1. Orthotic evaluation:
Dynamic evaluation: internal tibial rotation most signifigant.
Palpatory exam of foot and ankle: Pain on navicular, lateral talus, medial knee joint
Navicular Drop: Unloaded/loaded
Angle between anterior tibia-1st metatarsal
Orthotic Prescription
Dr. Jack Dolbin Session 7

2. Orthotics and Plantar Fascitis
The use of foot orthotics in patients with plantar fascitis appears to be associated with reduced pain and increased function
Exercise and Sports Injury Laboratory, Sport Management program, University of Virginia. Epub, 2008 Nov. 20
Dr. Jack Dolbin Session 7

3. Plantar Fascitis
Foot orthotics is the best choice for initial treatment of plantar fascitis.
Dept. of Orthopedics, Lund University, Lund, Sweden. Foot Ankle Int. Aug. 27, 2006
Dr. Jack Dolbin Session 7

4. Effect of different Orthotics as first line treatment of PF
Foam covered rigid orthotics are superior regarding pain reduction and pain free time when compared to thin non supporting or soft supportive orthotics.
Department of foot and ankle surgery: Jun: 19, 2013.
Dr. Jack Dolbin Session 7

5. PatelloFemoral Pain
Custom made foot othotics were found to be an effective conservative treatment to reduce the symptoms of PF pain.
Prosthet Ortho Int. 2011, Dec. Epub 2011 Sep 26.
Dr. Jack Dolbin Session 7

6. Patellofemoral Pain Syndrome
Foot orthotics provide immediate improvement in functional performance associate with pronation.
Br. Journal of Sports Medicine: 2011 Mar.
Dr. Jack Dolbin Session 7

7. Orthotics and Low Back Pain
Abstract: Hyper pronation plays a fundamental role in the development of low back pain.
Foot orthotics improved symptoms
Prosthe Ortho Inter Jan, 17
Dr. Jack Dolbin Session 7

8. Patient compliance
70% were able to return to previous level of activity with the use of foot orthotics
94% still wearing Orthotics after a year.
52% : not leave home without them
96% reduced pain
JOSPT 1988; 10 (6)
Dr. Jack Dolbin Session 7

9. Dancers with hyperyperpronation
Dancers in this study demonstrated a high rate of compliance and experienced a significant reduction in pain.
J Dance Med Sci: 2013; 17
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11. Posterior Tibial Tendon
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12. Flexor Hallucis Longus
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14. Orthotic Prescription
Inspection
Observation: Static-Dynamic
Palpation: Navicular, Cuboid, Talus, Calcanius, Cuneiform, Metatarsals, Phalanges.
Stability: Navicular Drop
Dr. Jack Dolbin Session 7

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18. Corrective inserts
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19. Inserts Cont.
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20. Calcaneal Inversion/Eversion
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24. Effects of Pronation

25. Pronation, internal tibial Rotation, Valgus Knee
Dr. Jack Dolbin Session 7

26. Pronation Medial Tibial stress Syndrome Lateral Compartment Syndrome
Medial Jt. Line pain
Piriformis syndrome
Medial Collateral Lig. Bursitis
L5-S1 Facet Syndrome
Atlas side bent to side of pronation
Bone edema
Dr. Jack Dolbin Session 7

27. Running Pronaton
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29. Extremity Adjustment Talus Cuboid Navicular Head of Fibula Knee Hip
SI Joint
Dr. Jack Dolbin Session 7

30. Talo-Navicular Axis Line Up; Talus-Nav.-Ist Cune- !st metatarsal
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34. Process
Align
Mark
Measure
Correct
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39. Exercize Prescription
Mobilize: Roll the Ball
F-H-L: Great toes flexion: Curl the towel
Tibialis Anterior/Posterior Adduction with dorsal flexion. 45 degree angle.
Preceeded by MPT and ME.
Dr. Jack Dolbin Session 7