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Pedorthist

 

Jays Wide Shoes | Wide & Extra Wide Comfort Shoes | Portland, OR | Foot Health

Our Certified Pedorthists
are qualified to fit,
modify, and dispense
shoes and foot orthosis to
alleviate problems caused
by disease, such as
diabetes, congenital
conditions or injury.

A Pedorthist is an individual who has studied foot and ankle anatomy, shoe construction and modification. The Pedorthists on our staff have been tested and accepted by the AMERICAN BOARD FOR CERTIFICATION OF ORTHOTICS AND PROSTHETICS. In addition, they participate in continuing education programs to maintain their certification.

Pedorthic Solutions

The average person walks over 100,000 miles during a lifetime - that's the equivalent of four trips around the world! When walking, we put three times our bodyweight on each foot with every step. For a person weighing 150 pounds, that comes out to almost 5 million pounds of pressure on each foot - every day!

The human foot is made up of 26 bones, 19 muscles, 33 joints, 119 ligaments, about 20 tendons, three arteries and five nerves. With all that walking and so many intricate components of the foot, it's easy to see why four out of every five Americans will experience a foot problem at some point.

Those problems can be something as simple as a callus or blister, or something complicated enough to require surgery. Problems can be cause by overuse or by traumatic injury; or they can be caused by a systematic disease, such as diabetes or rheumatoid arthritis.

Pedorthists uses therapeutic footwear to help ease or eliminate these foot problems. Therapeutic footwear includes shoes (either custom or off-the-shelf), shoe modifications, socks and foot orthoses. The pedorthist's main goal is to help a patient enjoy a pain-free, ambulatory lifestyle.

Pedorthists work mainly from a prescription provided by a physician. While most of the work a pedorthist does is with prescription footwear and custom-made orthoses, there are many over-the-counter solutions for people who haven't had or don't need a medical evaluation.

Many manufacturers make shoes specifically for pedorthic use. These shoes are called 'depth' shoes. They have factory insoles that are easily removed for replacement with foot orthoses. The toe area is "roomy" and can be readily modified. Nowadays, these shoes include many styles - from a wingtip-dress shoe to a running shoe to a hiking boot. In cases of severe deformity, a pedorthist will actually custom-make a shoe from a model of the patient's foot. It is often necessary to modify a shoe with modifications such as wedges, flares, lifts, rocker soles, or additional padding.

Foot orthoses can be fabricated to fit a wide variety of shoes. A custom-made orthosis is made from a model of the patient's foot - either an actual model of the foot or a computer-generated model. There are literally hundreds of different materials used to fabricate foot orthoses, and a pedorthist is an expert at determining the correct combination of materials for each individual patient.
 

Cost of Pedorthics

The cost of foot surgery and recovery is more than $3.5 billion every year in the U.S. Pedorthic care, undertaken at the onset of a problem, can reduce pain and many times alleviate the need for surgery and/or hospitalization. Customarily, charges for pedorthics are based on what shoes, orthoses, or other services or products are required. The costs vary depending on factors like the choice of materials used or the complexity of the problem. Most pedorthists see patients by appointment, and there may or may not be a separate fee for an initial evaluation. During the initial evaluations, the pedorthist can offer an estimate of what is needed before the patient agrees to proceed with the work. Many health insurance providers recognize the preventative benefits of pedorthic care. Pedorthics, because it is conservative care, can be very cost-effective

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