I'm glad to see another Podiatrist using this Method for his orthotics. I worked for a Podiatrist in Arkansas, and he does the same method for his inserts, and Believe me everyone reading this comment, they are more than exceptional. Sets at the time costed around 900 dollars, but in majority cases last for 10 plus years. If you are looking for some foot, ankle, knee, hip, and back relief, these are a great Step towards Not using Narcotics. I fell off a truck In the Army during training, and have had issues from head to toe ever since. hip surgeries, soon to be hip replacement, shoulder surgery, etc. These Orthotics Make life Better. These are even Appropriate for kids of all ages, because there is no limit on age for these medical devices. Keep up the Good work Dr. PS I'm not sure on prices now days, but don't let Price Scare you away from this, because once you get them, they will change your life.
Thanks! The only orthotics that ever helped me were made this way 20 yrs ago. A chiropractor in WY molded them in that same foam. Very stiff leather construction. They lasted 6 years--then one accidentally got in the darn wood box and thrown in the woodstove at night! ! 😣wish I could find more like them.
I am a difficult fit but I have had years of success with Foot Levelers. The company works only with Chiropractors. A chiro will have to take the impressions.
This was super informative. I was just about to order Upstep but Now I’m starting to understand that they really aren’t going to give a true and accurate impression of my foot since I’ll be weight-bearing. Thank you for Sharing your knowledge!! :)
I find it interesting that you press the heel, then the outside of the foot, toes and then the ball because in my mind that is also the correct way to run. Valuable information. As a critic of uncomfortable shoes I have been watching some shoemaker videos. They start with a wooden foot model. It is really great especially if you have unusual feet. Shoes are on the verge of total reinvention. We have 3D imaging. Lots of choice of castable materials, 3D printing. Crocs are proof of it but low end running shoes are not. Making the shoe actually fit the person is were all the money is in Shoes is going to be. It may lean towards local markets too because the scanning operation needs to be done just right.
Thank you Drake for your comment and your interesting observations. I find that many people have resorted to cheap throwaway shoes now. It is called synthetic authenticity. They want the shoe that looks like the real deal but they don't want to spend the money for it. I think you have to spend your money on three things: eyes, teeth and feet. You can always skimp on your jeans...
@@frugalfoot4973 Dr Dave ,I have to disagree on your theory of the rigid arch support,mine are heavy duty orthotics that hug my arch and DO NOT FLEX at all and they are awesome!!!!!! Been wearing these now for 8 years and they are bulletproof!!!! I can send you a pic of one if you wish
Hi the first method will result in a pronated foot cast, the second method is slightly better The skill is maintaining a correct foot position similar to Roots neutral and from a weight bearing position the pt bears weight on the heel while podiatrist maintains foot position preventing internal rotation of the tibia that will cause pronation and pushing the forefoot With practice this will result in correct foot arch Uk podiatrist
Interesting. I was wondering about that as I have this problem. It doesn’t seem my big toe side should be pushed all the way down. I go to podiatrist next week.
Thanks for this very informative video, Dr.Dave. I plan to get fitted for orthotics in a few weeks. I didn’t consider asking the podiatrist whether he uses the plaster cast or foam. I prefer foam after watching this video. If the podiatrist uses the plaster method, should I look elsewhere until I find a podiatrist who uses foam molds? Thanks.
Watching this has honestly made me upset. I got custom orthotics last year from a local podiatrist. They were not covered by insurance and costed me about $700. My doc took the molds the first way you showed- me standing and my arches collapsing. I explained this to him- I said once I stand my foot is pronating... and he assured me I was wrong. Now that I see this I know I was right. And those orthotics do not help me. And I’m pissed I paid $700 for them.
It is very frustrating. From what I understand, this method is now being taught in some podiatry curriculum as an alternative casting method. So there is some hope for the future.
I have a good podiatrist and they can sometimes modify orthotics within some reason with some molding and lifts. If its possible to get a second opinion with a podiatrist that knows what they are doing they might be able to help with some mods.
