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Mar 2

Written by: Cherri Choate, DPM
3/2/2011

Occasionally, following the dispensing of orthotics, a patient will complain about styloid pain or the feeling that they are "rolling" outward.  In-office modifications for this are quite simple and are likely to relieve the complaints of pain.  Here are a few ideas:
  - Peel back the topcover in the painful area and attempt to either grind out a circular area of the plate, or heat adjust to push in a 'sweet spot'
  - Add an aperture type pad around the painful area
  - Add a reverse Morton's extension with 1/8" felt to see if tipping them into a little more pronation will take stress off the lateral column
  - Add a valgus heel wedge with 1/8" felt to see if tipping them into a little more pronation will take stress off the lateral column
 
I would recommend trying one step at a time to see which modification works the most effectively.  Once you determine the correct modification, you can either just leave the orthotic as is, or you can send it back to the lab for permanent adjustment.
 

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