Sorry for the delay in getting back to you. The updated orthotics are an enormous improvement, did a few Dipsea training runs with lots of steep up & down, heels much more comfortable afterwards. Would love the ones I left with you to be just the same way.
I got a VM from the clinic earlier in the week that they are ready for me to pick up. Do I need to try them out? If so I can schedule an appt in SF. Otherwise, if it would be possible to send them to the Marin Clinic I could swing by and pick them up on a Friday.
Let me know, and thanks so much for your help!
So what happened to make this patient feel so great. Barbara came into my office with 2 pairs of orthotic devices from another doctor, and with a chief complaint of heel pain. The orthotic devices she had stabilized her feet well both walking and running. So, what was the problem? These orthotic devices had a plastic shell and a plastic rearfoot post. She also landed hard on her heels both walking and running. You could defintitely hear her coming. I classified at least part of her heel pain from impact stress. I removed both the plastic rearfoot post, and as much of the plastic under the heel area from the orthotic plate. I had put on a softer Birkocork rearfoot post. I then placed a small circular memory foam (1/8 inch soft plastazote) under the heel. I then replaced her vinyl topcover with full length 1/8 inch Spenco. She had tried this over the last month and thus the email. I am ready to do the same with the 2nd pair I have.
|Here is an example of a non posted orthotic. Image I removed both the post and most of the plastic material under the heel.|
|Here the same orthotic above has a soft, but durable, Birkocork post applied. An attempt at transferring the weight from the heel to the arch is also being attempted.|
|The Blue Dot under this first metatarsal is identical to the shape of the memory foam under the heel.|