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.
Meet & Greet
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
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.
Plantar Fasciitis
Usually an overuse injury, plantar fasciitis is an inflammation of the plantar aponeurosis at the insertion point of the medial and anterior aspect of the calcaneus. Plantar fasciitis can also be caused by inappropriate footwear and biomechanical abnormalities caused by flat or pes cavus feet.
Osteoarthritis
A degenerative condition in which the cartilage cushions the end of the bones and articulating joints begin to wear. The etiology of Osteoarthritis can be improper biomechanics caused by foot shape (pes planus or cavus feet). Pes Cavus feet can be more susceptible to OA as they lack the ability to attenuate shock ground forces.
Morton’s Neuroma
Compressive neuropathy of the interdigital nerve in the forefoot due to compression and constant irritation at the plantar aspect of the transverse intermetatarsal ligament. This causes entrapment of the nerves entering the toes through the metatarsal space. Little known fact: It is truly not a neuroma as it is degenerative, not neoplastic. I can be referred to Morton’s Metatarsalgia, Interdigital neuritis, and interdigital nerve entrapment syndrome.
Pedorthic Modalities
- 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
Pes Planus (Flat Feet)
Pes Planus feet are a function of the lack of integrity of the tendons that promote inversion, mainly the posterior tibialis tendon. This causes an antagonist relationship between the peroneal influences on the lateral side of the foot and the posterior tibialis thus shifting the dome-shaped talus medially and moving the calcaneus into a valgus position, all causing the arch to flatten. Pes Planus can be hereditary, congenital, adult acquired, or occur due to trauma.
Pedorthic Intervention
- 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
Pes Cavus (High Arches)
Used interchangeably with cavovarus deformity, the Pes Cavus foot is a deformity in which there is an abnormal elevation of the plantar medial arch, plantar flexed first ray, an antagonistic relationship between controlling tendon and muscles whereby the Posterior Tibialis and peroneus longus tendon can overwork the anterior tibialis and other lateral structural support resulting in plantar flexion of the first ray. The foot forms a tripod shape between the first mpj, 5thmpj, and calcaneus. This foot is characterized by poor shock attenuation, metatarsal pain, and many other things, commonly including Achilles Tendonitis. The neuromuscular disease can be the root cause behind many clinical cavovarus deformities but there are other subtler cases of pes cavus that may be defined as a flexible high arch.
Achilles Tendinopathy
(Achilles Tendonitis)
Characterized by three types insertional, non-insertional, and rupture, Achilles tendonitis is a swelling and painful inflammation of the Achilles tendon either where it attaches or along the tendon itself. It is usually seen in runners and very active athletes who increase their activity rapidly. Many common foot conditions such as forefoot varus, pesplanus, pescavus, and others can present as etiologies for Achilles Tendonitis.
Metatarsalgia
A general term for pain in the metatarsophalangeal joints. It can be caused by interdigital nerve pain (i.e. Mortons’ Neuroma), Sesamoiditis, and fat pad atrophy typically associated more commonly with females and aging. Excessive callusing can be noticed. Other causes can be overtraining, ill-fitting shoes, synovitis/capsulitis, tendinosis/tenosynovitis, Pes Cavus Feet, tight extensor tendons, and plantar plate disruption and tears.
Pedorthic Modalities
- 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
Rheumatoid Arthritis
An autoimmune condition that affects the joints and causes swelling of the synovium. The disease is also inflammatory due to overactive synovial lining. This can occur in both the rear and forefoot and cause swelling, hammertoes, heel pain, and changes in the shape of the foot, joint stiffness, bunions, and nodules primarily on the plantar surface of the foot. Unlike Osteoarthritis (OA), RA can have flare-ups and will affect more diffuse areas of the foot.
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