Can Foot Orthoses Have An Impact For Knee Osteoarthritis?
Dr. Kevin Kirby, DPM Given the common nature of knee
1. A patient returns two weeks after having orthotics dispensed and complains of orthotics slipping from side to side. Examination reveals orthotic 1/2″ proximal to the metatarsal heads. What adjustment is most likely needed?
a. Decrease rearfoot varus post
b. Increase rearfoot varus post
c. Decrease length of orthotic
d. Decrease calcaneal inclination angle
e. Remake the orthotic
2. A patient returns two weeks after having orthotics dispensed and complains of a new symptom: pain in the anterior medial heel area. What adjustments may be needed?
a. Decrease rearfoot varus post
b. Increase rearfoot varus post
c. Decrease length of orthotic
d. Decrease calcaneal inclination angle
e. Remake the orthotic
3. A patient returns two weeks after having orthotics dispensed and complains of pain sub-2nd metatarsal. What adjustment is most likely needed?
a. Decrease rearfoot varus post
b. Increase rearfoot varus post
c. Decrease length of orthtic
d. Decrease calcaneal inclination angle
e. Remake the orthotic
4. A patient returns two weeks after having orthotics dispensed and complains of sliding laterally off of the orthotic. What adjustment is most likely needed?
a. Decrease rearfoot varus post
b. Increase rearfoot varus post
c. Decrease length of orthotic
d. Decrease calcaneal inclination angle
e. Remake the orthotic
5. A patient returns two weeks after having orthotics dispensed and complains of pain in the lateral calf of the left leg. What adjustment is most likely needed?
a. Decrease rearfoot varus post
b. Increase rearfoot varus post
c. Decrease length of orthotic
d. Decrease calcaneal inclination angle
e. Remake the orthotic
6. What condition would cause the following: shearing callous sub-2nd or 3rd metatarsal?
a. Rigid plantarflexed 1st metatarsal
b. Flexible plantarflexed 1st metatarsal
c. Forefoot valgus (flexible)
d. Forefoot valgus (rigid)
7. What condition would cause the following lesions: callous or intractable plantar keratoma, sub-1st metatarsal head or sub-4th or 5th metatarsal heads?
a. Rigid plantarflexed 1st metatarsal
b. Flexible plantarflexed 1st metatarsal
c. Forefoot valgus (flexible)
d. Forefoot valgus (rigid)
8. For what condition would you order a forefoot valgus intrinsic or extrinsic post and an intrinsic or extrinsic 0 degree rearfoot post?
a. Rigid plantarflexed 1st metatarsal
b. Flexible plantarflexed 1st metatarsal
c. Forefoot valgus (flexible)
d. Forefoot valgus (rigid)
9. For what condition would you order a rearfoot varus post and a forefoot valgus intrinsic or extrinsic post?
a. Rigid plantarflexed 1st metatarsal
b. Flexible plantarflexed 1st metatarsal
c. Forefoot valgus (flexible)
d. Forefoot valgus (rigid)
10. For what condition would you order a 1/8″ metatarsal 2-5 bar with a rearfoot varus post?
a. Rigid plantarflexed 1st metatarsal
b. Flexible plantarflexed 1st metatarsal
c. Forefoot valgus (flexible)
d. Forefoot valgus (rigid)
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