November 25, 2003

CONTACT:          SCOTT COSTELLO

                    (662) 377-2404

 

Visit www.nmhs.net for an electronic version of this article.

 

ORTHOTICS—A STEP IN THE RIGHT DIRECTION

 

 

TUPELO--An active person may take thousands of steps per day. That much stress on your feet can cause problems, especially for people with structural disorders. Thanks to orthotic services offered by the Foot Center at North Mississippi Medical Center’s Outpatient Rehabilitation Center, patients are taking steps to correct these problems.

          Orthotics are orthopedic devices designed to treat or adjust biomechanical foot disorders. They can be as simple as cushioned heel cups or insoles for shoes. The best orthotics, however, are custom made to specifically meet an individuals’s needs. These orthotic devices help keep the foot in proper alignment.

          “The foot is supposed to impact a certain way in which the force is transmitted properly through the leg,” explains Stacey Stokes, a physical therapist with NMMC’s Outpatient Rehabilitation Center who works with Foot Center patients. “Any variance can lead to problems such as ankle sprains or knee, hip or back problems.”

          In general, orthotics are grouped into four categories.

• Functional orthotics incorporate special wedges to adjust the heel or forefoot, correcting defects in the arch that cause poor shock absorption, such as excessive pronation, or flattening of the arch, or supination, where an arch is too high.

• Weight-dispersive orthotics typically feature padding designed to relieve pain caused by excessive pressure on the metatarsal heads. Other accommodative orthotics are designed to treat pain and pressure on the sesamoid bones, collapsed tarsal bones, sores and chronically inflamed toes.

• Supportive orthotics are arch supports usually prescribed to treat problems of the plantar arch.

• Early childhood orthotics are special devices designed to correct biomechanical walking problems identified in young children.

Patients who visit the Foot Center undergo evaluation to determine what type of orthotic will be right for them. The patient is videotaped while walking to look for problems and then the foot is examined to look for structural disorders.

“We’re not just looking at the foot, we’re looking at the chain all the way up,” adds Stokes. “Every link in the chain is important.”

The Foot Center sees a vast array of patients seeking relief from problems caused by their feet. “We have many different cases, from pediatric cases to diabetics who have a lack of sensation,” Stokes says. “With each patient it’s a little different and there are many different kinds of orthotics to take care of specific problems.”

Josh and Jon-Jon Hancock, two brothers with ties to Tupelo, have experienced the benefits of orthotics firsthand. Josh, a minor-league pitcher for the AAA affiliate of the Philadelphia Phillies, has been using orthotics since a very young age.

“My first experience with them was when I was about 10 or 11,” he says. “I was being stupid and jumped off the top of a dugout and landed on my feet. My feet started hurting and I have flat feet anyway, so I started using inserts. After that, I never had any problems. I’m a believer in them.”

          Josh’s brother, Jon-Jon Hancock, started wearing orthotics in the ninth grade after suffering numerous ankle sprains while playing basketball.

          Jon-Jon, who recently completed his senior year at Tupelo High School and will attend the University of Mississippi on a baseball scholarship, believes wearing orthotics has made a difference.

          “I started rolling my ankles a lot so I started wearing the orthotics,” he says. “It helped with that and it also helped with some pain I was having in my lower back. It also helped with my walk and posture.”

          Stokes says that for people with foot disorders, the right orthotic device can make all the difference. It can also prevent long-term problems down the road.

          “If a person has the proper orthotic and has those correcting forces going up through the foot, the correction will take the pain away. They’re going to feel it,” Stokes says.

          Orthotic services are available through physician referral. For more information, call 1-800-THE DESK (1-800-843-3375).

 

 

 

SIDEBAR 1:

North Mississippi Medical Center’s Outpatient Rehabilitation Center is located in Longtown Medical Park at 4381 Eason Blvd., Tupelo. Services include:

          • Amputee Clinic/Support Group 

• Aquatic Therapy

• Crutch Training 

• Driver’s Evaluations and Training

• Foot Center

• Hand Clinic

• Hippotherapy

• Industrial Work Program

• Lymphedema Management Program

• Neurological  Rehabilitation Program

• Orthopedic Program

• Osteoporosis Program

          • Pediatric Services 

• Sports Medicine 

• Vestibular Rehabilitation

• Wheelchair Seating Clinic 

For more information about available services or referrals for outpatient services, call 1-800-THE DESK (1-800-843-3375).

 

SIDEBAR 2:

Almost anyone can achieve some benefit from an orthotic. Several common symptoms may indicate misalignment of the feet. You may be a candidate for orthotics if:

·         one side of the sole of your shoe wears out faster than the other

·         you frequently sprain your ankle

·         you have chronic heel, knee or lower back pain

·         your shins hurt

·         your toes are not straight

·         your feet point inward or excessively outward when you walk, or

·         your feet hurt in general.

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