An orthotic prescription is a written order from a healthcare professional, such as a podiatrist or orthopedic specialist, that specifies the type and specifications of orthotics needed for an individual. It is necessary for fitting orthotics because it provides detailed instructions for the design, materials, and modifications required to address the specific foot or lower limb condition. The prescription ensures that the orthotics are customized to meet the individual's unique needs and provide the desired therapeutic benefits.
There are various types of orthotics available for prescription and fitting, depending on the specific foot or lower limb condition. Some common types include arch supports, shoe inserts, ankle-foot orthoses (AFOs), and knee-ankle-foot orthoses (KAFOs). Arch supports are designed to provide additional support and stability to the arch of the foot. Shoe inserts, also known as insoles, can be used to address various foot conditions such as plantar fasciitis or flat feet. AFOs and KAFOs are more extensive orthotic devices that provide support and control for the ankle and knee joints, respectively.
Erson goes over an interesting TMJ case of posterior disc subluxation and severe pain with opening and eating. It turns out after significant improvement the patient was still checking for tenderness a bit too much. Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-26
By Dr. Sean Wells, DPT, PT, OCS, ATC/L, CSCS, NSCA-CPT, CNPT, Cert-DNAs physical therapists (PTs) we do our best to optimize our older clients' strength, balance, and functioning. Obviously, our mainstay interventions focus on exercises, balance training, and adaptive equipment. In our courses, we highlight the importance of Vitamin D status and protein consumption for older adults, to improve balance, strength, and prevent sarcopenia. A recent study in Nature Aging highlights yet another potential dietary component that impacts muscle function: ceramides.Ceramides, a sphingolipid, which is a type of fat, has been shown to reduce muscle mass and functional capacity in rodents. Moreover, it has been shown that offering ceramide-inhibiting medication effectively reverses sarcopenia, which is very promising for human studies. In the current study the authors examined older adults with a genetic variant to inhibit ceramides. The results showed these adults with the variant had significantly better grip strength, walking distance, and sit to stand function: all metrics that Doctors of Physical Therapy (DPT) routinely measure. The next big step for these researchers is understanding how to yield these results via medication and/or dietary changes.Fortunately, other authors have highlighted how PTs and other clinicians can advise their patients on how to naturally reduce ceramides in their diet. In the FRUVEDomic pilot study, authors demonstrated that a diet low in fruits and vegetables, and high in saturated fat, facilitated an increase in hepatic ceramide production. The researchers concluded that even transitioning patients from a standard Western diet to even the US Dietary Guidelines would yield positive responses for aging. Imagine the impact on aging and physical functioning if we took the diet to a bit more extreme, such as the true Mediterranean or predominant plant-based diet? More research is needed, but PTs need to be aware that fruit and vegetable consumption is important for many health outcomes, and screening tools are available and easy to use. We discuss this and more in our courses!If you like what you see here then know there is more in our 3 board-approved continuing education courses on Nutrition specific for Physical Therapists. Enroll today in our new bundled course offering and save 20%, a value of $60!Want to learn in person? Attend a #manualtherapyparty! Check out our course calendar below! Learn more online - new online discussion group included! Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. NEW - Online Discussion Group Live cases webinars lecture Live Q&A over 600 videos - hundreds of techniques and more! Check out MMT Insiders Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-19
Andrew finds out the hard way what the term Functional Overlay means in regard to a slow or non responding patient. Have you ever heard of this term or has anything similar ever happened to you? Comment on our socials or on the podcast on Spotify! Untold Physio Stories is sponsored byHelix Pain Creams - I use Helix Creams in my practice and patients love them! Perfect in combination with joint mobs, IASTM and soft tissue work. Get your sample and start an additional revenue stream for your practice. Click here to get started. https://modmt.com/helixCheck out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.comCurv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. Keeping it Eclectic... This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-16
In a recent article in The Lancet Rheumatology, researchers show how lower back pain is a rapidly escalating global issue, affecting an estimated 619 million people in 2020 – nearly 10% of the world’s population. Experts predict that this number will reach 843 million by 2050.Compounding problems in the lower back epidemicAsia and Africa are expected to experience the most significant rise in lower back pain cases. These regions often already face challenges due to limited and overburdened social support systems and healthcare resources.The COVID-19 pandemic has further exacerbated the problem. Increased inactivity due to lockdowns and poor ergonomics from remote work setups have contributed to the intensity and prevalence of lower back pain. Additionally, limited access to healthcare services during the pandemic has added to the suffering of individuals already affected by this condition.It’s important to consider that the provided figures may underestimate the true burden, as they do not fully account for the impact of the