Q & A with Bobby Janssen

Bobby Janssen Bobby Janssen, Family Health Center, Bellevue, WA has become the resident specialist on Posture Control Insoles™. As a Chiropractic Assistant, Bobby assists the doctors with patients, manages the nutritional inventory and staffs the front desk in a pinch. Since early February, under supervision of the attending doctor, Bobby takes the patients through the full procedure to select and fit the optimal pair of Posture Control Insoles™.
What reasons do you give your patients for purchasing Posture Control Insoles™?

I describe the benefits of wearing the PCI as complimentary to the care we give. Lots of times I say “we’re working on you from the top end because we’re correcting your atlas, your spine, all the way down, and then we come at you from your foundation to help your body hold your correction longer and for your symptoms to dissipate quicker and possibly go away forever.

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What has been your staff’s reaction to fitting Posture Control Insoles™?

My responsibilities are quite varied; I work the front desk, order nutritional supplies, take X-rays and fit and educate patients on PCIs. In our case it’s a fluid situation, I deal with it as it happens. Lots of times they’ll come out and say can you fit this patient now? All I have to do is say yes or no. If I have time I do it, if not I go to the book and say let’s schedule a time that’s going to work for both of us.

The experience of integrating PCIs into our routine has been a really good experience for me personally. I’ve enjoyed learning the technology and becoming a stronger part of the care of the patients we see.

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What is your patients’ first reaction when they see the Posture Control Insoles™?

Patients are initially surprised at how flat the insole looks and that it’s going to be easy to get used to in their shoes, and easy to move from shoe to shoe. They seem pretty happy about that. And they’re happy we can provide them with the correction “on site” and don’t have to do a measurement and then send it off, wait, and have it made somewhere else.

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Do many of your patients wear orthotics?

Usually the patient’s only knowledge of orthotics is of pre-molded arch and heel supports, so they’re usually pretty fascinated when I pull these out of the package and they see how simple they look and how little the adjustment really is. So we have to make them aware that it is a functional correction and explain to them that when they’re walking, when their arch and heel are raised off the ground, is the time when this correction comes into play. I’m really educating them along the way. The patients are usually very receptive.

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What are your patients’ objections to wearing Posture Control Insoles™?

Some women may object that they can’t wear them in their dressy high heels or some sandals and I tell them that they’ll need to make some sacrifices, but it’s not mandatory that they’re on them 24/7, so if they’re going out to dinner and they want to wear that particular shoe and you’re only going to be out there for awhile its OK. I tell them from my own experience that I like wearing them; that if I’m home going around barefoot I find myself going back to my shoes cause it just feels better.

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Have there been any adverse reactions?

There have not been any adverse reactions. The only rejection I can recall was from a lady that had had a lot of surgical structural rebuilding of her ankle. She was just not able to handle it.

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What were the challenges in learning how to fit Posture Control Insoles™?

I would recommend to anyone that’s going to learn how to do this to get the manual, take it home, sit in a quiet place and read, …and then read again. After I was fitted, I fit one of the doctors and the other people I work with here to get smoother in my flow in working with people, so that helped me learn.

One of the challenges I’ve found in learning the process is when to use the arches. For the most part they aren’t needed but sometimes it’s a fine line and I really have to listen carefully to the patient’s feedback to make the decision to go ahead and apply an arch support. It’s interesting to do the follow-up when the patient has been wearing the PCIs for a week; some people have unique foot motions where the general rule of no arch support unless the foot is flat doesn’t always apply. It can be a little gray area where arches can be helpful. The patient’s feedback is key.

The important elements in fitting PCIs, I think, are really listening to the patient. My final choice of what level to go with is determined by what they say when I ask, “What is your lifestyle?” If they are athletic, they’ll adapt quicker, but if they’ve been more sedentary their bodies won’t adapt as quickly. That helps me decide how aggressive to be with the technology in addition to the information on the worksheet.

The only challenge was gaining self-confidence. It helped to talk to the doctor and hear what he was saying to the patient from his chiropractic and structural knowledge and make sure that what I understood about it and what he was conveying to the patient was the same.

After about five fittings I felt pretty confident. It just gets better from there.

The process in general is well organized, easy to follow and easy to understand. Once you understand it, its just repetition and it becomes increasingly more efficient.

I think anyone with the interest can easily learn this process. Being in a chiropractic office and understanding structure and muscular interactions helps.

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