Chiropractor with "Good Hands"

+David Yoshida shows the power of touch.

While on vacation the good doctor shows that a calm touch is a key to life.

This photo was taken on a recent trip to South Africa. This is in a wildlife rehab center that allows guest to enter "at their own risk".

The pictures tell this story.

Dr Yoshidas Foot Orthotic Center      #orthotics     #Richard Lowe Internet Strategies

  

Digital Gait Analysis System graphically shows the need for Foot Orthotics.

Illustrate the cause of pain.

Dr. Yoshida's Foot Orthotic Center utilizes digital technologies to illustrate the dynamic gait cycle of their patients. 

The system illustrates pressure points in real time of the patient standing still and often replicate the patient's description of pain location. Depressed metatarsal heads stand out clearly.

The gait cycle is measured by having the patient stride through impression plate and clearly shows how weight is distributed from heel strike to toe off.

Most foot pain can be treated with the use of custom fitted foot orthotics.

Heel Spurs, Arch Pain (usually Plantar Fasciitis ) and forefoot problems have been successfully treated with custom foot orthotics by professional medical providers.

This digital scann is available in the office of +David Yoshida DC.

#orthotics #plantar fasciitis #heel pain #arch pain  #Digital Orthotics #KLM Orthotics
#kaiser permenete orthotics    213-538-8641

Digital Gait Analysis

Dr. Yoshida's Digital Gait Analysis

Digital weight bearing 3D kinematic imaging technology is a unique hardware and software solution for today’s Digitally oriented patient which automates the orthotic process and streamlines office efficiency while improving Orthotic therapy.   Digital Orthotic Technology incorporates a stable and reproducible platform for attaining neutral joint positioning using intelligent software which is easy to operate.  This enables physicians to task out the orthotic process to the back office thereby saving time and streamlining office efficiency.

With digital imaging, the patient's feet sink into an extremely sensitive imaging media, compressing electro-conductive dynamic media lying below the top cover. Over, 1,500 24-carat gold sensors relay the information to the  imaging software through hardware circuitry. Gold is the most conductive metal and is commonly used in high-end audio and video connections, as well as many other high tech areas. No compromises were made and the result is a drastic reduction in data errors during the manufacturing process.

Due to the uniqueness of our Patented 3D Weight Bearing Kinematic Imaging platform , which utilizes intelligent software, we are able to provide a more stable and reproducible platform for the understanding of complex load bearing diseases. This provides a greater understanding of complex wedge locking of the Rearfoot, Midfoot and 1st Ray relationships as compared to the wide degree of acknowledged errors in neutral joint positioning when using plaster, laser and foam box impressions, (Art Form). This art form adds 27 error points in the manufacturing process of Orthotics. This has led to a 60 year history of less than desirable results. This drove us to develop a more stable and reproducible error free set of methods which drive more positive biomechanical control of the foot in cyclic load conditions. We start from a stable and reproducible Relaxed Standing Position and then we perform a "Neutral Joint Build" through the analysis of seven unique parameters of both 3D Static and vital  Dynamic motion studies. By doing this, results were greatly improved and return rates reduced to an industry low of 1% as compared to much higher known return rates using plaster, foam box, laser, and pin driven technology. In addition, lab technicians are able to see exactly what you see on your imager, improving accuracy and eliminating guesswork.

The digital method looks at five physical properties when determining how to control the foot:

Mass Displacement Analysis

• Evaluation of equinus effects (anterior shifting of body mass)
• Rear foot to forefoot load patterns
• Evaluation of propulsion patterns (toe off)
• 1st ray stability during midstance

Motion Analysis

• Degrees per second (velocity) of pronation and supination are evaluated in the rearfoot and  midfoot
• 1st ray plantar flexion from midstance to the propulsive phase of gate
• 1st ray hyper mobility is evaluated

Pressure Analysis

• Evaluating plantar pressures of the rearfoot, midfoot and forefoot
• Lesser metatarsal phalangeal joint pressures are evaluated
• Only system providing sheer pressure evaluation critical in care of the diabetic foot
• 3DO technology is the only available imaging technology which can evaluate sheer pressure. Sheer pressure is a critical component in the understanding of tissue breakdown in the sensitive diabetic foot.

