Orthotic Break-in Instructions

Your new pair of orthotics will support your foot in the "NEUTRAL POSITION".  This position will allow for controlled pronation(necessary for shock absorption) but prevents excessive flattening of the arch and rolling of the heel which can lead to over use injury.  If compatible wear them full time.  If NOT we recommend the following break-in schedule. 

Day 1: Wear orthotics for 2 hours (including sit time), then remove them from your shoes.  DO NOT use orthotics for sports activity until they are fully broken in. 
Day 2: Wear the orthotics for 3 hours.
Day 3: Wear the orthotics for 4 hours.

Continue to add one hour each day until you are able to wear them for 8 hours.  You may then begin to wear them full time.

If you develop ankle, knee or hip pain while breaking in the orthotics remove them from your shoes immediately.  DO NOT wear the orthotics for one or two day.  Continue with the break in as described above. 

Day 14: Follow up in the office for evaluation and possible adjustment of the orthotics. 

The orthotic plates should last approximately four to five years.  The top covers and posts(additions to the bottoms of the orthotics) may need to be replaced sooner, depending on your activity level.

Thank you for following directions.  Your feet will be grateful. 


Post-Operative Home Care
Having performed your operation, we are interested in your prompt recovery and comfort.  Please cooperate with us by carefully adhering to the following rules or post-operative home care. 
Before Surgery:   Remove all nail polish, including clear coats.  Fill your prescriptions prior to your surgery. 
Day of Surgery:   Elevate both feet in the car and please go directly home.  Go to bed and keep your feet elevated by putting two pillows under your feet and one under your knees.  Keep your feet out from under the blanket.   Take the pain medication even though you may not need it yet.  
Discomfort and Swelling:   The numbness will last 5-20 hours and swelling is expected.  In some cases the skin of the foot and/or leg may take on a bruised, black and blue appearance. 
Temperature:   Take your temperature on the 2nd, 3rd and 4th days after surgery at the same time every day.  Anything below 101 degrees after surgery is normal.  If your temperature is above 101 degrees please give us a call.
Bleeding:   A slight amount of drainage on the bandage is normal and should cause no 

Gout


FOODS TO AVOID WITH GOUT

Organ Meats (ie. Liver, Heart, Kidney, Etc.)

Alcohol                    Sardines
Anchovies               Sweetbreads
Mincemeat               Consomme
Asparagus                Mussels
Meat Gravy              Seafoods
Herring                     Mushrooms



FOODS TO LIMIT WITH GOUT

Dried Beans                Cauliflower
Fish                             Lentils
Red Meats                  Oatmeal
Dried Peas                  Spinach
Yeast                          Whole Grain Cereals

Fungal Nails


Prevent Re-infection by Following These Tips
·    Keep nails clean and short
·    Avoid going barefoot in public places, especially in gymnasiums, locker rooms, and other athletic facilities
·    Avoid going barefoot in hotels, as fungal particles may be living in the carpeting and on the bathroom floor
·    Never wear someone else's shoes
·    Use an antifungal powder or spray in shoes at least once a week
·    Older sneakers and other well-worn footwear should be thrown away, as they may be heavily contaminated with fungal particles
·    Wear shoes that are not too narrow and are made of leather or other materials that allow feet to "breathe"
·    Wear socks made of natural, absorbent material, such as cotton or wool, as opposed to synthetic material such, as rayon or polyester
·    Have other family members evaluated to see who may be infected
·    Prevent tinea pedis (athlete's foot), which spread to the infection into the nail bed
·    At the first sign of re-infection, contact your physician

Shoe Instructions
Without question the best shoe to wear on your feet is a good supportive sneaker.
Components of a good sneaker:
1.    A good sneaker is a laced sneaker with an adequate height, width and length for your foot.  It is important to get properly measured. 
2.    Name brand is not important.  Certain brands fit certain people better than others. 
3.    Jogging or aerobic shoes are the best.  Avoid basketball shoes and Keds.  These types of shoes do not give you the support that you need. 
4.    It is very important that you make sure the insoles are removable.  Most shoes do not have removable insoles.  The reason that it is important is should you need orthotics in the future or if you already have orthotics, the insole can be removed and replaced with the orthotics.  If you do not have orthotics the insoles can be built up by the doctor and modifications can be done. 
Walking shoes have become very popular.  The above components can be found in a walking shoe.  It is important to have a removable insole along with a gum rubber insole for better shock absorbency.