Comfort Shoe Specialists

11693 Manchester Rd

St. Louis, MO 63131

314-822-3300

CONDITIONS WHICH INDICATE PEDORTHIC MANAGEMENT

Metatarsalgia	•Symptoms                                     *Solutions
	•Calluses and/or Plantar forefoot pain aggravated by loading (especially hard surfaces) *Unload and cushion metatarsal heads; metatarsal supports; custom orthosis with metatarsal relief
Interdigital Neuroma
	•Burning, tingling, aching pain radiating into two adjacent toes *Metatarsal support incorporated into custom orthosis; wider toe box and lower heeled footwear
Claw Toes/Hammertoes
	•Dorsal toe irritation +/- toe tip pain. *Accommodate with depth shoes and/or stretching. Cushion toes; toe crests with accommodative orthosis.
Pes Planus Pronation / Post Tib Tendonitis or Rupture
	•Medial ankle pain and instability, lateral ankle impingement pain. *Semi-rigid arch supporting orthosis, extra depth shoes with extended medial counters and/or medial stabilizers
Pes Cavus / Supination
	•Lateral ankle pain and instability, lateral foot overload-pain and calluses; metatarsalgia. *Lateral heel flair +/- wedging, orthosis with lateral border, posting and metatarsal head relief.
Heel Pain / Plantar Fascitiis
	•Heel Pain +/- Long Arch Pain *Initial: well fitting shoes with counters and arch support.  Resistant cases: semi-rigid orthosis with shoes.
Bunion / Bunionette
	•Pain over medial or lateral forefoot prominences. *Wide toe box footwear; custom orthosis; shoe stretching.
Rheumatoid Arthritis
	•Severe foot disorders and/or deformities; metatarsal head prominence, claw-toes, bunions. *Accommodate deformities: depth or custom shoes; Unload and cushion metatarsal heads with accommodative or semi-rigid supports incorporating metatarsal relief.
Plantar Ulceration
	•Diabetic Neuropahty *Full contact orthosis unloading high pressure areas; depth or custom shoes; rocker soles.

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