Toes. Orthotics. Padding material extending orthotics under the toes.
don warner saklad
with the new NOPCO http://www.nopcoclinics.com LanGer orthotics it's
difficult to walk and I took a couple days off my feet to recover from
the pain. The pain developed in my left 2nd, 3rd, 4th and baby toes
after using the new orthotics. Padding material extending the left
orthotic under my toes appears to be involved with the pain. The
previous nopco langer orthotics had worked well for years without any
padding material extending under my toes.
Joe Jared
It sounds as though the length of the hard shell of orthotic is too long,
or too much material building up in the metatarsal region. Starting from
the 1st metatarsal (ball behind the big toe), to the fifth, there should
be approximately a 10 mm gap of no hard shell material. If the device is
made properly, the padding material should be unnecesary, unless of course
you are a diabetic or in need of something strange, such as a transverse
met pad.
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don warner saklad
It's a shoe length pad on the top of what might be a plastizote maybe
3/4 length orthosis, one of these http://www.langerbiomechanics.com/pg_1_1b.htm
On May 10, 12:01 pm, Joe Jared <joeja...@osirusoft.com> wrote:
> On Thu, 10 May 2007 04:40:06 -0700, don warner saklad wrote:
> > Have any of you kind folks out there any hints, tips or pointers?...
> > with the new NOPCOhttp://www.nopcoclinics.comLanGer orthotics it's
> > difficult to walk and I took a couple days off my feet to recover from
> > the pain. The pain developed in my left 2nd, 3rd, 4th and baby toes
> > after using the new orthotics. Padding material extending the left
> > orthotic under my toes appears to be involved with the pain. The
> > previous nopco langer orthotics had worked well for years without any
> > padding material extending under my toes.
>
> It sounds as though the length of the hard shell of orthotic is too long,
> or too much material building up in the metatarsal region. Starting from
> the 1st metatarsal (ball behind the big toe), to the fifth, there should
> be approximately a 10 mm gap of no hard shell material. If the device is
> made properly, the padding material should be unnecesary, unless of course
> you are a diabetic or in need of something strange, such as a transverse
> met pad.
>
Joe Jared
If the shell itself has no posting, avoid messing with the posting on the
bottom side of the device. To prove a theory, you could add material to
the length of the shell itself, but stop about 10mm or so before the end.
If you can still fit your foot in your shoe and find it more comfortable,
the cause is found and the device is too long. It might be a concern if
the device is custom made and not from their cad-cam system because that
would imply a technician error, but if it is a cad-cam error, my first
question would be was your foot scanned or did you supply casts? If you
supplied casts, it would imply that they may not have all of the kinks out
of their system and if your foot was scanned, well, not many scanners out
there are repeatable. Are there horizontal or longitudinal grooves in the
orthotic? In my own system, the milling groves are more like
http://www.oretek.com/dxf (Show plate). If there are no grooves in the
plastic, the device is either thermoformed or a prefab device. If you see
an impression or something that looks like it was molded into the device,
such as a number in circles, it's a prefab. I know, probably too much
information. ;-)
> Thank you Joe Jared !
>
> It's a shoe length pad is on the orthosis. The orthosis could be
> plastizote I think maybe 3/4 length like at http://www.langerbiomechanics.com/pg_1_1b.htm
>
> On May 10, 12:01 pm, Joe Jared <joeja...@osirusoft.com> wrote:
>> On Thu, 10 May 2007 04:40:06 -0700, don warnersakladwrote:
>> > Have any of you kind folks out there any hints, tips or pointers?...
>> > with the new NOPCOhttp://www.nopcoclinics.comLanGer orthotics it's
>> > difficult to walk and I took a couple days off my feet to recover from
>> > the pain. The pain developed in my left 2nd, 3rd, 4th and baby toes
>> > after using the new orthotics. Padding material extending the left
>> > orthotic under my toes appears to be involved with the pain. The
>> > previous nopco langer orthotics had worked well for years without any
>> > padding material extending under my toes.
>>
>> It sounds as though the length of the hard shell of orthotic is too long,
>> or too much material building up in the metatarsal region. Starting from
>> the 1st metatarsal (ball behind the big toe), to the fifth, there should
>> be approximately a 10 mm gap of no hard shell material. If the device is
>> made properly, the padding material should be unnecesary, unless of course
>> you are a diabetic or in need of something strange, such as a transverse
>> met pad.
>>