Prescribing Tips

  • Be sure to include your dispense date along with a Fax date (fax stamps work well) to ensure timely return.
  • Intrinsic forefoot corrections. Just like prescribing corrections on a plaster positive cast
    • Modified Root will give you full cast inversion or Eversion
    • Lateral valgus or Varus control will correct the forefoot independently to the rearfoot. 


Cast Modifications

    • All the cast modifications are self explanatory on the script, but contact the lab if you want specific corrections done in your own style.
    • A danenburg style orthotic will give you good control around the STT and then drop away along the 1st ray, to allow for 1st ray plantar flexion. We recommend a 1st MPJ cut out for this style of orthotic as well as a degree of lateral plantar grind and/or a Reverse Mortons pad. This device deals with a Functional Hallux Limitus very effectively.

The Arch contour section is a very effective modification for patients with prominent Plantar Fascia’s or general arch “bulk”. The “A” type arch cradles the arch (similar to a hand cupping the foot) and allows for PFA movement or for those prone to blisters and general arch irritation.

    • Arch Peak. You may choose at what point you would like the peak of the arch to be. Decide whether you’d like the max correction at the STT, Navicular or cuneiform.

We will have a practitioner standard recorded if you want this peak at the same spot routinely

  • Materials. Poly or have EVA pressed directly on the cast
  • Poly combo devices gives you the ability to fill the plantar surface of a 2mm Poly shell with any density EVA desired. 


Shell options

  • Decide between standard shape and size devices or have the profile altered specifically for hard to fit footwear. A low profile device will typically be slightly shorter

Have less bulk (narrower) and have a heel cup of 8-10mm. 

The grind options are endless, but here are a few tips

  • Use a lateral clip for supinated foot types
  • Use lateral plantar grinds for better shoe fit (fashion shoes)
  • Use a curved medial grind (or 1/2 medial grind) for fleshy feet (especially around the medial column). Great for kids feet and those prone to medial orthotic irritation.
  • Use a long 5th ray cut out if you want to keep the heel cup but want better shoe fit or have a patient with a prominent styloid process.


Heel posts.

  • Choose between EVA or Poly posts. We have developed a technique of laminating the same thickness poly to the shell of the device. It makes for a more rounded Post. It gives the device stability without being too bulky. Poly posts are not really suitable for high arched, largely inverted scripts.


Top covers.

  • When selecting covers you can have the material over the full shell or tick Soft tissue supplement (STS) to have it only at the forefoot (full or to sulcus). Then choose 

A thinner material to cover the shell and padding.


Padding Tips

  • for specific lesions order the padding and write “I will stick on” in special instructions. We will glue the surfaces and sandwich a thin plastic sheet to separate the surfaces

Simply position the padding, heat and stick.

Remember, if in doubt please call us at PodScan. We have a team of Pods on call to help with all issues.