This is very helpful Dr. Dave, like your other videos. But how do patients find a Podiatrist that uses press molding with impression foam? Is it appropriate to ask when scheduling an appointment with a Podiatrist? Or do you know any Podiatrists in Portland, Oregon that use this method?
A good company to look into is Sole Supports. I looked at their "find a provider" link for Portland Oregon and there weren't any podiatrists (which is quite a disappointment). There were some chiropractors that are on the map. Regardless, it is always best to find a provider who is well experienced in doing these inserts, not just the doc who does one or two a year. All the best.
Gosh, I wish you were in Australia because I would be there in a flash! Please tell me you have affiliated associates in Australia! ?? Anyways, great video and thank you!
One more comment the orthotics or the moulded insoles on top have to fit the feet on the bottom they have to fit the insole of the shoe with a proper heel height. If the 3 do not come together then you are not completely served
I have had Rx orthotics made the seated way you showed. I have a new Rx to get new ones, but trying to save some $$. Do you know of any good online retailers that use foam molds? I would mold seated, as you suggest.
I've heard good things about upstep, and they send you a foam mold box similar to the one shown in this video. A lot less than the $700 I'm seeing other people mention in the comments, but still not cheap.
@@wormfood868 As I state in the video, every doctor has their opinion on how to cast for an orthotic. A step in the box method, such as what is demonstrated in the video on the Upstep website, is not a method that I support.
@@frugalfoot4973 Yes, but since Madeline said she was planning to use the method you demonstrated for making the impression in the foam, I thought it reasonable to respond to her question.
You did the moulding well but there is a problem when the orthotics and the moulded insoles are made. They follow certain practises as learned from school but are not innovative when produce the required product especially with the moulded insoles They do not consider one thing the shoe
I want to learn to make my own orthotics, I’ve got cmt and they are $700 a pop. Where can I find detailed instruction in regards to materials and baking the foam?
@@michaelpacillo5975 When you said CMT I thought you were referring to some sort of credentialing like cPed to make orthotics. Yes I am aware of Charcot Marie Tooth. The day of fabricating orthotics in the back office are long behind us. Fabrication requires complex machinery and meticulous calibration. You are far better off spending the money. But $700... wow. way more than I charge. Worse than the cost - In my opinion - is finding a doctor who understands engineering and works with a lab that also understands engineering. Again, in my opinion, most do not. I will be doing a video on that soon.
Frugal Foot , thank you for the info, I have a guy in Alaska that I’ve used for about 12 years and he does a good job, he wants to put me in braces and I’m just not down with braces. But anyhow thank you.
The foam impression is only one stage in making the orthotic . The modifications made to the plaster by the orthotist afterwards go a long way to making the finished product . This fact was completely overlooked , and is misleading to say the least . I know , I make foot orthotics everyday .
Any modification, outside of calibration, that is made to the positive mold negates the engineering aspect of how to make an orthotic using math and physics. If you watch my video series on orthotics it will explain all this and you will understand the method better. Thanks for your comment.
The orthotics and moulded insoles are useless a lot of the time because in order to be effective one needs the proper footwear which is not being produced I can prove that easily. This comment of mine makes a lot of people angry in the specialty stores because they do not have the properly made shoes. They sell anything as long as they make a buck
I'm glad to see another Podiatrist using this Method for his orthotics. I worked for a Podiatrist in Arkansas, and he does the same method for his inserts, and Believe me everyone reading this comment, they are more than exceptional. Sets at the time costed around 900 dollars, but in majority cases last for 10 plus years. If you are looking for some foot, ankle, knee, hip, and back relief, these are a great Step towards Not using Narcotics. I fell off a truck In the Army during training, and have had issues from head to toe ever since. hip surgeries, soon to be hip replacement, shoulder surgery, etc. These Orthotics Make life Better. These are even Appropriate for kids of all ages, because there is no limit on age for these medical devices. Keep up the Good work Dr. PS I'm not sure on prices now days, but don't let Price Scare you away from this, because once you get them, they will change your life.
