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Rigid orthoses and forefoot arthritis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by naypod, Sep 7, 2010.

  1. naypod

    naypod Member


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    Is anyone aware of statistically relevant research that says that rigid orthoses cause forefoot arthritis? This was said to a patient of mine by an orthotist.
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Its BS. There is no evidence and no rationale either. They making it up. Tell them to get another orthotist as that one has no idea what they talking about.
     
  3. naypod

    naypod Member

    I wanted to check that there wasn't some research floating around that I hadn't see. I did say that I doubted there was any such research. Interestingly I knew this guy was going to the orthotist and had suggested that the orthotist may be able to offer an ankle foot orthotic for greater stability. The patient has a pair of semi rigid, very corrective inverted devices for posterior tibial dysfunction (Gd 2 tear) prescribed by myself and had experienced 85 - 90 % reduction in symptoms. An orthopod had recommended the orthotist and my patient was interested in a second opinion. I suggested that he give the orthotist my card and give me a call to collaborate. No call! He then proceeded to make a pair of hard EVA devices which were reasonably corrective but no improvement on what he already had and slightly less corrective. All a bit frustrating and waste of time and money for the patient. It's disturbing that orthotists think that podiatrists prescribe only rigid devices when in actual fact I think we offer a much larger range of materials than an orthotist does depending on correction required, activities, symptoms, ROM, footwear,etc. Where do they learn this crap!!
     
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