Reference Guide
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The Dozen Most Common Pathologies Related To Orthotic Therapy

Orthotic style choices are often related a patient’s lifestyle and choice of shoe gear. A custom foot orthosis should contain the following properties to specifically address the pathomechanical features of a foot condition.

 
 
  • Achilles Tendonitis
    • Semi-rigid, moderate arch contact, 12mm heel cup, 4° extrinsic rearfoot post, forefoot balanced and posted to cast, met length vinyl topcover, 4mm bilateral heel lifts
     
  • Flexible Flat Foot
    • Semi-rigid, moderate arch contact, 12mm heel cup, 4°/4° extrinsic rearfoot post, forefoot balanced and posted to cast, 1st ray cut out, met length vinyl topcover
     
  • Pes Planus
    • Semi-rigid, moderate arch contact, 15mm heel cup, 4°/4° extrinsic rearfoot post, forefoot balanced and posted to cast, shaffer medial wing, lateral clip, sulcus length vinyl topcover
     
  • Hallux Limitus
    • Semi-flexible, moderate arch contact, full length Cloud topcover, 15mm heel cup, neutral rearfoot post, forefoot balanced and posted to cast, hard Morton’s extension
     
  • Lateral Ankle Instability/Peroneal Tendonitis
    • Semi-flexible, total arch contact, 20mm heel cup, lateral clip, neutral extrinsic rearfoot post, 5° valgus forefoot wedge to the sulcus, sulcus length vinyl topcover
     
  • Metatarsalgia
    • Semi-flexible, minimal arch contact, 15mm heel cup, 4° intrinsic rearfoot post, forefoot balanced and posted to cast, met pad 2nd – 4th full length Swirl topcover
     
  • Plantar Fasciitis – Everted Rearfoot
    • Semi-rigid, moderate arch contact, 12mm heel cup, 4°/ 4° extrinsic rearfoot post, forefoot balanced and posted to cast, plantar fascial groove, met length vinyl topcover
     
  • Plantar Fasciitis – Forefoot Valgus
    • Semi-flexible, moderate arch contact, 15mm heel cup, 4° extrinsic rearfoot post, forefoot balanced and posted to cast, reverse Morton’s extension, plantar fascial groove, full length Cloud topcover
     
  • Plantar Flexed 1st Ray
    • Semi-rigid, 10mm heel cup, neutral intrinsic rearfoot post, forefoot balanced and posted to cast, 1st
    met teardrop cut-out, sulcus length vinyl topcover
     
  • Posterior Tibial Dysfunction
    • Rigid, total arch contact, Shaffer medial wing, 20mm heel cup, 4°/4° extrinsic rearfoot post, lateral clip, forefoot balanced and posted to cast, met length cloud topcover
     
  • Sesamoiditis
    • Semi-rigid, moderate arch contact,13mm heel cup, 4° extrinsic rearfoot post, forefoot balanced and posted to cast, sulcus length Swirl topcover, 1st met teardrop cut out, met bar 2nd – 5th
     
  • Diabetes/Amputations
    • Flexible, moderate to minimal arch contact, 15mm heel cup, neutral heel post (0°), forefoot balanced and posted to cast, full length Tenderfoam topcover, toe filler, Cole Shank® for TMA and Hallux filler, pocket accommodations for leisions/ulcers.


    NOTE: A weight-bearing tracing of the amputated foot, and a tracing of the shoe liner, insures a precise fit.
     
     
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