current Pedor thics T h e O ff i c i a l P u b l i c a t i o n o f t h e P e d orthic Footcare Association Albuquerque Bound: PFA’s nd 52 Annual Symposium & Exhibition Preview The Cavus Foot: Biomechanical & Postural Considerations/ Orthotic Treatment PAGE 18 Karl-Heinz Schott Shares His International Pedorthic Perspective PAGE 30 Vol. 43, Issue 5 | September/October 2011 | www.pedorthics.org 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 current Pedor thics September/October 2011 Volume 43, Issue 5 Features 18 |  CEP The Cavus Foot: Biomechanical and Postural Considerations/Orthotic Treatment By Joe Coletta, PTA, C.Ped. 34 | Pedorthics for Congenital Condition – A Case of Pachyonychia Congenita 24 | Lagana: ‘Pedorthists are an Invaluable Part of the Allied Health Care Team’ By Current Pedorthics Staff 28 | What’s Happening in Pedorthic Research and How Will it Benefit You? By Michael Muncy, C.Ped. 38 | The AFO is a Pedorthic Friendly Device By Nathan Schwartz, DPM, FASPS 42 | Pathological Gait Changes in the Older Adult By Pat Turnbull, BSC., MChS., SRCh., FRSH By Current Pedorthics Staff 30 | Karl-Heinz Schott Shares His International Pedorthic Perspective By Current Pedorthics Staff Departments 6 From the President 46 Government Affairs 52 Marketplace 8 From the Executive Director 48 Reimbursement News 54 Product Guide 10 PFA News 51 Industry Events 60 Advertiser Index Current Pedorthics September|October 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 Advisor Craig Young, MD Editorial Staff Volunteer Executive Editor Kristi Hayes, C.Ped. Editor Dennis Coyle Art Director William Wargo Design/Production Steve Biernacki; Megan Garmes; 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 Managers Fred Moxley and John Rubsamen Sponsorship and Advertising Fulfillment Lauren Goodstein 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 Kristi Hayes, C.Ped. Co-Chair Rob Sobel, C.Ped. Members Faith Ballard, C.Ped., CO; Tamara A. Daulton, C.Ped.; Jamie Dick, C.Ped., PT; 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., N.W., 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 U.S.). 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