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Google Review
Google Review
Orthotic Therapy using chairside orthotics.
Presentation aims:
- Improve orthoses outcomes & patient satisfaction
- Link chair-side orthoses modifications to the FFO prescription form
- Increase podiatrist confidence when prescribing FFO
Why chairside orthoses?
- Prescription aid for customised orthoses
- Immediate intervention in painful presentations
- Longer effectiveness than strapping
- Temporary devices / fallback while FFO are being fine tuned / refurbished
- More realistic biomechanical change than strapping (Sx relief mainly)
- FFO not needed for various reasons
When to go orthoses?
- Symptoms – short term (heel pain) or long term (OA, TP dysfunction)
- Signs – bunions? Hallux limitus? Long 2nd met?
- Severity – how poor are the foot biomechanics?
- Family History – foot, knee, back problems
What to consider?
- Short term need–
–Sx relief – one off temporary heel pain etc.
- Long Term need–
–Chronic Sx e.g. OA of midfoot, TP dysfunction
–Preventative
- Trial basis-
–Trial for knee, back pain – will orthoses help?
–Shoe requirements/restrictions
Where do you start?
- Determine foot type
- What do you want to achieve
–Biomechanics – forces/pressure/change where?
–Pain relief – tension/relief where? Sometimes you will do the opposite to what you want long term.
- Trial with chair-side orthoses
- Initial and f/up reviews
- Decide if FFO needed – better outcome with custom-made, cost saving etc.
Foot Type:
- Pronated, Neutral, Supination
- Severity
- NB Take into consideration – age, other potential problems such as weak ankles, severe back pain etc…
Types of modifications:
- Wedging
–Medial or lateral,
–Extrinsic or intrinsic (e.g. Kirby skive)
–Rearfoot or forefoot,
–Amount – degrees
- Padding – eva/felt etc.
–Medial or lateral
–Midfoot or forefoot
–Amount – how many layers?