Thanks for your comment and thank you for your service.
Makes perfect sense the way you describe it.
Thanks! The only orthotics that ever helped me were made this way 20 yrs ago. A chiropractor in WY molded them in that same foam. Very stiff leather construction. They lasted 6 years--then one accidentally got in the darn wood box and thrown in the woodstove at night! ! 😣wish I could find more like them.
I am a difficult fit but I have had years of success with Foot Levelers. The company works only with Chiropractors. A chiro will have to take the impressions.
Try Hanger Clinic
THANK YOU for demonstrating the correct way to cast for orthotics. I have flat feet and get no relief from orthotics that collapse.
This was super informative. I was just about to order Upstep but Now I’m starting to understand that they really aren’t going to give a true and accurate impression of my foot since I’ll be weight-bearing. Thank you for
Sharing your knowledge!! :)
Have you found a place to make you great insoles? I’m looking for a place to help my wife with her planters fasciitis.
I find it interesting that you press the heel, then the outside of the foot, toes and then the ball because in my mind that is also the correct way to run. Valuable information.
As a critic of uncomfortable shoes I have been watching some shoemaker videos. They start with a wooden foot model. It is really great especially if you have unusual feet. Shoes are on the verge of total reinvention. We have 3D imaging. Lots of choice of castable materials, 3D printing. Crocs are proof of it but low end running shoes are not. Making the shoe actually fit the person is were all the money is in Shoes is going to be. It may lean towards local markets too because the scanning operation needs to be done just right.
Thank you Drake for your comment and your interesting observations. I find that many people have resorted to cheap throwaway shoes now. It is called synthetic authenticity. They want the shoe that looks like the real deal but they don't want to spend the money for it. I think you have to spend your money on three things: eyes, teeth and feet. You can always skimp on your jeans...
@@frugalfoot4973 Dr Dave ,I have to disagree on your theory of the rigid arch support,mine are heavy duty orthotics that hug my arch and DO NOT FLEX at all and they are awesome!!!!!! Been wearing these now for 8 years and they are bulletproof!!!! I can send you a pic of one if you wish
@@MarkB-zt9jm Mark B6750 - If you are happy with what you have and it is working for you then that is awesome! I appreciate your comment.
Thanks , you gave me ideas about what not to do. Now to refine what to do.
Hi the first method will result in a pronated foot cast, the second method is slightly better
The skill is maintaining a correct foot position similar to Roots neutral and from a weight bearing position the pt bears weight on the heel while podiatrist maintains foot position preventing internal rotation of the tibia that will cause pronation and pushing the forefoot
With practice this will result in correct foot arch
Uk podiatrist
Interesting. I was wondering about that as I have this problem. It doesn’t seem my big toe side should be pushed all the way down. I go to podiatrist next week.
Thanks for this very informative video, Dr.Dave. I plan to get fitted for orthotics in a few weeks. I didn’t consider asking the podiatrist whether he uses the plaster cast or foam. I prefer foam after watching this video. If the podiatrist uses the plaster method, should I look elsewhere until I find a podiatrist who uses foam molds? Thanks.
The name of the company that makes this type of orthotic is Sole Support. You can look them up online and do more research. All the best.
Great video. Thanks!
Watching this has honestly made me upset. I got custom orthotics last year from a local podiatrist. They were not covered by insurance and costed me about $700. My doc took the molds the first way you showed- me standing and my arches collapsing. I explained this to him- I said once I stand my foot is pronating... and he assured me I was wrong. Now that I see this I know I was right. And those orthotics do not help me. And I’m pissed I paid $700 for them.
It is very frustrating. From what I understand, this method is now being taught in some podiatry curriculum as an alternative casting method. So there is some hope for the future.
I have a good podiatrist and they can sometimes modify orthotics within some reason with some molding and lifts. If its possible to get a second opinion with a podiatrist that knows what they are doing they might be able to help with some mods.
