Pathology-Designed Custom Molded Foot Orthoses

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Pathology-Designed Custom Molded Foot Orthoses Kevin B. Rosenbloom, CPed Clinics in Podiatric Medicine and Surgery Volume 28, Issue 1, Pages 171-187 (January 2011) DOI: 10.1016/j.cpm.2010.11.001 Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 1 Achilles tendonitis pathology-designed orthosis, medial posterior view of 16-mm heel cup, extrinsic post with 3-mm heel lift. Anterior view of custom molded polypropylene shell with vinyl top cover terminating proximal to the metatarsal heads. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 2 Achilles tendonitis pathology-designed orthosis, posterior view, with 4° extrinsic rearfoot posting and 3-mm heel lift. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 3 Achilles tendonitis pathology-designed orthosis, medial view, terminating proximal to the metatarsal heads. Polypropylene custom-molded shell, 4° extrinsic rearfoot posting, 3-mm heel lift. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 4 Pes planus designed orthosis, inferior view, forefoot varus posting inferior of the metatarsal heads. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 5 Pes planus designed orthosis, blue EVA arch reinforcement, varus rearfoot posting, medial flange, lateral clip to prevent lateral slipping. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 6 Foot with pes planus designed orthosis, forefoot varus wedge under the metatarsal heads, blue EVA arch reinforcement, medial flanged polypropylene custom-molded shell, varus extrinsic heel post and deep heel cup. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 7 Hallux limitus designed orthosis, without top cover, revealing dynamic wedge extension. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 8 Hallux limitus designed orthosis, without top cover, showing dynamic wedge extension assisting dorsiflexion of the hallux. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 9 Hallux limitus designed orthosis, without top cover, showing dynamic wedge extension assisting dorsiflexion of the hallux. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 10 Hallux rigidus pathology designed orthoses, rigid shell incorporating Morton extension. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 11 Hallux rigidus pathology designed orthoses, crepe flexible Morton extension. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 12 Heel spur pathology designed orthosis, uncovered custom-molded orthosis with horseshoe pad. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 13 Plantar fasciitis designed orthosis, uncovered custom-molded orthosis with heel cushion. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 14 Lateral ankle instability pathology designed custom-molded orthosis, extrinsic valgus posting, lateral clip (left foot posterior view). Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 15 Lateral ankle instability pathology designed orthosis, uncovered, blue cuboid pad, lateral clip, extrinsic oblique rearfoot post. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 16 Metatarsalgia pathology designed orthosis, uncovered, with foot cookie modification and metatarsal pad. Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions

Fig. 17 Pes cavus pathology designed orthosis, Coleman modification (valgus forefoot wedge with first metatarsal head cut-out filled in) (inferior view). Clinics in Podiatric Medicine and Surgery 2011 28, 171-187DOI: (10.1016/j.cpm.2010.11.001) Copyright © 2011 Elsevier Inc. Terms and Conditions