Foot orthotics are a common intervention used to treat a wide range of foot, ankle and lower leg problems. There are many different types of foot orthotic with the two most common being the custom made type and the pre-fabricated type. Within those two basic types there are literally 100’s of variations. The sign of a good clinician is not automatically using one or another type, but assessing just what each patient’s needs and then picking the one that has the right design features to match up with that patient’s foot shape and function. Another great skill that a good clinician needs with regards to foot orthoses is that ability to adjust and modify them. Podiatrists are alsways looking for opportunities to upskill in this area.
This issue is considered so important that an episode of PodChatLive was devoted to discussing the topic of foot orthotic modifications. PodChatLive is a regular livestream hosted by Craig Payne from Australia and Ian Griffiths from England. In that episode on foot orthotic modifications they chatted with Peter Guy who is a podiatrist from Toronto, Canada and has over 33 years of experience both using and teaching about foot orthotics in the training program at the Michner Institute. He talked about his teaching matrix of the common foot orthotic modifications for different conditions such as peroneal tendinopathy, plantar fasciopathy, plantar plate/capsular issues and neuroma. Peter also gave some of his tips for dealing with comfort/tolerance issues and orthoses for high heels which is a common problem that clinicians are often faced with. The episode of PodChatLive was well received as it gave out a lot of good useful practical information that clinicians can use. There was a lot of engagement with the live episode. The recorded version has been uploaded to YouTube and the audio version is available at most the usual podcast platforms.