This is very helpful Dr. Dave, like your other videos. But how do patients find a Podiatrist that uses press molding with impression foam? Is it appropriate to ask when scheduling an appointment with a Podiatrist? Or do you know any Podiatrists in Portland, Oregon that use this method?
A good company to look into is Sole Supports. I looked at their "find a provider" link for Portland Oregon and there weren't any podiatrists (which is quite a disappointment). There were some chiropractors that are on the map. Regardless, it is always best to find a provider who is well experienced in doing these inserts, not just the doc who does one or two a year. All the best.
Thank very much for your, effort, wisdon, and clarity... i have a bonion, is there a difference on how the sole should be properly done.
In my opinion there is no difference. However, an orthotic cannot fix a bunion - it may only prevent it from worsening. Thanks for your kind comment.
Gosh, I wish you were in Australia because I would be there in a flash! Please tell me you have affiliated associates in Australia! ?? Anyways, great video and thank you!
What if foot already has tendency to roll outward on heel. Is there special casting process for that?
It is molded the same way regardless if the foot has a tendency to roll out.
That is clever because when you push the foot down normally the ligaments tighten.
Totally makes sense
Nice
One more comment the orthotics or the moulded insoles on top have to fit the feet on the bottom they have to fit the insole of the shoe with a proper heel height. If the 3 do not come together then you are not completely served
I have had Rx orthotics made the seated way you showed. I have a new Rx to get new ones, but trying to save some $$. Do you know of any good online retailers that use foam molds? I would mold seated, as you suggest.
I have not found any online retailers that mold on the floor with the arch elevated and calibrated. If I do I will certainly make a video on them.
I've heard good things about upstep, and they send you a foam mold box similar to the one shown in this video. A lot less than the $700 I'm seeing other people mention in the comments, but still not cheap.
@@wormfood868 As I state in the video, every doctor has their opinion on how to cast for an orthotic. A step in the box method, such as what is demonstrated in the video on the Upstep website, is not a method that I support.
@@frugalfoot4973 Yes, but since Madeline said she was planning to use the method you demonstrated for making the impression in the foam, I thought it reasonable to respond to her question.
You did the moulding well but there is a problem when the orthotics and the moulded insoles are made. They follow certain practises as learned from school but are not innovative when produce the required product especially with the moulded insoles They do not consider one thing the shoe
another awesome video
Thank you.
I want to learn to make my own orthotics, I’ve got cmt and they are $700 a pop. Where can I find detailed instruction in regards to materials and baking the foam?
What is CMT?
Frugal Foot Charcot Marie tooth, muscular dystrophy. Progressive neuromuscular disease.
@@michaelpacillo5975 When you said CMT I thought you were referring to some sort of credentialing like cPed to make orthotics. Yes I am aware of Charcot Marie Tooth. The day of fabricating orthotics in the back office are long behind us. Fabrication requires complex machinery and meticulous calibration. You are far better off spending the money. But $700... wow. way more than I charge. Worse than the cost - In my opinion - is finding a doctor who understands engineering and works with a lab that also understands engineering. Again, in my opinion, most do not. I will be doing a video on that soon.
Frugal Foot , thank you for the info, I have a guy in Alaska that I’ve used for about 12 years and he does a good job, he wants to put me in braces and I’m just not down with braces. But anyhow thank you.
The foam impression is only one stage in making the orthotic . The modifications made to the plaster by the orthotist afterwards go a long way to making the finished product . This fact was completely overlooked , and is misleading to say the least .
I know , I make foot orthotics everyday .
Any modification, outside of calibration, that is made to the positive mold negates the engineering aspect of how to make an orthotic using math and physics. If you watch my video series on orthotics it will explain all this and you will understand the method better. Thanks for your comment.
U7
The orthotics and moulded insoles are useless a lot of the time because in order to be effective one needs the proper footwear which is not being produced I can prove that easily. This comment of mine makes a lot of people angry in the specialty stores because they do not have the properly made shoes. They sell anything as long as they make a buck