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How does the podiatrist work?

Appointment by phone

All appointments are scheduled by telephone so that the waiting room time can be limited to a minimum. This allows the podiatrist to schedule sufficient time to extensively address the complaints of the patient. As a consequence, the podiatrists are able to carry out their work as efficiently as possible.

Case history

On the basis of a comprehensive intake interview followed by a comprehensive examination, all relevant causes are brought to light that could be involved in the development of the complaint. In many cases, even more can be done than only for the primary complaint(s) for which people come. The intake interview is followed by an extensive examination. This examination takes place in both a sitting and a standing position, after which the patient’s gait is analysed. The examination will bring to light the possible interrelationship of factors relating to the complaint(s). On the basis of this information we can subsequently determine the cause of the (foot) complaint(s). So we look at the total puzzle instead of compartmentalizing the complaints.

Examination

After the intake interview, an extensive examination follows. This examination takes place in both a sitting and a standing position, after which the patient’s gait is analysed. The examination will bring to light the possible interrelationship of factors relating to the complaint(s). On the basis of this information we can subsequently determine the cause of the (foot) complaint(s).

With this information, the podiatrist can decide which form the therapy should take. The therapy will usually take the form of an orthosis or a pair of podiatric soles, the construction of which is explained below.

Fitting podiatric soles by means of 3D CAD-CAM system

In the case of fitting podiatric soles, the 3 dimensional CAD-CAM scanning equipment provides the opportunity to manufacture highly accurate corrective soles. This includes mapping not only width, length and pressure distribution of the feet, but also the individual foot height. A scan can also be made by means of a foam box

Because the sole of the foot has been scanned in 3D, the exact heights of the foot sole can be mapped. The corrections are then applied to a virtual sole taking into account the exact foot shape.

By relating the heights and the shape of the foot used for the orthopaedic insoles to the podiatric corrective elements, this synergistic process makes it possible, even for the most awkward foot form, to create an ideal pressure distribution or correction.

Own workshop

All measured podiatric soles are made by the podiatrists themselves.

Eventually, all of the data sent to a milling machine that delivers a highly accurate podiatric sole as the end product. Through the use of the scanning system, the functionality and low tolerance level of the soles is guaranteed

The computer exactly, i.e. 100% accurately, calculates the footbed of the patient and after virtual application of the elements, mills the corrective, compensating and/or moulded soles. So we are not talking about standard corrective elements which are manufactured in the soles, since no foot is the same. Apart from being accurate, the process is also patient-friendly. The patient will receive an oral and visual explanation of the cause of the complaint and the manner in which it will be addressed

Finish

When the podiatric soles have been milled very accurately, the soles may be fitted with specific adaptations, e.g. a heel increase or a heel softening. The soles are then covered with durable calf leather or synthetic material in various colours. In the case of (semi-) sports soles, we usually use softer construction or cover materials to optimize the soles for their specific purpose

Picking up soles

On average, the podiatric soles are ready to be picked up after two weeks. The soles are custom made for the (sports) footwear in which they are to be worn

Aftercare

If podiatric soles have been fitted, there is always some aftercare to be able to determine whether an adjustment is needed. The required material for adjustments will not be charged separately. We keep adjusting until you are satisfied!