ACE-Orthotics, INC helps each individual's foot problems.
ACE-Orthotics is not only custom-made to your foot and arch, corrective wedges and covers are built into the device to help with motion control and to improve the mechanics of the foot.
Over Pronation/Pes Planus
Over Supination/Pes Cavus
Plantar Fasciitis
Achilles Tendonitis
Crossover/ overlapping Toes
Hammer Toe
Posterior Tibial Tendon Dysfunction
Claw Toe
Mallet Toe
Corns
Calluses
Sesamoiditis
Metatarsalgia
Brachymetatarsagia
Over Pronation/Pes Planus
INTRODUCTION TO Over Pronation/Pes Planus
Over-Pronation, or flat feet, is a common biomechnical problem that occurs in the walking process when a person’s arch collapses excessively upon weight bearing.
This excessive motion can cause extreme stress or inflammation on the plantar fascia and joints, potentially causing severe discomfort and leading to other foot problems.
Over Pronation/Pes Planus TREATMENT
Problem Restated: foot goes through excessive range of motion, causing stress and strain on the foot, ankle, leg, hips, etc.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Cup and support calcaneus (reg/max)
- Give additional medial support/stability
Over Supination/Pes Cavus
INTRODUCTION TO Over Supination/Pes Cavus
High arched feet are much lass common than flat feet and more likely to be associated with an abnormal orthopedic or neurological condition.
Neuromuscular diseases that cause changes In muscle tone may be associated with the development of high arches. Unlike flat feet, highly arched feet tend to be painful because more stress is placed on the section of the foot between the ankle and the toes (metatarsals).
Pes Cavus TREATMENT
Problem Restated: foot is a poor shock absorber, causing stress and strain on the foot, ankle, leg, hips, etc. Foot is a tripod on the plantar surface, causing excess pressure on heel and ball.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Cup and support calcaneus (reg/max)
- Unload painful/pressured sites
- Give additional medial support/stability
Plantar Fasciitis
INTRODUCTION TO Plantar Fasciitis
It is called AKA Heel spur syndromes. Spur corresponds to a single soft tissue attachment along the tuberosity or plantar cortex of the calcaneus. Periostitis at points of soft tissue attachment. Spur once thought to cause the pain, but now realize it is repetitive micro-trauma to Plantar Fascia.
Plantar Fasciitis TREATMENT
Problem Restated: plantar fascia along bottom of the foot is repearedly stressed and torn – due to over pronation and repeated stretching. Spur forms along insertion.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Cup and support calcaneus (reg/max)
- Give additional medial support/stability
- Give slight heel rise to reduce strain on muscle
Achilles Tendonitis
INTRODUCTION TO Achilles Tendonitis
Inflammation, irritation, and swelling of the Achilles tendon (the tendon that connects the muscles of the calf to the heel). Symptoms usually include pain in the affected heel when walking or running. The tendon is usually painful to touch and the skin over the tendon may be swollen and warm. Achilles tendonitis may predispose the patient to Achilles rupture. Patients who experience this usually describe the injury as a sharp pain, like someone hit them in the back of the heel with a stick. Athletes, particularly runners, should incorporate a thorough stretching program to properly warm-up the muscles, apply ice after the activity and avoid any uphill climes. A heel cup or heel cradle elevates the heel to reduce stress and pressure on the Achilles tendon. The device should be made with light-weight, shock absorbing materials. An orthotic device can be sued to control over-proantion, support the longitudinal arch, and reduce stress on the Achilles tendon.
Achilles Tendonitis TREATMENT
Problem Restated: Achilles tendon is stretched and stressed.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Give slight heel rise to reduce strain on muscle
Crossover/ overlapping Toes
INTRODUCTION TO Crossorve/overlapping toes
Many disorders can affect the joints in the toes, causing pain and preventing the foot from functioning as it should. Overlapping toes can occur in any of the toes and can cause extreme irritation if not corrected.
Plantar Fasciitis TREATMENT
Problem Restated: lesser toes are overlapping, causing an “abnormal”shape of the forefoot.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe
Hammer Toe
INTRODUCTION TO Mammer Toe
Most common digital deformity. Sagittal deformity. Proximal phalanx dorsiflexed, middle phalanx plantarflexed, distal phalanx in extension.