Body Balance Analysis

• Ability to see the effects of balance in three body planes
• Provides insight into muskoskeletal adaption

Three-dimensional plantar surfacing of the feet

• Using 3-D Shape Technology, we use high resolution graphics to provide good plantar surface contouring. If there is a scar or lesion, the graphic imaging process will display it
• Observing the movement of pressure migration along the plantar foot during gait provides valuable insight to pathology
• Rotation and evaluation of 3D objects allows for special viewing, giving the doctor and patient excellent insights into pathomechanical problems
• 180 degree object oriented rotation of foot images assist in visualization of pathomechanical disease effecting the foot

We compare and evaluate a patient's data against medical industry published and accepted normal values. Then, we correct the orthotic positive being used (NC milling and/or Thermopressing) and provide proper positioning of the foot based on static and dynamic data which is consistent and stable.

Consistent data capture is the key to our success.

Building a stable 3D image is critical to the accuracy of static imaging. We accomplish this from a unique process of acquiring the foot from a static full pronated state and then we "build" the foot alignments to neutral through evaluation of 3D Dynamic Data (Mass Displacement, Motion Analysis, Pressure Analysis, Body Balance, Symmetry, and 3D Plantar Geometry). Complex biomechanical foot patterns and then evaluated and technicians are provided with accurate functional data about your patients biomechanical and ergonomic conditions.

Foot Orthotics for "Pumps"

Foot Orthotics can fit into "Pumps"

Problem:
 "I need to wear my Foot Orthotics but they do not fit into my Pumps"

Solution: 
Modern day orthotic laboratories now have a special technique to fit the Foot Orthotic into a pump.

Pumps for women are usually heeled. The shape has varied through time. In the UK, in 2007, a closed toe and wide (non-stiletto) heel were worn by the very fashion-conscious, but most still wore stilettos of mainly 'kitten' height to medium height.

In the UK, outside the fashion trade, the term "pumps" would normally imply flat or low-heel dancing or ballerina pumps, or even rubber-soled canvas plimsolls. In the U.S., "pumps" exclusively refers to women's shoes with a kitten or higher heel.

Pumps can be made from any material, but traditional patent leather is popular. Pumps are mostly worn with a suit or a uniform, but are also worn with formal and informal dresses, skirts, trousers, and jeans. White, stiletto-heeled pumps are the standard attire with swimsuits in beauty pageants.

Foot Orthotics and "Pumps"

Custom Foot Orthotics and women's shoes can be problem with fit. The general nature of a pump is that it is narrow and tight fitting. When a attempt to fit a orthotic device is made there is little room for the bulk of a regular shaped Orthotic.

Solution:

1. Reduce bulk by grinding the shape to mimic the shape of the pump. A pump is narrow in the mid-foot with the forefoot and rearfoot wider.

2. Lower the heel cup to 10 mm deep.

3. Grind the thickness of the pump in the heel until a hole is formed. This will allow the foot to seat deeper in the shoe.

4. Allow the Orthotic to bend to adjust to different heel heights of the shoe.

Dr. Yoshidas Foot Orthotic Center  has experience with this problem and has a practical solution.... order the correct Orthotic.

A typical Walking Orthotic or Sport Orthotic will be to bulky to fit.

A "Slim Fashion" Orthotic will fit and give you the orthotic support necessary.

If you already have an Orthotic, a duplicate pair can be made to fit your narrow fashion pump.

For more information please call 213-538-8641 or visit our website.

