Top 100 Biomechanical Guideline #18: Follow KISS (whenever appropriate) but know when to be more aggressive

Here are examples of Simple vs Complex treatments for the 5 Common Mechanical Abnormalities

Limb Length Discrepancies

• Simple Means        Heel Lifts for the Short Leg
Heel Lift for Short Leg
• Complex Means    Full Length Outer Sole Lift tapered to the toes

Poor Shock Absorption

• Simple Means       Spenco Inserts
Unfinished Hannaford with Memory Foam
• Complex Means   Hannaford Custom Made Orthotic Devices

Forefoot Abnormalities

Hapad Met Pads with Adhesive Backing
• Simple Means       Metatarsal Pads for Forefoot Balancing
• Complex Means   Classical Root Functional Orthotic Devices

Excessive Supination

Valgus Midsole Wedging
• Simple Means      Valgus Wedging
• Complex Means   Lateral Phalange on Root Balanced Custom Orthotic Device with Denton Modification

Excessive Pronation

Worn Out OTC Sole Arch Supports
• Simple Means        Over The Counter (OTC) Arch Support
• Complex Means    Inverted Orthotic Device With Kirby Skive and Medial Column Correction and Phalange

It is not crucial that you understand all the terminology as long as you understand the basic concept. The doctor/therapist must experiment with simple to complex means of fixing problems, and the patient must understand is their treatment simple or complex and engage the practitioner as to their options.