Dr. Stewart Chang Answers Questions About Custom Orthotics.
October 30, 2014 Posted by Dr.Chang1. How do you chose the correct orthotic for a particular patient? Dr. Chang: I look at a number of factors. These include patient ailment, activity, weight, shoes, and any foot deformities present. 2. Do you recommend more than one pair of orthotics? Why? Dr. Chang: Yes. Orthotics are designed for specific use. While we can prescribe a set of very good general use and multipurpose orthotics, they will not be so specific as to perform perfectly in every activity. I advise a general use everyday set of orthotics and an exercise or sport pair of orthotics as a minimum set-up. 3. Will my insurance cover orthotics? Dr. Chang: Most insurance companys tend to not cover orthotics as a plan benefit. When orthotics are covered, a prior authorization may be required. Please verify with your insurance company that orthotics are a covered benefit and how your coinsurance and deductible apply. 4. How much do orthotics cost? What are the cost of other treatment options? Dr. Chang: $395 for the first set and $300 2nd set. Other treatments are often times more expensive when looked at collectively. These treatments include: more office visits, anti-inflammatory medications, physical therapy, taping, bracing and strapping, and over-the-counter insoles. 5. How long do orthotics last? Will my shoes last longer if I wear custom orthotics? Dr. Chang: The shell or core of the orthotic will last 5-10 years. Orthotics sometimes need to be refurbished (re-covered) during that time period depending on activity and amount of use. This cost $75.00. Orthotics do not effect shoe durability. 6. Are different orthotics needed for work vs. sports activities? Dr. Chang: Yes. Orthotics made for a work environment will differ greatly than those made for a sports application. Orthotics designed for sports are generally more flexible. More rigidity and other modifications are advised for work, particularly for jobs involving hours of standing on hard floors. 7. What is the difference between your custom made orthotics and an over the counter orthotic? Dr. Chang: A custom orthotic is specific to each individual foot. It’s an exact 3D match, more durable, and more accommodating. 8. How do you prescribe orthotics? What methods and considerations are involved? Dr. Chang: I prescribe orthotics based on patients ailment, foot shape, deformity, pathology, and physical activity. 9. Do you make orthotics for a woman’s dress shoe? Dr. Chang: Yes. A woman’s shoe is generally smaller and less spacious. That presents a challenge to make an orthotic that can still perform as intended. We like to use the Cobra orthotic device for this purpose. In some cases, I will not recommend orthotics for dress shoes. 10. What if the orthotics do not help with the patients problem? Dr. Chang: The process of prescribing an orthotic can take anywhere from 1 visit to multiple adjustments. I do my best to accurately evaluate my patients and get the most precise image of the patients feet the first visit. However, sometimes adjustments are needed and/or a re-evaluation of the patients symptoms. 11. Why should I get my orthotics from Blue Ridge Foot and Ankle Clinic? We use the most advanced technology and work with a local and highly respected lab to produce our orthotics. We take pride in the services we provide and enjoy helping our community stay active. Conservative treatment takes priority over surgery and all employees in our office wear our orthotics. Blue Ridge Foot and Ankle Clinic 887 A Rio East Court Charlottesville, VA 22901 434-979-8116 417 South Magnolia AveWaynesboro, VA 22980 540-949-5150 New office in Fishersville will open early 2015 @ 66 Parkway Lane Suite #102 Fishersville, VA 22939 Blue Ridge Foot and Ankle Clinic has been a part of the Waynesboro and Charlottesville communities for over 20 years. Podiatrists Dr. Kevin Murray and Dr. Stewart Chang offer services in sports podiatry, foot and ankle problems and diabetic foot care. Our friendly, accommodating team of Certified Podiatric Medical Assistants look forward to welcoming you to our practice. Read the rest of this entry.