Larry Huppin, DPM

Blog

Key Orthotic Principles For Resisting Rearfoot Eversion In Patients With Hallux Limitus

03/09/2018

Rearfoot eversion forces the medial forefoot into the ground. This results in a dorsiflexion force on the first ray and jamming of the first metatarsophalangeal joint (MPJ) as patients begin to toe-off.

Rearfoot eversion forces the...

03/09/2018

Podiatry Today

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Creating A Groove In An Orthosis To Address Plantar Fascia Irritation

07/09/2015

Larry Huppin , DPM;

We have had patients present with a prominent plantar fascia that was being irritated by new orthoses. How would you treat these patients? Below is a standard troubleshooting plan for creating a plantar fascia groove in an orthosis fabricated...

We have had patients present...

07/09/2015

Podiatry Today

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When A Patient Says An Orthotic Feels ‘Too Far Forward’ In The Shoe

01/04/2013

Larry Huppin , DPM;

One of the more common issues that patients might complain of when first wearing a new orthosis is that one or both orthoses may feel like they are “too far forward” in the shoe. The patient may even complain that he or she feels like the...

One of the more common issues...

01/04/2013

Podiatry Today

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When There Is Considerable Splay Of The Toes And Significant Toe Pain With Steel Toe Boots

03/09/2017

Larry Huppin , DPM;

A patient presented with painful fourth and fifth toes on the right foot in the steel toe boots he must wear for work. He had tried a number of brands and always developed rather severe pain by the end of the day. The left foot was fine. He...

A patient presented with painful...

03/09/2017

Podiatry Today

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Addressing Calcaneus Gait With AFOs

08/28/2014

Larry Huppin , DPM;

I received a call from a colleague with questions regarding how to make an AFO for a patient who had a poor outcome following a spinal surgery. She developed a dropfoot on the left side. This is not an unusual complication of such a surgery....

I received a call from a...

08/28/2014

Podiatry Today

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Prescribing An Orthotic For A Patient With Bilateral Midtarsal Joint Arthritis

05/06/2016

Larry Huppin , DPM;

A colleague recently called about a patient with bilateral midtarsal joint arthritis. In this case, the goal is fairly simple. We want to limit midtarsal joint motion and in doing so reduce the patient’s pain. The patient has moderate arch...

A colleague recently called...

05/06/2016

Podiatry Today

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When A Runner/Cyclist Presents With Second Metatarsal Pain

11/07/2013

Larry Huppin , DPM;

A colleague recently asked me which orthotic type would be best for a runner/cyclist who has chronic sub-2nd MPJ capsulitis, which he felt was due to a relatively short first ray. The goal with any capsulitis is to reduce weightbearing on the...

A colleague recently asked me...

11/07/2013

Podiatry Today

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Getting To The Bottom Of A Patient Complaint About Having Blisters After Orthotic Use

01/11/2018

Larry Huppin , DPM;

A colleague contacted me about a patient who is getting blisters when wearing her new orthotics. The patient sent the orthotics back once for modification but they were still causing blisters.

A colleague contacted me about a...

01/11/2018

Podiatry Today

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Is Your Custom Orthosis Really Custom?

06/04/2015

Larry Huppin , DPM;

When you prescribe a custom foot orthosis, do you always know what you are getting from your lab? Not long ago it was clear that if you ordered a custom orthosis, you were getting a truly custom orthosis. You sent in a plaster cast and the...

When you prescribe a custom foot...

06/04/2015

Podiatry Today

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Why I Always Prescribe Full-Width Foot Orthotics For Overweight Patients

12/04/2012

Larry Huppin , DPM;

I just saw a prescription come into ProLab Orthotics from a new client. The doctor noted on the prescription form that the patient had plantar fasciitis and weighed 280 pounds. Her prescription was for a Featherweight orthosis (a functional...

I just saw a prescription come...

12/04/2012

Podiatry Today