Blog

Ambulatory treatment of Charcot arthropathy – total contact casting.

I work in a rural, hospital-based practice that is a regional referral center.  Much of the care I provide is related to diabetes.  Subsequently, I see and treat a lot of Charcot joints.  Charcot arthropathy occurs in patients who...

Patient choice – are there weight limits when using ex-fix?

External fixation (ex-fix) is often used as an adjunct to internal fixation when correcting rocker bottom flat foot due to Charcot arthropathy.  The reason that ex-fix is used is that the frame, or ex-fix device, can be used to carry weigh...

How did I get a fracture?  I didn’t do anything to hurt my foot?         

“I was late for the plane, so I grabbed my carry-on bag and ran like heck to make the flight.  I was the last passenger on.  But when I got on the plane, I realized that my foot hurt.  It’s been hurting now for about 2 week...

Levers, rockers and carbon graphite insoles

Part 3 – Putting it all together

In part 1 of this conversation I presented a common customer question:  can I wear just one carbon fiber insole?  I briefly discussed gait and how a carbon fiber insole may affect gait.  In part 2 of this conversation, I ...

How do carbon fiber insoles affect gait?

Part 2 - rocker mechanics of the lower extremity

Rockers are a very important part of lower extremity biomechanics.  Rockers describe pivot points in the gait cycle that decrease the range of motion of the ankle and knee.  Rockers are also employed by the b...