Theta Orthotics

were it the case that the arch simply drops, that might be the case. You've heard of navicular drift, right?

I say again, the medial flange is where I always see blisters. If it is not relevant, how come it's the bit of the orthotic which appears to have the most problems with over loading?

Whilst I can see that it simplifies matters a great deal, one cannot simply ignore a whole plane of movement as "irrelevant" .

 

When we analyze foot structure and look at functional adaptation of the foot, we can clearly recognize that feet adapt differently as evidenced by their direction or plane(s) of deformity. The rocker bottom foot is an example of a highly sagittal plane deformity, while the adult acquired flatfoot is far more of a triplane deformity.

In adult acquired flatfoot, the rearfoot adducts and plantarflexes. The slope of the medial arch of the orthosis has a significant influence on the forces acting on the foot. If the arch levels off, the device is less capable of resisting rearfoot adduction (i.e. transverse plane motion).

Picture these two extremes. In a perfectly "flat" arch, only friction will resist rearfoot adduction. In a perfectly “vertical” arch, the device would act as a wall to create an equal and opposite reaction that would prevent rearfoot adduction. In a continuously sloping arch, in order for the rearfoot to adduct, it must overcome the influence of both friction and gravity. In other words, it must adduct up an incline, which would require more energy than it would to adduct on a flat surface.

As Robert indicated, medial arch pressure or irritation demonstrates how forces are resisted by an orthosis within the medial arch area. The medial arch fill or expansion on the positive model is used to reduce the pressure (reaction force) in the medial arch. If the medial aspect of the medial arch were not so influential mechanically speaking, then it wouldn’t be necessary to apply medial fill to prevent medial arch irritation.

Jeff

 

:good:

Beautiful.

 

I hummed and hawed over whether to to post this. Decided I just had to!

No hard feelings brent. If you like, think that this is about us.

 

Robert,

Why, who’s listening anyway?

Jeff

p.s. Always important to maintain a sense of humor about things!

 

Interesting find in my office today. Qu'est-ce que c'est? [What is it?]
fa fa fa fa fa fa fa fa fa fa better.....Run run run run run run run away...............

 

Cool! Did you measure the angle?

 

Nah, what's the point Robert? We all know Theta correction is superior to MASS and that those flat pancake, lumpy, bumpy Root things, forget about it right? I was so awed by this rubber breast implant I'm thinking of just giving up on orthoses and taking up AK. I mean surely since the time change the guys pineal gland is out of whack so I put the Theta in his hand and muscle tested him. I found out that he has a deep emotional attachment to wasting his money on crap and told him he would feel much better if he just signed all of his assets over to me.

The man is still having pain although he claims they did help a little bit to be fair. We discussed recasting him for a different device. I'll present it as a case study because I feel that some issues were not addressed because of course he was "examined" via internet and cast this himself. He exhibits FnHL and I have some ideas about that.

 

Fantastic!

Everyone seems in fine wit this evening!! I've laughed myself silly on this forum in the last 20 minutes!

 

I've got Theta Orthotics. Granted, I'm not too bright (because I purchased a pair) and I live in rural Iowa (which adds to my handicap), however, I can see now why "caveat emptor" may be the most imporant consumer protection we have.

 

I don't think that I necessarly made a mistake in purchasing Theta Orthotics because I didn't wear them long enough, but I can see how the foam casting method could be unreliable when done at home. If I obtain orthotics again I hope to select a podiatrist who has exceptional intellectual capabilites in foot and ankle biomechanics as well is a great clinician. They are difficult to find, or, have been for me anyway.

 

Another enlightening and entertaining thread..... Can't help but wonder how such an enviable podiatric education system like we see in the USA can produce such extremes in the finished product - McGlamry, Root, Orien, Weed, Ritchie, Kirby etc etc -v- Rothbart, Shavelson, Jarrett etc. Mabe the desire for the three "R's"; recognition and respect and remuneration overwhelms the basic commonsense pertaining to knowing one's limitations and abilities as one approaches the close of career. Who knows? Actually I have an idea for a vibrating, silicone foot orthosis that guarantees explosive orgasms - the only thing is I have to fit them and spend the first 48 hours with the patient in an educative environment. It's a limited market - they only work on blonde busty females between 18-24 who wear 'fcuk me' shoes - but they have fantastic potential. I even might persuaded to offer franchises - for the right money. Orgasmothotics - pleasure with every step. Any takers?

 

Mark, if they work I'll take two pair-- one for myself, size 10 and one for the little lady - - size five.

 

Shove a wedge under the 1st met you've got all the bases covered for fertility as well! Very imaginative.

Just a thought.

I miss Cameron. He's generally busy these days but time was he'd be all over a post like that with a fascinating and disturbing essay on the relationship between vibration, orgasms and the feet which would make me uneasy treating elderly female patients for a week or more afterward!

