Q & A with Timothy Tyler M.A.P.T.

Timothy Tyler, MAPT Timothy Tyler,  PRO Sports Physical Therapy of Westchester, Scarsdale, NY just celebrated over 15 years of service to a large clientele of athletes.   As a faculty member at The Nicholas Institute of Sports Medicine and Athletic Trauma he has conducted research on injury prevention, proprioceptive measures and clinical outcomes. 
Before using Posture Control Insoles™ were you using anything to address your patients' posture issues?

We are quite successful with therapeutic exercise, biofeedback.  We work with the patients to become aware of their posture and we train them so it becomes a subconscious thing.  From a visual perspective, some people respond dramatically to the PCI’s, and others are barely noticeable.  We do see pain resolve, and we are aware that some times it is difficult to observe a small posterior rotation of the pelvis….  not enough too see, but enough to resolve pain.

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What reasons do you give your patients for purchasing Posture Control Insoles™?

I tell patients that Posture Control Insoles™ give the first ray floor contact sooner and keep it in positive contact.  It improves the control of your foot so you have a more rigid and balanced foot for a more powerful push off.  I also tell them that they can expect to alleviate stress elsewhere in their body.

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On a scale of 1-10 how much do PCIs help patient treatment versus the same treatment without Posture Control Insoles™?

Whether it’s a 4,6 or a 10 depends quite a bit on the patient and the issues so it is hard to say, but in general for musculoskeletal problems that originate with foot instability stability and poor posture , the PCIs help a lot.  For common shin splints which is an overuse issue, I think we are 10 for 10.  They work well for relieving plantar faciitis, and we see good results on back pain.

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How do you determine which patients need to wear Posture Control Insoles™?

Anybody with abnormal foot posture is my criteria.  Morton’s foot structure is quick to recognize and we look at the position of the calcaneus, the forefoot, and the subtalar joint.   People hyperpronate to varying degrees so I don’t recommend it for everyone.  I don’t think it’s indicated for everybody but in my experience Posture Control Insoles™ work well for 80-85%.

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Before recommending Posture Control Insoles™ were you using any other orthotics to help reduce hyperpronation?

As a last resort. Because of the Posture Control Insoles™ we’re now more likely to give a foot insert earlier than in the past. My general satisfaction level with brand X was only fair, so I was totally open to evaluating other approaches when Phil Page from Hygenic Corporation introduced me to this technology. PCIs don’t work for everyone but so far I’d say the majority of the patients we have fit have been helped and like them, so we’re going to continue to using them.

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How have your patients responded to Posture Control Insoles™?

Very well.  One of my therapists here actually experienced significant patella-femoral pain.  She has severely pronated feet.  I fit her with Posture Control Insoles™ and gave her a home therapy program strengthening her hip flexors and stretching out her ITB (Iliotibial band).  The combination of those two interventions really decreased her pain significantly.

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

We spend a lot of time with our patients so they trust us.  We explain the benefit of the PCIs, what their biomechanics are with and without them.  We often don’t start with these insoles right off the bat.  We have a relationship with our patients and if, during the course of therapy, we determine that it would be helpful we recommend the insoles.  We explain the benefits and inform them of the added cost. New York insurance companies don’t pay for the PCIs.  We tried to go that route but because it’s not an orthotic made by an orthothist so we don’t get paid for them, but since they’re so inexpensive that’s not a big point.

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Have there been any adverse reactions?

No adverse reactions whatsoever.  We have had a few people who did not benefit according to our expectations.   One patient was not compliant even though they are easy to get used to.  He just didn’t like the way they felt in his shoe so he didn’t wear them.

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How did you decide to provide Posture Control Insoles™ to your patients?

My colleague and friend Phil Page asked me if I had seen these new insoles from Posture Dynamics.   “They’re shoe inserts that  help your posture and better align the kinetic chain."  So I went on your web site, and I became quite intrigued by the rationale and the theory behind your inserts.  I thought about a few patients that had been having trouble getting better, who had definitely reached a plateau and decided to try them.  Since they’re so inexpensive, I got the starter kit, fit them with the PCIs and actually got those patients better.  That’s how I got started.

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

Is this thin little thing is going to do anything for me?  I explain to them how the PCIs stabilize the foot by engaging the muscles that control the feet and how that positively impacts the rest of the body.  And because you guarantee the insoles, I give them a money back guarantee.  “If they don’t help us achieve our treatment goals, we can send them back and get your money back.”

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