Mammer Toe TREATMENT
Problem Restated: lesser toes are sticking up/out, causing an “abnormal” shape of the forefoot.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe
Posterior Tibial Tendon Dysfunction
INTRODUCTION TO Posterior Tibial Tendon Dysfunction
PTT damage leads to structural changes and progressive ligamentous rupture, rearfoot and midfoot collapse. Adult acquired flatfoot syndrome. The inside of the ankle (medial side) appears to roll toward the opposite ankle. As the same time, both the 4th and 5th toes may be seen on the outside of the ankle, while only the 5th toe may be seen on the normal foot. With increasing deformity of the foot, the joints in the foot get very stiff, and little in and outward movement of the foot is possible.
Posterior Tibial Tendon Dysfunction TREATMENT
Problem Restated: Posterior Tibial tendon is stretched and/or stressed – allowing the entire medial column to collapse without hope of restoring it without help.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Post calcaneus for support (med/lat)
- Invert rearfoot to restore leg column
- Restore ROM due to limitedflexion
Claw Toe
INTRODUCTION TO Claw Toe
Middle and distal phalanges flexed an dorsiflexed proximal phalanx.
Claw Toe TREATMENT
Problem Restated: lesser toes are sticking up/out, causing an “abnormal” shape of the forefoot.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe
Mallet Toe
INTRODUCTION TO Mallet Toe
Sagittal plane deformity. Distal phalanx flexed on middle phalanx. Often long digit.
Mallet Toe TREATMENT
Problem Restated: lesser toes are sticking up/out, causing an “abnormal” shape of the forefoot.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe
Corns
INTRODUCTION TO Corns
A corn is a small area of thickened skin that occurs on the top or side of a toe. It is usually the result of friction or pressure from shoes that do not fit properly. Usually, remove the cause of the friction is the only treatment needed. If the corm is a result of a poor-fitting shoe, changing to shoes that fit properly will usually eliminate the corm in a period of weeks. Until then, the skin can be protected with corm pads or felt. If an infection or ulceration of the foot occurs in an area of corm formation, unhealthy tissue may need to be removed by a health care provider and treatment with antibiotics may become necessary.
Corn TREATMENT
Problem Restated: exxess pressure is causing the skin to build up to protect itself.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe deformity
- Unload painful/pressured sites.
- Reduce shear on foot’s plantar surface
Calluses
INTRODUCTION TO Calluses
Calluses are thickened layers of skin caused by repeated pressure or friction. The thickening of the skin is a protective reaction designed to provide protection. Usually, removing the cause of the friction is the only treatment needed. If an infection or ulceration of the foot or hand occurs in an area of callus formation, unhealthy tissue may need to be removed by a health care provider and treatment with antibiotics may become necessary.
Calluses TREATMENT
Problem Restated: excess pressure is causing the skin to build up to protect itself.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Accommodate toes/toe deformity
- Unload painful/pressured sites
- Reduce shear on foot’s plantar surface
Sesamoiditis
INTRODUCTION TO Sesamoiditis
Like other bones, sesamoids can break (fracture). Additionally, the tendons surrounding the sesamoids can become irritated or inflamed. This is called sesamoiditis and is a form of tendonitis. It is common among ballet dancers, runners and catchers.
Sesamioditis TREATMENT
Problem Restated: painful/irritated sesamoids make walking painful.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Unload painful/pressured sites
- Unload entire forefoot
- Limit 1st MTP extension with a sole stiffener
Metatarsalgia
INTRODUCTION TO Metatarsalgia
Metatarsalgia is a general tem used to denote a painful foot condition in the metatarsal region (the ball-of-the-foot). This is a common foot disorder, often located under the 2nd, 3rd, and 4th metatarsal heads. One or more of the metatarsal heads becomes painful and/or inflamed, usually due to excessive pressure ove a long period of time.
Metatarsalgia TREATMENT
Problem Restated: painful/irritated metatarsal heads make walking painful.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Unload and spread met heads
- Unload painfyl/pressured sites
- Unload entire forefoot (severe cases)
Brachymetatarsagia
INTRODUCTION TO Brachymetatarsalgia
Short metatarsal. Premature closure of the growth center of the metatarsal. Causes over-loading of adjacent metatarsals.
Brachymetatarsalgia TREATMENT
Problem Restated: painful/irritated metatarsal heads make walking painful.
Pedorthics Goals:
- Support, cushion and balance foot/arches
- Unload painful/pressured sites
- Unload entire forefoot (severe cases)