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Sep 20

Written by: Larry Huppin, DPM
9/20/2012 11:03 AM

 I recevived this question today from a ProLab client regarding orthotic width in running shoes:  

Hi Larry,

I've been finding that some of the orthotics I prescribe for running shoes are coming back too wide for the patients shoes  Do you have any recommendations on how to prevent this problem?  Should I send a tracing of the shoe insole?   

ANSWER:
I find a wide width works fine as long as the patient purchases shoes AFTER getting their orthoses.  The problem you are running into is that the shoe is likely too narrow for the patient.  In this case fitting an orthosis is always going to be difficult.   

Sending the tracing of the insole isn't really helpful to us since the insole sits much lower in the shoe than the widest point of the orthosis and the flare of the shoe width results in a different width where the orthosis hits the shoe.

If you want to order a wide width and have it fit into the patients current running shoes, you have three options:
1. Send in the shoes with the casts
2.  Be ready to grind the orthoses to decrease width at time of dispensing.
3.  Prescribe a standard width orthosis

ProLab takes a scientific approach to manufacturing orthoses by integrating evidence-based medicine into orthotic therapy. Our team of Medical Consultants regularly evaluates the medical literature pertaining to orthotic therapy and biomechanics. ProLab clients are encouraged to contact a medical consultant whenever they have questions about an orthotic prescription.

For an easy way to stay up-to-date on evidence-based orthotic therapy, subscribe to our free E-Journal. Your will receive a monthly email synopsis of the research that impacts your practice.       


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