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Providing Collaboration and Continuity to your Patient’s Foot Health

For Medical Providers

Collaboration and Continuity

Say Goodbye to Foam Boxes and Gimmicky store Kiosks

FeetScan360 is a free technology found on the Apple Store under ‘Fore2Feet’.  The technology is easily downloadable and provides all of the necessary tools to capturing a digital image of your feet, positional pictures, description of foot complaints, and even register for tele-health consultations.

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Meet & Greet

Add a Solution to your already established practice, Fore2Feet!

What Your Patient Can Expect

The Pedorthic Evaluation

  • Brief discussion of foot/ankle complaints
  • History
  • Explanation of prescription from doctor and diagnosis
  • Evaluation of skin and any skin abnormalities
  • Anatomical foot evaluation including explanation of foot type
  • Range of motion study
  • Gait Analysis
  • Pressure point analysis
  • Foot measurement
  • Evaluation and recommendations of footwear

Foot Preparation and Rendering for Fabrication

  • Pictures of feet both non, semi, and weight bearing
  • Digital 3-D scan of feet using optical scanning technology (non-weight bearing)
  • Precise digital rendering of scan to place necessary elements
  • Digital submission of the scan
  • 3-D printing of orthotics

Final Steps

  • Receipt of orthotics
  • Patient communication and home appointment set
  • Delivery and fitting of orthotics
  • Adjustments, if necessary
  • Instructions for adjustment and care
  • Summary report to physician referral source
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(561) 559-6915
REFER A PATIENT

Meet & Greet

A Certified Pedorthist is a healthcare professional specifically trained in comprehensive foot care using therapeutic footwear and supportive orthotic devices for the foot. Pedorthics as a health profession began to take shape in the late 1950s and is defined as the design, manufacture, modification and fit of footwear, shoes and foot orthotics to alleviate problems caused by disease, overuse, congenital defects or injury.

Pedorthic Modalities

01
  • Orthotic materials decision based upon flexibility of the foot and/or prominences
  • Deep heel cup
  • Neutral rear foot posting (or valgus/varus when indicated)
  • Added heel cushioning

Footwear Selection

02
  • Sturdy heel counter
  • Limited torsion in the mid sole
  • Added cushioning

Other Therapies

  • Ibuprofen
  • Physical therapy
  • Night splints
  • Specialized stretching
  • Non-invasive radiologic procedures such as ultrasound
03

Pedorthic Modalities

01
  • Rigid to semi-rigid orthotic material to limit movement in the articulating joints in the affected area.
  • Metatarsal (transverse) arch support
  • Rigid Morton’s Extension limiting flexion of the hallux when applicable
  • Cushioned top cover

Footwear Selection

02
  • A Rocker style shoe such as HOKA or MBT
  • Contoured sandals such as Vionic and Birkenstock
  • Stable mid-sole support
  • Cushion

Other Therapies

  • Targeted stretching
  • Walking
  • Supervised weight training to for supporting structures
  • Surgery to remove (debridement surgery such as arthroplasty) affected bones
03

Pedorthic Modalities

01
  • Placement of a metatarsal pad on footbed of shoe directly proximal to the affected area
  • Custom or ready to wear foot orthotics with precise transverse arch support, medial arch support, and ‘neuroma pads filling the interspace of the affected area.
  • Added soft metatarsal cushioning

Footwear Selection

02
  • All shoes must have forefoot space
  • No ‘pointy’ or tapered toe boxes but rather a more oblique toe box
  • Rocker style shoe to relieve pressure on affected area
  • No high heels greater than 2” or a 2” variance between rear and forefoot
  • NEVER WALK BAREFOOT

Other Therapies

  • NEVER WALK BAREFOOT
  • Always have cushioning as an element of your footwear
  • See your doctor immediately with any signs of foot weaknes, knee, or hip pain
03

Pedorthic Intervention

01
  • Determination must be made whether the pes planus is rigid or flexible
  • This is simply usually determined by a heel raise test either seated or standing
  • Observation of the positioning of the navicular and palpability.
  • If flexible, a rigid orthotic is indicated
  • If semi or rigid, a more flexible orthotic is indicated
  • Deep heel cupping
  • Medial (varus) rearfoot and forefoot (when indicated) posting
  • Transverse arch support to prevent further collapse