Click here forDrYoshida'sFootOrthoticCenter.com

#orthotics #pump #Dr. Yoshida's Foot Orthotic Center

Foot Orthotics ... Flexible Shell or More Padding

The Flexible Geriatric Model provides medium support that controls the foot yet allows the Orthotic to moderately flex. 

A thinner shell is used to achieve the proper flexibility for the customers' height, weight, age and activity level.

When choosing how much padding, if any, consider how stable the geriatric application  is. Let the shoe do the padding and purchase a flexible geriatric model. Arch support with flex is more stable then firm Orthotic and more padding.

If instant "cush" is what you want order extra padding.

Geriatric customers often have lost the fat pad under their heels and "balls of the foot".

Moderate flexible shell and double padding under the "Balls of the Feet" is very comfortable.

Cushioning keeps your feet younger ...longer.

Dr. Yoshidas' Foot Orthotic Center can provide you with many choices for foot comfort.

213-538-8641

#orthotics  #happyfeetorthotics #foot pain 

Sport Orthotics have a moderately flexible shell and extra padding.

Sport Orthotic

Sport Orthotics is a term that suggest the Foot Orthotic has the appropriate amount of flexibility for athletic activities.

Medical Grade Foot Orthotics, when prescribed by a trained Medical Professional, take many factors when deciding flexibility. The patients age, weight, distance traveled during sporting activities and the patients foot problems are the criteria that the flexibility is decided.

This Sport and Walking orthotic type is made from 4mm, 3mm or 2mm polypropylene shell with a rearfoot post depending on flexibility required. 

The top cover is moisture resistant simulated extended to toes. Soft impact foam is added under the balls of the foot and toes. 

Extreme sport applications may call for a foam build up under the arch for more long term support.

This Sport and walking orthotic provides medium to high bio-mechanical support and is for walking, jogging, running and general sports activities.

Extra padding is available for more impact cushioning.

Dr.Yoshidas' Foot Orthotic Center can answer most questions about Medical Grade Foot Orthotics.

213-538-8641

Refurbish and Duplicate Old Orthotics

Step-after-Step......
Walking and running increases the wear and tear of of the foam top covers.

Periodically the top covers need to be refurbished.

Dr. Yoshidas' Foot Orthotic Center supports needed maintenance of your Orthotics.

New top covers and upgrades can be ordered thru us.

HappyFeetOrthotics.com   213-538-8641

Getting a duplicate pair of Orthotics when getting your original pair refurbished is a good idea. This allows you to send a pair in for refurbishing without going without a pair.

Many customers like various types of orthotics for the various types of shoes they wear.

How we refurbish a  pair of orthotics;
- Make a paper pattern of the insole ( for trimming new insole later )
- Remove old top cover by hand as much as possible
- Machine wire brush surface of orthotics removing all old glue and material
- Wipe with alcohol to prepare surface for new glue
- cut out a 4"x12" piece of foam and rough up both surfaces
- position orthotic allowing for extension to toes.
- Glue orthotic surface and foam surface with solvent based contact cement.
- Adhere orthotic to foam cover.
- Use the paper pattern made earlier trim to fit

Depending on your needs sometime it is necessary to refurbish your Orthotics twice a year. It is nice to have fresh "Cush"

Need more Cushion? Simply ask... We will increase the thickness.

#orthotics #running #dryoshida #orthoticrepair #happyfeet

Sesamoid Foot Pain - Orthotic Accommodation

Sesamoid Injuries in the Foot

HappyFeetOrthotics.com has a special accommodations for foot sesamoid pain.

A custom foot orthotic will support the weight bearing / pronated foot into a balanced weight bearing position.

When fabricating the Custom Orthotic the lab technician will apply material under the front of the orthotic raising the of the orthotic 1/8 inch. A notch is ground out under the sesamoid bone. Impact foam is used to pad around and under the Sesamoid Bone and along with the notched orthotic devis will off load the weight from the injured bone.

