Hi Everyone,
Members do not see these Ads. Sign Up.
Would appreciate some advice from those whom often make customised accomodative orthotics to geriatric patients and/or the arthritic foot.
In such cases I have been often using off the shelf devices and modifying them but I have a patient whom this just isnt going to work for in terms of shoe fit and comfort. Furthermore she wants to go down the line of something customised.
In terms of her needs; Fat Pad atrophy is the worst Ive seen; metatarsal bones are incrediably prominent; particularly the 1st. Her arch is quite collapsed. To add to it she going to be 90 and her gait is slow, painful and awkward. Her shoes are sandal type with a heel cup due to rubbing on the apex of the digits. Thus I am also concerned about the bulkiness of an accomodative device.
Im thinking a soft cork material is best for the shell. Maximum fill in the arch; as this would lower the arch? Spenco covering. I am thinking of some ppt metatarsal bar or cut out for the 1st met in particular but am not quite sure. I am concerned that a soft ppt metatarsal bar under mets 2-4 would create an unstable gait.
Any advice would be appreciated
Thanks
Loading...
- Similar Threads - Accomodative Orthotic Prescription
-
- Replies:
- 4
- Views:
- 6,467
-
- Replies:
- 0
- Views:
- 191
-
- Replies:
- 1
- Views:
- 587
-
- Replies:
- 5
- Views:
- 872
-
- Replies:
- 15
- Views:
- 1,578
-
- Replies:
- 2
- Views:
- 1,196
-
- Replies:
- 1
- Views:
- 597