pandemic.The Societal Burden of Lower Back PainLower back pain imposes a substantial burden on society and the economy. In the United Kingdom, the National Health Service spends nearly £5 billion annually on general practitioner appointments alone for this condition.Similarly, the cost of lower back and neck pain in the United States reached a staggering $134 billion in 2016. Of course, the consequences extend beyond the financial costs.Lower back pain leads to increased absenteeism, reduced productivity, and early retirement, particularly among the working-age population. There is also a strong association between lower back pain and higher rates of depression, leading to prolonged disability and hindering recovery.The researchers warn it is crucial to address the societal impact of lower back pain and develop comprehensive strategies to mitigate its effects.Addressing the Issue of Back Pain GloballyAddressing the global issue of lower back pain will require immediate attention and collaborative efforts. Solutions should prioritize strategies aimed at alleviating lower back pain in the workplace, where many people spend a significant part of their time.Implementing ergonomic practices and promoting physical activity can help prevent and reduce the problem of lower back pain. Moreover, improving access to rehabilitation services is essential for effective management and recovery.Specialized training for healthcare practitioners in the treatment of lower back pain can lead to better outcomes and patient care. Additionally, reducing reliance on ineffective and potentially harmful treatments, such as opioids, is crucial.Finally, the researchers stress that governments, healthcare systems, and policymakers must work together to prioritize lower back pain and allocate resources effectively. By taking proactive measures, we can alleviate the burden of lower back pain and improve the quality of life for millions of individuals worldwide.Are you a professional helping in the fight against lower back pain? Take your practice to the next level with our lumbar area anatomy models.Via Dr. Jerome Fryer - Dynamic Disc DesignsCheck out our EXCLUSIVE Anti-Nocebo BLUE Nucleus Disc Model! This article was originally posted on Modern Manual Therapy Blog
Posted by on 2023-06-12
The process of fitting orthotics typically involves several steps. First, the healthcare professional will conduct a thorough evaluation of the individual's foot or lower limb condition, which may include a physical examination, gait analysis, and imaging studies. Based on the assessment, the appropriate type of orthotic will be determined. Next, the healthcare professional will take measurements and impressions of the individual's foot or lower limb to ensure a proper fit. These measurements and impressions will be used to create or customize the orthotics. Once the orthotics are ready, the individual will be fitted with them and instructed on how to properly wear and care for them.
When determining the appropriate orthotic prescription for an individual, several factors are considered. These include the individual's specific foot or lower limb condition, the severity of the condition, the individual's activity level, and any other relevant medical or biomechanical factors. The healthcare professional will also take into account the individual's footwear preferences and lifestyle to ensure that the orthotics are practical and comfortable for everyday use. Additionally, the healthcare professional may consider any previous treatments or interventions that have been tried and their effectiveness.
Yes, orthotics can be customized to fit specific foot conditions or abnormalities. The customization process involves taking precise measurements and impressions of the individual's foot or lower limb to ensure a proper fit. The orthotics can then be designed or modified to address the specific needs of the individual, such as providing support to the arch, correcting alignment issues, or redistributing pressure. Customized orthotics are often more effective in providing relief and improving function compared to generic, off-the-shelf orthotics.
While orthotics are generally safe to use, there can be potential risks or side effects associated with wearing them. These may include discomfort or irritation, especially during the initial adjustment period. In some cases, orthotics may alter the individual's gait or balance, which can lead to muscle imbalances or other biomechanical issues if not properly addressed. It is important to work closely with a healthcare professional to ensure that the orthotics are properly fitted and any potential risks or side effects are minimized.
The frequency of replacing or adjusting orthotics depends on various factors, including the individual's foot or lower limb condition, activity level, and the wear and tear on the orthotics. In general, orthotics should be replaced or adjusted when they no longer provide the desired therapeutic benefits or when they become worn out or damaged. It is recommended to have regular follow-up appointments with the healthcare professional who prescribed the orthotics to assess their effectiveness and make any necessary adjustments or replacements. Additionally, it is important to monitor any changes in foot or lower limb symptoms and seek professional advice if there are any concerns.
Transcutaneous electrical nerve stimulation (TENS) is indicated for pain management in various conditions. It is commonly used for musculoskeletal pain, such as low back pain, neck pain, and osteoarthritis. TENS can also be beneficial for neuropathic pain, including diabetic neuropathy and post-herpetic neuralgia. Additionally, it has shown effectiveness in managing pain associated with fibromyalgia and chronic headaches. TENS may be recommended as a non-pharmacological option for pain relief in these conditions, providing a safe and non-invasive method to alleviate discomfort.
