FZ Page 951

"Orthotic Pearls"

This is another in the series of "Mini-Gems", taken from the extensive DME and IOD writings by the late Rich Levin, DPM. Thanks to Dr. Ornstein for making them available for us to share with you.

Diagnostic Ultrasound: Since employing diagnostic ultrasound to my imaging armamentarium, I have seen patient acceptance of orthotic therapy skyrocket. Prior to incorporating ultrasound, I would show patients their static stance x-rays and give a mini course on podiatric biomechanics to explain common maladies like plantar fasciitis. Often I would see patients looking back at me with the “deer in the headlight” looks. Now when I scan their fascia with ultrasound they immediately can see that the heel that hurts has a thicker fascia than the one that doesn’t hurt. I believe that utilizing this modality places a perception in the patient’s mind that you are practicing “cutting-edge” podiatric medicine and they are the beneficiaries of your talents.

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