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Sunday, May 9, 2010
Orthotic Devices: Adding More Stability
The 2 pairs of orthotic devices above are actually the same pair. The patient Luz presented to my office with the pair on the top of prescription orthotic devices. These orthotic devices were not controlling her pronation motion enough, and I felt that some of her symptoms could be caused by this motion. Instead of just making a new pair, I was able to get more stability by teaching her power lacing (see a future post), and having the podiatry laboratory place extrinsic rearfoot posts (brown) and arch reinforcements (white). This simple solution can be the subtle difference in motion that eliminates pain. This is one example of the art of medicine, the KISS principle (see post), that I use on a routine basis with great results for patients. Check out your orthotics and see if they have a extrinsic post (not part of the plastic). If not, and you have stability issues possibly producing pain, see if you can get an extrinsic post applied.