Improving Pronation Control with Kirby Skives and Medial Column Corrections

When you dispense custom made orthotic devices, you should evaluate the stability they contain separately for the right and left feet. Be somewhat critical of your great prescription writing, and grade yourself on how well you have done. When you are trying to control pronation forces, and the orthotic device dispensed work well on one side vs the other, try to get the function as even as possible. The body loves symmetry. This image shows that the right orthotic device is being marked for 10-15% more pronation correction. The K means adding a Kirby Skive and the MCC means adding a medial column correction. Medial Column Correction stands for more arch support. These are plaster modifications applied before the plastic is heated and pressed.