current Pedor thics The Official Publication of the Pedorthic Footcare Association Diabetes: Impact Your Patient with Knowledge Page 14 Vol. 43, Issue 2 | March/April 2011 | www.pedorthics.org The Diabetic Foot: An Opportunity for Pedorthists Page 22 Shared Shared insole insole features: features: • Strong arch and metatarsal rise helps relieve pain in the ball of the foot, and guard against harmful • Strong arch and metatarsal rise helps relieve pain in the ball of the foot, and guard against harmful over-pronation. over-pronation. • Biomechnical engineering utilizes advanced materials to provide support and stability for foot health • Biomechnical engineering utilizes advanced materials to provide support and stability for foot health and comfort and comfort • Polyurethane base layer provides cushioning that will never flatten out over time or lose its comfort. • Polyurethane base layer provides cushioning that will never flatten out over time or lose its comfort. • Vy-Gel™ performance grade elastomer pads provide shock absorption across the forefoot and heel • Vy-Gel™ performance grade elastomer pads provide shock absorption across the forefoot and heel strike to protect against fasciitis. strike to protect against fasciitis. • Anti-Friction fabric (excluding Pressure Relief insole) wicks moisture away from the foot, reducing • Anti-Friction fabric (excluding Pressure Relief insole) wicks moisture away from the foot, reducing heat and shear to prevent blisters. heat and shear to prevent blisters. • Durasof fabric (except for Pressure Relief insole), a full length open cell, breathable, anti-microbial, • Durasof fabric (except for Pressure Relief insole), a full length open cell, breathable, anti-microbial, polyurethane Mid-layer keeps feet dry for all-day comfort. polyurethane Mid-layer keeps feet dry for all-day comfort. Biomechanically Biomechanically designed designed foot foot orthotics. orthotics. Enjoy the ride. Enjoy the ride. Performance Performance Sport Sport Motion Motion Control Control Pressure Pressure Relief Relief Ultra Ultra Arch Arch Unique insole insole features: features: Unique Performance Sport Sport Performance Provides maximum cushioning, with soft arch and metatarsal rise. Provides maximum cushioning, with soft arch and metatarsal rise. Motion Motion Control Control A structural stabilizer promotes maximum stability, prevents pronation, rolling ankles, and helps to correct A structural stabilizer promotes maximum stability, prevents pronation, rolling ankles, and helps to correct postural alignment. postural alignment. Pressure Pressure Relief Relief Plastazote® top layer molds to the shape of your foot, evenly distributing pressure in a hypoallergenic, Plastazote® top layer molds to the shape of your foot, evenly distributing pressure in a hypoallergenic, anti-microbial environment. anti-microbial environment. Ultra Ultra Arch Arch A built in semi-rigid graphite insert delivers firm yet flexible support A built in semi-rigid graphite insert delivers firm yet flexible support Made in U.S.A. Made in U.S.A. Become Become a a retailer retailer today! today! 800.662.7633 800.662.7633 www.mmarmedical.com www.mmarmedical.com Houston, problem solved. At MMAR Medical, we’re excited to announce our distribution agreement with Brooks. We offer all SADMERC approved Brooks shoes, and ship out of Houston daily. Call today for more details! For many painful foot problems, Brooks is the prescription. SADMERC approved and available in widths, Brooks shoes are biomechanically engineered to keep feet healthy and happy. Visit us online at www.mmarmedical.com, or give us a call 800-662-7633. Shoes That Fit Better PERFORM BETTER Performance is our heritage, commitment, and the force behind New Balance Total Fit. New Balance personally selects dealers with the proper expertise and an extensive selection to ensure you get the right shoe and right fit for your active lifestyle. Find a Procare dealer near you now: