The patient management process is a step-by step outline.
Initial Evaluation and Fitting the First PCI
Perform initial evaluation for using Posture Control Insoles.
General rule: 30% of the First Metatarsal Deficit (FMD) is the recommended height of the PCIs.
- FMD less than 12 - 14 mm choose 3.5 mm PCIs.
FMD greater than 16 -18 mm choose 6.0 mm PCIs.
If the patient is a Releaser, the general rule applies.
If the patient is a Bracer, always start with 3.5 mm PCIs even if the FMD measures 16 Ė 18 mm indicating 6.0 mm. Graduate the patient to 6.0 mm PCIs in 6-8 weeks or sooner if the patient starts complaining of feeling like the foot is trying to slide laterally in the shoe.
Important: Never start the patient with 9.0 mm PCIs. If the patientís FMD measurement is 22-24 mm or more, start with 6.0 mm. After 7-10 days, evaluate the patientís gait, observing hyperpronation, to determine if the patient needs 9.0 mm PCIs.