I'm a first time poster but wondered what the community thought of this: I had a new patient attend last week; he had a R/ankle # a few years ago and was prescribed an orthosis to help it heal. He now has plantar fasciitis on the R/foot and came in for advice. The orthosis he has is something I've never seen before. It appears to be a standard carbon fibre shell (probably Langer) and the rearfoot is extrinsically posted on the medial side with a standard EVA material, but the lateral half of the heel has no posting at all, as can hopefully be seen on the attached photo. So the patient has medial rearfoot posting but only the rounded contour of the shell on the lateral half, which to my mind causes considerable instability and may be a causative factor for the plantar fasciitis. I wonder if this orthosis was originally prescribed as a temporary treatment for the original ankle injury and should have been reviewed? The technical staff at my usual orthosis lab are puzzled by this device but the prescribing Podiatrist, who I advised the patient to contact (who seems to be quite highly qualified) scoffed at my comments and told him that "that is how all orthoses are made these days"!
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Any thoughts from colleagues would be appreciated!
Many thanks
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