Footwear Selection

02
  • Athletic wear with a rectangular shoe last
  • Dress shoes with a blucher lacing system
  • Rigid heel counter to minimize ankle and heel eversion
  • External additions to the shoe such as a medial flange or buttress

Other Therapies

  • NSAID’s as prescribed
  • Ice to ease inflammation
  • NEVER WALKING BAREFOOT
  • Bracing in severe situations
  • Physical therapy
03

Pedorthic Modalities

01
  • Accommodative orthotic with full arch contact
  • Softer fabrication materials
  • Lateral rearfoot (valgus) posting
  • Transverse arch support (metatarsal pad)
  • Heel lifts

Footwear Selection

02
  • Cushioned footwear with brands such as OnCloud, Hoka
  • Sandals with extra cushioning and soft metatarsal area such as Oofo and Crocs
  • Slip on (loafers or flats) are not recommended due to high instep associated with PesCavus
  • Rocker style shoe

Other Therapies

  • NEVER WALK BAREFOOT
  • Always have cushioning as an element of your footwear
  • See your doctor immediately with any signs of foot weaknes, knee, or hip pain
  • Physical therapy
03

Pedorthic/orthotic Modalities

01
  • Heel lifts placed into shoe
  • Functional or accommodative orthotic with appropriate materials for foot type
  • Raised rear foot of orthotic
  • Deep Heel Cup inferior to the achilles insertion area

Footwear Selection

02
  • Stable shoe with firm heel counter but inferior to insertion point
  • Replace more frequently than usual
  • Footwear appropriate to foot type and shape
  • Conservative rocker bottom shoe

Other Modalities/Therapies

  • Strengthening stretching supervised by a professional
  • Rest
  • Ice
  • Shockwave therapy
  • Modify Training program
  • NSAID
  • Physical therapy
03

Pedorthic Modalities

01
  • Functional or accommodative (hard or soft) orthotic depending on foot type
  • Appropriate rear/forefoot posting depending on foot type
  • Metatarsal pad or soft bar proximal to affect areas or from I-V.
  • Cut out inferior to affected area(s) with soft cushioned fill
  • Soft cushioning along metatarsal area

Footwear Selection

02
  • Forefoot rocker (i.e, Hoka, MBT, Gravity Dfyer)
  • Cushioned sole and mid-sole
  • Forefoot space in the toe box
  • NEVER WALK BAREFOOT
  • Sandals with cushioning and arch support (oofos and Vionic)

Other Therapies

03

Pedorthic/orthotic Modalities

01
  • Accommodative orthotic made of softer materials
  • Medial Arch Support to prevent other pathologies such as Charcot Arthropathy
  • Cutouts or offloading of plantar nodules
  • Metatarsal support
  • Cushioning

Footwear Selection

02
  • Custom molded shoes for severe deformities
  • Ample to box space
  • Oxford/blucher style laced shoe
  • Nothing constricting
  • Rocker sole shoe
  • DO NOT WALK BAREFOOT

Other Modalities/Therapies

  • Physical therapy
  • Select exercise appropriate for RA
  • Warm bath
  • Massage
  • Lose weight
03

What Our Clients Say

Dr. Ronald Krinick, MD "The orthotics were custom and accommodated to my foot issues

The orthotics were custom and accommodated to my unique foot problems. They're comfortable and keep me more stable. I've tried many others and none have helped as much as these. I bought a 2nd pair!

Jeremy Moe | Boca Woods "I've suffered from foot problems and can’t go a day without them

I have suffered from foot problems and can’t go a day without wearing their custom insoles. I have a tendency to pull hook and the design has really helped to straighten things out!

Michael G | Quail West "Fore2feet’s Orthotics have dramatically reduced any problems

Fore2feet’s Orthotics have dramatically reduced any problems with my feet. Prior to orthotics I suffered after golf and tennis. Now I can play 3-4 hours with no issues.

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ORTHOTICS FROM FORE2FEET
Don’t let your handicap be your feet!

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