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Oct 25

Written by: Larry Huppin, DPM
10/25/2012 2:46 PM

P3 Functional Adult Prefabs I had a patient come in today who was having metatarsal pain while doing yoga. The only time it really hurt him was during yoga. Only the right foot was painful.

My examination showed that he had a mild bunion deformity. He had contracted third digit and retrograde force on the third metatarsal. He had pain to palpation at the third metatarsal head consistent with capsulitis. A goal for treatment was to decrease pressure under the third metatarsal head during the day while he was wearing shoes and then also trying to decrease pressure by cushion under the metatarsal head during yoga.

We dispensed a pair of ProLab P3 prefabricated orthotics, which have one of the higher arches of any prefab on the market. This conformed very nicely to his arch and will act to transfer pressure off of the ball of the foot. He was given standard shoe recommendations. It was recommended that for the next several weeks, he avoid going barefoot and be wearing his stable shoes with the P3 prefabs at all time when weightbearing.

Since he is barefoot during yoga he is not able to wear any sort of orthosis. Instead we recommended that he try a strap on metatarsal pad and/or a slip-on metatarsal cushion. The strap on metatarsal pad that I recommend barefoot activities is from Dr. Roth and you can see that at the left. Some patients do better with cushion under the metatarsal head rather than the use of the metatarsal pad and for those patients I recommended the Silipos metatarsal universal gel strap. You can see that at the right.

ProLab takes a scientific approach with our 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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