Follow-up with the patient within 10 days of fitting the PCIs. (Recommended)
- Evaluate the patient relative to the recorded expectations.
- At this time the patient should not significantly notice the presence of
the PCIs in their shoes. If there is any discomfort with the PCIs, make sure
the PCIs are fitted properly in the shoes, and double check that the shoes are
not too wide.
- Use the evaluation form #2 PCI FOLLOW-UP EVALUATION, the Patient
Diary and dynamic observations to determine if changes to the PCI are
necessary. If the patient response has not met expectation, take some time to
analyze possible other limiting factors. Have the PCIs been worn according to
recommendations? Have they been worn full time, work conditions etc.
- Based on a conservative first approach, the ground forces always go up
at the first follow-up. Have the patient save the previous PCIs to be used
with shoes that may not accommodate the higher ground force or use in
- Bracers may be ready to increase ground force (3.5mm to 6.0mm).
- Releasers with flexible arches measuring in excess of 25mm FMD may be
increased to 9.0mm.
- Patients with very low arches may be fitted with arch supports if
necessary. Patients with functional flexible arches who used arch supports
to transition from traditional orthotics may have the arch supports
- If you fit the patients with new PCIs, remind the patient of the break-in
period. Use the same break-in process as before, except this time alternate
between the new PCIs and the original PCIs.
- Give the patient a new patient diary and a reminder that you will review
it during the next appointment.