technology and even some thoughts on controversial topics in the foot orthotic industry. We welcome input and suggestions from orthotic practitoners and others interested in orthotic therapy. This is, however, a discussion on the practice of orthotic therapy and not designed as site to provide medical information to the public.

By Larry Huppin, DPM on 9/28/2009 6:31 PM
Occasionally, a patient will develop back pain secondary to wearing new foot orthotics. We have a recommended protocol for dealing with this situation.

First, if back pain is going to occur, it will usually happen during the first couple of weeks the patient is wearing their new orthoses.  When patients complain of back pain during the orthosis break-in, we use the following protocol:  
  • When symptoms first occur we have the patient stop wearing the orthoses until the pain is 100% relieved.
  • Once the pain is gone, we have the patient start wearing the orthoses again, but instead of the standard break-in of one hour on day one and increasing by one hour per day, we start with only 15 minutes on day one and then increase by 15 minutes per day.
  • If pain starts again, the patient is instructed to stop wearing the foot orthoses and call us immediately.
  • < ...
By Larry Huppin, DPM on 9/24/2009 4:00 PM

By Larry Huppin, DPM on 9/21/2009 3:15 PM

By Larry Huppin, DPM on 9/17/2009 2:34 PM
There is still time to register for the International Conference on Foot Biomechanics and Orthotic Therapy.  If you are interested in expaninding your orthotic practice and improving your orthotic therapy efficacy, this is the one seminar you should attend.   There is not likely to be another seminar that will provide as much information that can be immediately applied in your practice.   

The conference will be held in Atlanta October 2nd - 4th, and we have seen some great last minute flight deals in the past few days.  

The seminar is a combination of lecture and workshops.  

Workshops include:
  • Evidence Based Orthotic Prescription Writing
  • Examination of the Hip a ...
By Larry Huppin, DPM on 9/14/2009 2:00 PM

By Larry Huppin, DPM on 9/7/2009 11:48 AM
Anyone who is interested in improving their orthotic therapy practice should plan to join us in Atlanta October 2 - 4, 2009 for the 12th annual International Conference on Foot Biomechanics and Orthotic Therapy.  

I can't recommend this conference highly enough.  This is the only conference this year focused entirely on biomechanics and foot orthotics and is the "must see" seminar for anyone looking to expand this part of their practice.  

This year's conference is almost entirely clinically oriented.  Seminar tracts include:
  • Orthosis Efficacy
  • Postural Control Interventions
  • Pediatric Flatfoot Strategy
  • Footwear Design and Innovation
  • Mechanisms of Injury
  • Sports Medicine
In addition you will have the opportunity to ...
By Larry Huppin, DPM on 8/31/2009 2:19 PM
A patient presented to my office today for follow-up on her posterior tibialis tendonitis.  On the last visit we had dispensed a pair of ProLab PTTD orthoses to control her extreme pronation.  She was doing great.  She loves the orthoses and all of her tendon pain has resolved.   The only problem is that she has developed some blisters pn the left foot in the area of the talo-naviuclar joint plantarly. 

The orthoses appear to fit well and they do not appear to be too narrow (which could lead to blistering as the medial foot can ride over the medial edge of the orthosis.

This is a relatively easy problem to troubleshoot.   What we find works well is to simply increase the flex of the orthosis in t ...
By Larry Huppin, DPM on 8/24/2009 1:26 PM

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