Thursday, May 26, 2022

FW: Orthotics for rigid flatfoot

Paula Pivko

I am sending this because I thought it was interesting and not something i would have thought of. Paula Martinek, LPO

> From: [email protected]
> To: [email protected]
> Subject: RE: [OANDP-L] Orthotics for rigid flatfoot
> Date: Tue, 12 Jan 2010 15:28:46 -0500
>
> Hi Paula
> There can be times when the dynamic propulsive properties of the foot are
> lost with rigid flatfoot. That’s going to create proximal compensatory
> mechanisms because the foot can no longer propel itself off the floor or
> advance itself in front of the other foot during gait. A flexible FO may or
> may not improve the function of the foot. If that doesn’t work and the
> patient still has compensatory mechanisms, try putting that FO on top of at
> ToeOFF footplate. Now you’d be managing the foot and restoring gait
> function at the same time. I’ve seen return to ROM in the foot once
> function is restored.
> Good luck!
> Bob
>
>
>
> President
> Kassel Group Inc
> 3101 Wisner Hwy
> Adrian, MI 49221
> 888-265-6077
> Cell 734-604-0448
> www.kasseledu.com
> —–Original Message—–
> From: Orthotics and Prosthetics List [mailto:[email protected]] On
> Behalf Of Paula Pivko
> Sent: Monday, January 11, 2010 8:15 PM
> To: [email protected]
> Subject: [OANDP-L] Orthotics for rigid flatfoot
>
> Hi everyone thanks for your replies. The consensus was a flexible FO, such
> as cork with plastazote or similar material along with a shoe with firm
> support. Several said that an UCBL would not be appropriate since it is
> designed for correction. It would be too painful for him to wear, which is
> what I am concerned with. Some people mentioned the Arizona and AFOs. I
> prefer to try the FO first and then move to an AFO if that does not work for
> him. For those who mentioned his weight, yes he will be working on a weight
> loss program. He understands that not to do so is only going to increase
> his pain. Again, thanks for your help. Paula Martinek, LPO
>
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