At Concorde Therapy Group, we are dedicated to comprehensive, quality care for patients with foot and ankle problems. In addition to traditional therapeutic modalities, our knowledge of biomechanics enables us to apply the principles and techniques of mechanics to the human body. Gait and biomechanics also deal with the structure and function of the segments of the foot as they pertain to the legs, hips, and spine.
Our knowledge of biomechanics has taught us that, by establishing the optimal functional position of the feet and lower extremities, the entire skeletal complex is permitted to function in an optimally efficient fashion. If there is a biomechanical fault, the body compensates, or adjusts, by either rolling the foot into excessive pronation or supination. When that occurs, abnormal forces are created in the foot and leg, causing potential problems. These problems may include shin splints, plantar fasciitis (heel spur syndrome), metatarsalgia, interdigital neuromas, achilles tendinitis, posterior tibial dysfunction and/or patellofemoral pain.
Medications, exercise and/or rest often do not resolve the primary symptoms, and custom foot orthotics may be required to treat the underlying cause of the problem. Maintaining a subtalar neutral position of the foot with custom orthotics is often the best long-term solution to these problems. An over-the-counter type of arch support simply makes the arch weightbearing, which is neither desirable nor well tolerated, and may cause other compensatory problems. A custom orthotic specifically “raises the ground” to the rear or forefoot to provide improved neutral positioning and alleviation of symptoms.
Many times, patients receive temporary orthotic management to not only provide immediate treatment, but to evaluate the potential effectiveness of long-term orthotic management. If custom orthotics are indicated, the therapist makes a neutral position plaster cast of the foot to “capture” the deformity. These casts are sent to a laboratory where the permanent orthotics are fabricated based on the cast and specific instructions from the therapist/physician.
Careful re-assessment of the patient with the orthotics and follow-up during the initial wearing period complete the initial management. Orthotics may also be modified over time as needed due to changing skeletal make-up, or in the case of younger patients, skeletal growth and development.
Most insurance companies offer coverage for custom orthotics. Our office staff can pre-verify orthotic coverage prior to the start of treatment.
In addition to orthotic management, we are able to offer a comprehensive spectrum of therapy services for patients with lower extremity pain and dysfunction.
Simple measures such as stretching, strengthening, taping, or shoe gear changes may also be recommended. From a treatment perspective, modalities such as ultrasound, iontophoresis, electrical stimulation and deep tissue massage/joint mobilization may be performed. The use of resting night splints is also very effective for problems such as plantar fasciitis or achilles tendinitis.
Services for acute management and pain relief include:
Our unique combination of facilities and expertise allows us to provide specialty programs not available elsewhere in our service area. This allows to not only deal with complex rehabilitation issues, but to resolve minor aches and pains quickly, avoiding many more progressive problems.
Mark Mottice, PT, MS, our Belden Village Facility Manager, coordinates specialty services for foot and lower extremity dysfunction. Mark has over 35 years of clinical experience dealing with overuse injuries, particularly as they relate to the foot and lower extremity. Mark is joined by a skilled team of physical therapists, physical therapist assistants, and athletic trainers to provide comprehensive therapy services.
To discuss foot orthotic management, contact Mark Mottice, PT, MS, at our Belden Village Facility at 330-493-4210.