Orthotic Modifications
The many variations of Orthotic Modifications we make at Premier Orthotics Lab
HEEL SPUR PAD
Indicated for centrally located heel spurs to lift the Calcaneous off the orthotic shell
ARCH STRIP
Addition of a strip in the medial aspect of the shell to add rigidity to the MLA without adding bulk
1st MET CUT OUT
A 45 degree angle cut out under the 1st metatarsal head to the lateral edge of the 1st metatarsal head. Indicated for strong supinators, functional hallux limitus, bunions, hallux valgus and plantarflexed 1st met heads
1st RAY CUT OUT
An angled grind from the lateral edge of the 1st metatarsal head to the apex of the navicular. Indicated for strong supinators with plantarflexed 1st ray
FULL HEEL CUSHION
Standard 1/16 nyplex cushion addition to dorsal aspect of shell for full calcaneal contact. Indicated for heel pain, shock absorption, non-centrally located heel spurs and loss of fat pad/boney heel syndrome
KINETIC WEDGE aka DANCER’S PAD, SESAMOID PAD
Standard 1/8 poron distal extension to sulcus transversing from medial edge of foot to lateral edge across the metatarsal heads with a 1 inch hole cut out under the 1st metatarsal head. Indicated for sesamoiditis, plantarflexed 1st ray or bunion
MORTON’S EXTENSION
Standard 1/8 micro cell distal extension from distal/ anterior edge of shell under the great toe to Proximal Interphalangeal joint (IPj). Extension can be to end of toes if instructed and also made from 1/16 or rigid out of shell if instructed. Indicated for short 1st ray, hallux limitus or hallux rigidus
REVERSE MORTON’S EXTENSION
Standard 1/8 micro cell distal extension to sulcus from medial edge of 2nd metatarsal head transversing laterally to lateral edge of 5th metatarsal head. Thickness can be 1/16 if instructed as well as specific choice of material. Indicated for plantarflexed 1st metatarsal head, sesamoiditis or bunions
METATARSAL PAD
Standard grey latex low dense metatarsal pads ranging in sizes from 1, 2, 3, and 4 ( size is dependant on foot width). Standard is full thickness but can be modified to medium thickness (1/16 less) to thin (1/8 less). Placement of pad is located under 2nd and 4th centered under 3rd metatarsal head proximal to the metatarsal heads. Placement can be otherwise if instructed. Indicated for metatarsalgia, dropped transverse arches and clawed toes
PROXIMAL METATARSAL PHALANGEAL PAD (PMP)
Standard 1/16 poron thickness extending from distal edge of shell to sulcus transversing from medial edge to lateral edge of forefoot. Thickness can be otherwise if instructed. Indicated for calloused metatarsal heads
HEEL HOLE
Standard centrally located 1 inch diameter hole cut through orthotic shell filled with poron plug. Indicated for centrally located heel spurs
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