 

He's busy in the pleasure lab testing the latest prototypes. Actually the small vibrating pads built into the orgasomothotic also transmit an intermittent but discrete electrical charge at a frequency modulation designed to stimulate the brain's Theta receptors. Theta receptors are stimulated at 4-7 cycles per second. Associated with creativity, dreams, orgasms and extra-sensory perception, the Theta state is something to be desired. They are countless ways to reach theta, but orgasmothotics are designed to facilitate this level of consciousness within a few steps of wearing them. Theta is simply the state where your ESP can operate - wear orgasmothotics regularly and you can learn to enter Theta at will and perform most of the psychic and sexual activities you could ever wish for.

In addition, orgasmothotics also transmit some Delta frequency stimulation which helps with the relaxation of smooth muscle fibres - thus improving cardiac output, maintaining erectile tissue function - and most importantly of all (of course) alleviating plantar fasciosis and restless leg syndrome completely. Not to be confused with the completely useless product featured in this thread - we're calling them - TOSS-POTS

Theta Orientated Subdermal Stimulation - Producing Orgasmic Titilation & Satisfaction

 

What are you telling us Doug? Come on, out with it.... :empathy: We're all grown up here and your secret's perfectly secure ......

 

Stop it you beast, you're turning me on!

 

I saw the patient I discussed previously who arrived with the Theta ('TOSS-POTS' Mark) insoles I posted the pictures of. Today he exhibited a large, healing wound in the plantar medial arch. I asked him how that occurred and he informed me that he is an avid handballer and that "while he does feel that the Theta's have helped him some, they may be what caused the nasty ulcer in his foot". You don't say?

The disturbing thing here is that this patient has very planus feet with Hallux Rigidus which I informed him will in all likelihood require a foot specialist in the ensuing years. There is a dorsal IPJ spur visible but no Hallux Valgus or bunion formation at this point. The MTJ joint is nearly immobile and painful weightbearing. I won't post all of the details but let's just say even with the TOSS-POTS in his shoes he exhibits an avoidance of toe-off for obvious reasons.

I pop casted him and am going to use a Morton's extension, medial skive, no fill. I see no other method to help this man.

I don't know how you can adequately care for a patient without seeing them in real time and evaluate them. Allowing them to 'cast' their own feet in foam and sending them a device via the mail is a practice we should all discourage unless you're just providing an insole.

Sorry Dr. Jarrett but I give this effort a huge FAIL!

 

David,
What makes you think the goal was to help the patient. The goal of a manufacturing business is to manufacture and sell products in order to make money. The clinician is charged with providing the service of treating the patient. The problem with direct sales of custom orthoses (ie self treatment) is that the manufacturer has a vested interest in making and selling a product but no real connection to or relationship with the patient. The clinician, hopefully as a result of having multiple treatment options available to him/her and a direct, professional relationship with the patient, has an incentive to help the patient get better.

If you order custom orthotic #XYZ1 from a custom orthotic manufacturer, you will get custom orthotic #XYZ1 sent to you. How does the lab know if that is the correct device (i.e. Rx) for the patient? They don't, that's the responsibility of practitioner.

Labs who sell direct to patients charge more for their devices than labs charge when they sell to a practitioner. Although they may charge less than it might cost to get a device from a practitioner, they are attempting to get a portion of the "service charge" for examining and treating the patient even though no examination has taken place. In other words, they are exploiting the patient by charging more than they charge the practitioner but less than it would cost the patient to get a device from a practitioner. In this scenario, the patient is often trying to save money and thinks they are getting the same thing for less. The problem is, they are not getting the same service (i.e. same examination and professional service) and that is often key ingredient that makes custom foot orthotic therapy successful (i.e. practitioner knowledge) because it influences the composition of the device.

As a manufacturer of custom foot orthoses, I can see many reasons to sell direct to the public from a business perspective and many more reasons not to from an ethical and moral perspective.

Jeff
www.root-lab.com

 

Jeff,

Very well articulated, unequivocal and the truth.

Regards,

 

This guy has resurfaced on an informational site about heel pain by having alleged clients post multiple rave reviews over the last couple days. And I quote

"Posted by dr jarrett on 3/07/12 18:54

wedemeyer,
when you post the kind of trash that you do on this and other sites I welcome going there with you... as every time I do patient's see how unprofessional you and the british podiatry forum that you represent actually are, and they purchase my treatment products...if you dont understand how un-professional you are go read your comments 21 word sentance using a total of three words, now that is the type of comments any of my patinet's could debate...perhaps you should actually read my site and listen to the comments from my patients, you may actually learn something...you should be aware that I have treated patients you have failed with...and that you will be exposed for the fraud that you are...your previous evaluation consisted of no more than your same 3 word biased, un-etheical judgements, just like you did with every other legitimate researcher that has wasted time with your group...
brent jarrett dpm

I don't think you can legally say that Brent, I'll be in touch soon What's a 21 word sentence using 3 word for assclown?

 

This is an old thread, but does anyone have any updated information about Theta Orthotics?

 

No. After all these years all the there is are still the unsubstantiated claims and still no evidence.

 

I am the original poster regarding Theta Orthotics. I use them occasionally in the house just walking around when my medial slip area of the central band of my plantar fascia gets inflamed or sore. They support my navicular better than any orthotic I've had made -- including Blake's inverted, that I got from Dr. Blake in San Fran. about 18 mos. ago. I do not run in them because they are tough on the arch. However, I'm sure there are those who can tolerate them.