• Pathomechanics and pronation of the rearfoot. Explain that pronation frequently causes secondary problems like bunions, hammertoes, continuous pull on the plantar fascia and heel pain, and adds stress to knees and low back.
  • Orthotic casting involves placing the bones of the foot in a proper stabile alignment, and capturing this corrected shape in a cast. This cast is then sent to the lab. There a positive of the cast is made and then a proper orthotic is made over an exact replica of the corrected foot according to my prescription.
  • Orthotics take up some room in shoes and that they will not fit in all shoes. The patient may need to purchase larger or different style shoes to accommodate orthotics.
  • Orthotics do not directly make bunions, hammertoes, heel spurs, fasciitis, or pains better. They just remove the deforming force of pronation that causes them.
  • Orthotics address the biomechanical cause of problem, is the most conservative and most appropriate form of treatment and is not invasive. Once removal of abnormal pronatory forces is achieved, stress is relieved, injured tissues begin to heal and deformities of the feet may stop getting worse.
  • The cost of orthotics is $500.00 and that insurance is unlikely to cover this cost. If the patient wishes to purchase custom orthotics it will be an "out of pocket" expense.

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