newbalance.com/shop/procare ©2011 All rights reserved. current Pedor thics Features 14 Diabetes: Impact Your Patient with Knowledge 18 Navigating the Way through the Therapeutic Footwear Ocean 22 26 March/April 2011 Volume 43, Issue 2 Departments 06 From the President 08 From the Editor By Cathie Norsen, RN BSN By Dean Mason, MA, C. Ped, BOCO, CO The Diabetic Foot: An Opportunity for Pedorthists By Ken Stack, MS, PT, CSCS Throwing Down the Gauntlet Understanding How to Modify a Shoe to Fit an AFO is Half the Battle PEDORTHIC FOOTCARE ASSOCIATION 10 PFA News 38 Government Affairs 44 Reimbursement News 46 Industry News 47 Industry Events 48 Advertiser Index 49 Marketplace 50 Product Guide By Rob Sobel, C.Ped. 30 A Pedorthic Review of Medical Literature 34 The Pedorthic Apprentice: Tackling the 1,000-Hour Requirement By Shane Hayes, C.Ped. By Kristi Hayes, C.Ped. Current Pedorthics March|April 2011 3 current Pedorthics Executive Committee Corporate Sponsors PFA offers its thanks to these corporate sponsors whose support allows PFA to serve members and the greater pedorthic community. Platinum Sponsors President Kristi Hayes, C.Ped. Vice President Liz Chiles, C.Ped. Treasurer Jamie Dick, C.Ped., PT Secretary Jay Zaffater, C.Ped., BOC Pedorthist Directors Matt D. Almeida, C.Ped.; Faith Ballard, C.Ped., CO; Christopher J. Costantini, C.Ped.; Tamara A. Daulton, C.Ped.; Dean Mason, C.Ped., OST, BOCO, CO; Stuart L. Pressman, C.Ped., CO; Rob Sobel, C.Ped.; Michael D. Veder, C.Ped., CO, BOCO Vendor/Manufacturer Liaison Stephen O’Hare Medical Advisors Craig Young, MD Editorial Staff Volunteer Executive Editor Rob Sobel, C.Ped. Editor Dennis Coyle Art Director William Wargo Design/Production Steve Biernacki; Patrick Williams Advertising & Services Staff Membership Tristan Wood PFA SYmposium & Current Pedorthics Ryan Abell Headquarters Staff Executive Director Brian K. Lagana Membership Services Coordinator Tristan Wood Education Director Joyce Arawole Education COORdinator Lauren Kemp Meetings and Conventions Manager Jessica Cremer Sales Coordinator Ryan Abell Marketing Manager Kara Dress Senior Marketing Coordinator Kevin Hurley Government Relations Director William H. Applegate, Bryan Cave, LLC Legal Counsel Allan J. Weiner, Kelley Drye & Warren, LLP Marketing, Communications & Editorial Committee Chair Rob Sobel, C.Ped. Co-Chair Liz Chiles, C.Ped. Members Faith Ballard, C.Ped., CO; Tamara A. Daulton, C.Ped.; Jamie Dick, C.Ped., PT; Kristi Hayes, C.Ped.; Dean Mason, C.Ped., OST, BOCO, CO; Stuart Pressman, C.Ped., CO; Jay Zafatter, C.Ped., BOC Pedorthist Current Pedorthics (ISSN 1552-8111) is published bimonthly by the Pedorthic Footcare Association (PFA), 2025 M St., NW, Suite 800, Washington, DC 20036. Telephone: (202)367-1145 or (800)673-8447, Fax: (202)367-2145, Website: www.pedorthics.org, E-mail: info@pedorthics.org. Copyright© 2011, PFA. All rights reserved. No part of this publication may be reproduced in any manner without written permission. Letters to the Editor and other unsolicited material are assumed intended for publication and are subject to editing. Articles in Current Pedorthics do not necessarily reflect the opinion of PFA, its board of directors or its employees. Authors are responsible for the validity of their content and credentials. Current Pedorthics’ use of trademarked names is done in an editorial fashion intended to benefit the trademark owner, with no intention of trademark infringement. The annual subscription fee is included in PFA members’ dues. Subscriptions are available for $65 per year in the United States ($95 outside USA). Back copies, if available, may be purchased for $10 U.S. If you have any questions regarding display advertising or classified ads, please contact Ryan Abell at (202)367-2332 or e-mail CPAdvertising@pedorthics.org. Please send all product- and industry-related press releases to Editorial@pedorthics.org. 4 Pedorthic Footcare Association www.pedorthics.org Bronze Sponsors