Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Grossman Foot orthotic design

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Ted Dean, Dec 27, 2019.

  1. Ted Dean

    Ted Dean Member


    Members do not see these Ads. Sign Up.
    I find this design intriguing. Any have any experience with these? I have no affiliation with either FM or Dr. Grossman other than seeing Dr. Grossman lecture on his design.

    http://fdmotion.com/for-doctors/
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    7
    Superficial poor understanding of pathomechanics and foot orthotic design. Ignores the actual scientific evidence. Word salad.
     
  3. Brian A. Rothbart

    Brian A. Rothbart Active Member

    Dr Grossman manufacturers an orthotic he calls the Smart Sport Orthotic. Basically this orthotic entails a 3mm forefoot post to control motion produced pronation. Dr Grossman contends that many orthotics, which appear functional statically, are totally dysfunction dynamically.
    The Smart Sport Orthotic is a direct spinoff from the Postural Control Orthotic patented and sold by a company in Tacoma Washington. I am surprised that their attorneys have not notified Dr Grossman of his infringement on their patent.
     
  4. Dr Rich Blake

    Dr Rich Blake Active Member

    I read Dr Grossman’s comments with interest. Some of the nuisances do not make sense but sometimes I just have to see what they are talking about. In one sense, it sounds like he over pronates the patient at heel contact to achieve the centralization of heel pressure, and the pressure on the big toe. I do like that he focuses on the lateral column stability and drops the first met pressure, and does not use cut outs. He may have to use vertical medial phalanges to avoid arch pressure, instead of tradition foot orthotics (much like a UCBL) if he is valgus wedging the heel. There are good and bad aspects to every technique. Or, if I can phrase it better, only some of your patients will fit into an orthotic model to help them at that time. I use 6 techniques routinely, the Inverted Technique is one, to help my patients. I am excited to be learning the DC wedge from Dr. Smith. Some point I will have to learn where Dr. Grossman’s technique applies to my patients. Rich
     
  5. Ted Dean

    Ted Dean Member

    Hoping to get more discussion going .

    So in my clinical experience, the most problematical feet I see are as described here-
    https://www.podiatrytoday.com/emerging-insights-collapsible-cavus

    Along these lines, if these feet have a laterally deviated STJ axis, could this create a functional forefoot varus?

    Does the lateral hindfoot post get the first met to a more rectus position and the lateral forefoot post then facilitate hallux dorsiflexion?

    I have a flexible cavus foot type and ordered a pair of the prefabs. They actually feel quite good and I do not feel like they pronate my foot.

    So I realize that I am a sample of 1 and my clinical experience is just that, mine alone.


    It's been a long time since I saw Dr. Grossman speak, but my memory is that he did not offer any thoughts on the mechanism of action of his design.

    I do remember though that he based his design on in shoe pressure mapping of many patients with plantar fasciitis and the mapping showed most of the PF patients demonstrated Functional Hallux Limitus. He then tried tried different orthotic design approaches and found that the lateral heel and forefoot posting with the medial flange was most effective at promoting hallux dorsiflexion.

    What say ye?
     
Loading...

Share This Page