One of the best strategies for preventing overuse injuries in runners is to gradually increase training volume and intensity. This means incorporating a progressive training plan that includes periods of rest and recovery. It is also important for runners to listen to their bodies and pay attention to any signs of pain or discomfort. Implementing proper warm-up and cool-down routines, as well as incorporating strength and flexibility exercises, can help improve overall muscle balance and reduce the risk of overuse injuries. Additionally, runners should consider cross-training activities to vary the stress placed on their bodies and reduce the repetitive impact on specific muscles and joints. Regularly replacing worn-out running shoes and using appropriate footwear for different terrains can also help prevent overuse injuries. Lastly, maintaining a balanced diet and staying hydrated can support overall health and reduce the risk of injuries.
Sensory integration therapy is a highly effective intervention that provides crucial support to children with developmental coordination disorder (DCD). This therapy focuses on enhancing the integration of sensory information from various modalities, such as touch, movement, and proprioception, to improve motor planning and coordination skills in children with DCD. By engaging in activities that stimulate the senses and challenge the child's motor skills, sensory integration therapy helps to rewire neural pathways and promote the development of more efficient motor patterns. Additionally, this therapy addresses sensory processing difficulties commonly associated with DCD, such as hypersensitivity or hyposensitivity to sensory stimuli, by gradually exposing the child to sensory experiences in a controlled and therapeutic manner. Overall, sensory integration therapy plays a vital role in supporting children with DCD by addressing their specific sensory and motor challenges and facilitating their overall development and functional abilities.
Proprioceptive neuromuscular facilitation (PNF) is a therapeutic technique that can improve muscle strength in older adults through various mechanisms. PNF involves stretching and contracting muscles in a specific pattern, which activates the neuromuscular system and enhances muscle recruitment. This technique utilizes proprioceptive feedback, which is the body's ability to sense its position and movement in space, to facilitate muscle activation and coordination. By incorporating repetitive and rhythmic movements, PNF can stimulate muscle fibers and promote muscle hypertrophy, leading to increased muscle strength. Additionally, PNF exercises often involve resistance, which further challenges the muscles and promotes strength gains. The combination of these factors, along with the specificity and intensity of PNF exercises, can effectively enhance muscle strength in older adults.
Therapists modify exercise programs for individuals with multiple sclerosis by tailoring the exercises to address the specific needs and limitations of each individual. They may incorporate a variety of exercises that focus on improving balance, coordination, strength, and flexibility. These exercises may include low-impact activities such as swimming or cycling, as well as exercises that target specific muscle groups affected by multiple sclerosis. Therapists may also incorporate assistive devices or adaptive equipment to ensure safety and maximize the benefits of the exercises. Additionally, therapists may adjust the intensity and duration of the exercises based on the individual's abilities and energy levels. Regular monitoring and reassessment of the exercise program are essential to ensure its effectiveness and make any necessary modifications.
Aquatic exercise programs have shown promising results in improving motor function in children with cerebral palsy. These programs involve engaging in physical activities in water, which provide a supportive and low-impact environment for children with motor impairments. The buoyancy of water reduces the effects of gravity, allowing children to move more freely and with less effort. Additionally, the resistance provided by water helps to strengthen muscles and improve coordination. Aquatic exercise programs often incorporate various exercises and activities that target specific motor skills, such as balance, coordination, and strength. Research studies have demonstrated that these programs can lead to significant improvements in motor function, including increased muscle strength, improved balance and coordination, and enhanced overall motor performance. Furthermore, the enjoyable and stimulating nature of aquatic exercise can also contribute to increased motivation and engagement in physical activity, which further supports the development of motor skills in children with cerebral palsy.
Hydro-massage therapy has been shown to effectively alleviate muscle soreness and improve recovery post-exercise. This type of therapy utilizes water pressure and massage techniques to target specific muscle groups, promoting increased blood flow and circulation. The hydro-massage therapy also helps to reduce inflammation and swelling, which are common after intense physical activity. Additionally, the combination of water and massage provides a soothing and relaxing effect, helping to relieve muscle tension and promote overall relaxation. By incorporating hydro-massage therapy into a post-exercise routine, individuals can experience faster recovery times and reduced muscle soreness, allowing them to return to their training or physical activities more quickly.