Larry Huppin, DPM

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Why The Coleman Block Test Is Beneficial In Orthotic Prescription Writing For Lateral Instability

08/03/2017

I did a consult with a colleague regarding how to write the best orthotic prescription for a patient who was laterally unstable. The colleague stated that in the biomechanical exam he measured the resting calcaneal stance position as nearly...

I did a consult with a colleague...

08/03/2017

Podiatry Today

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Modifying Orthotics To Resist Rearfoot Eversion In Hallux Limitus

12/19/2014

Larry Huppin , DPM;

When the rearfoot everts, it 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 the patients begins to toe-off. An article published...

When the rearfoot everts, it...

12/19/2014

Podiatry Today

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Why You Should Avoid Ankle Plantarflexion When Casting Functional AFOs

08/23/2016

Larry Huppin , DPM;

Proper casting position is critical when you are prescribing a functional ankle-foot orthotic (AFO). Recently, I have seen a number of functional AFO casts with excessive plantarflexion. These casts are unusable and have to be redone. This,...

Proper casting position is...

08/23/2016

Podiatry Today

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When A High Arched Patient Has Dorsal Foot Pain With Orthoses

02/07/2014

Larry Huppin , DPM;

A fairly common complication for patients with cavus foot type who begin wearing orthosis is to develop pain on the dorsum of the foot secondary to shoe pressure.

A fairly common complication for...

02/07/2014

Podiatry Today

Adjusting Orthoses: Simple Solutions To Common Complaints

01/27/2014

Larry Huppin , DPM;

Troubleshooting orthoses is a vital skill when a patient returns with a complaint about the prescribed device. This author presents a guide to remediating common problems, including addressing arch irritation, how to add valgus extensions...

Troubleshooting orthoses is a...

01/27/2014

Podiatry Today

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How To Modify Orthoses When The Heel Is Slipping Out Of The Shoe

09/23/2015

Larry Huppin , DPM;

I had a consult call from a colleague whose patient was complaining that his heel was slipping out of his shoe when he wore his orthotics. This was a polypropylene orthosis with an ethylene vinyl acetate (EVA) rearfoot post.

I had a consult call from a...

09/23/2015

Podiatry Today

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How To Accommodate For Prominent Styloids

04/04/2013

Larry Huppin , DPM;

I recently saw a patient for whom I dispensed a new pair of orthotic devices. This patient had a prominent styloid process. When considering an orthosis for a patient with a prominent styloid process, you have to determine where the styloid...

I recently saw a patient for...

04/04/2013

Podiatry Today

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How Long Should Patients Wear Prefabricated Orthoses?

06/02/2017

Larry Huppin , DPM;

During a recent seminar, a podiatrist who prescribed prefabricated orthotics asked for feedback on how long I would let my patients use prefabs to find out if custom devices will likely work.

During a recent seminar, a...

06/02/2017

Podiatry Today

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What The Research Reveals About Blister Prevention In Ultra Endurance Runners

11/21/2014

Larry Huppin , DPM;

A recent study published in the Journal of the American Podiatric Medical Association (JAPMA) evaluated the incidence, location, pain and risk factors of blisters occurring in people who participate in ultramarathons.1 The study authors...

A recent study published in the...

11/21/2014

Podiatry Today

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Mission Impossible: Orthoses For Ballet Flats

07/28/2016

Larry Huppin , DPM;

I have received several questions about the best orthotics for ballet flats. There currently is a very popular style of women’s dress shoes based on ballet shoes. They are very flexible and have little or no heel height. Ballet flats tend to...

I have received several...

07/28/2016

Podiatry Today