What is a Sesamoid? (from the American Foot Surgeons association website)A sesamoid is a bone embedded in a tendon. Sesamoids are found in several joints in the body. In the normal foot, the sesamoids are two pea-shaped bones located in the ball of the foot, beneath the big toe joint.

Acting as a pulley for tendons, the sesamoids help the big toe move normally and provide leverage when the big toe “pushes off” during walking and running. The sesamoids also serve as a weight-bearing surface for the first metatarsal bone (the long bone connected to the big toe), absorbing the weight placed on the ball of the foot when walking, running, and jumping.

Sesamoid injuries can involve the bones, tendons, and/or surrounding tissue in the joint. They are often associated with activities requiring increased pressure on the ball of the foot, such as running, basketball, football, golf, tennis, and ballet. In addition, people with high arches are at risk for developing sesamoid problems. Frequent wearing of high-heeled shoes can also be a contributing factor.

Types of Sesamoid Injuries in the FootThere are three types of sesamoid injuries in the foot:

• Turf toe. This is an injury of the soft tissue surrounding the big toe joint. It usually occurs when the big toe joint is extended beyond its normal range. Turf toe causes immediate, sharp pain and swelling. It usually affects the entire big toe joint and limits the motion of the toe. Turf toe may result in an injury to the soft tissue attached to the sesamoid or a fracture of the sesamoid. Sometimes a “pop” is felt at the moment of injury.
• Fracture. A fracture (break) in a sesamoid bone can be either acute or chronic.
  • An acute fracture is caused by trauma – a direct blow or impact to the bone. An acute sesamoid fracture produces immediate pain and swelling at the site of the break, but usually does not affect the entire big toe joint.
  • A chronic fracture is a stress fracture (a hairline break usually caused by repetitive stress or overuse). A chronic sesamoid fracture produces longstanding pain in the ball of the foot beneath the big toe joint. The pain, which tends to come and go, generally is aggravated with activity and relieved with rest.
• Sesamoiditis. This is an overuse injury involving chronic inflammation of the sesamoid bones and the tendons involved with those bones. Sesamoiditis is caused by increased pressure to the sesamoids. Often, sesamoiditis is associated with a dull, longstanding pain beneath the big toe joint. The pain comes and goes, usually occurring with certain shoes or certain activities.

DiagnosisIn diagnosing a sesamoid injury, the foot and ankle surgeon will examine the foot, focusing on the big toe joint. The surgeon will press on the big toe, move it up and down, and may assess the patient’s walking and evaluate the wear pattern on the patient’s shoes. X-rays are ordered, and in some cases, advanced imaging studies may be ordered.

Non-Surgical TreatmentNon-surgical treatment for sesamoid injuries of the foot may include one or more of the following options, depending on the type of injury and degree of severity:

• Orthotic devices. Custom orthotic devices that fit into the shoe may be prescribed for long-term treatment of sesamoiditis to balance the pressure placed on the ball of the foot.
• Padding, strapping, or taping. A pad may be placed in the shoe to cushion the inflamed sesamoid area, or the toe may be taped or strapped to relieve that area of tension.
• Immobilization. The foot may be placed in a cast or removable walking cast. Crutches may be used to prevent placing weight on the foot.
• Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are often helpful in reducing the pain and inflammation.
• Physical therapy. The rehabilitation period following immobilization sometimes includes physical therapy, such as exercises (range-of-motion, strengthening, and conditioning) and ultrasound therapy.
• Steroid injections. In some cases, cortisone is injected in the joint to reduce pain and inflammation.

To Purchase a pair of custom orthotics please visit our website. 

HappyFeetOrthotics.com

Heel Spurs and Orthotics

Heel Spurs Relief is most likely to be achieved with Custom Foot Orthotics.

A calcaneal spur (or heel spur) is a small osteophyte (bone spur) located on the calcaneus (heel bone). Calcaneal( heel spurs ) spurs are typically detected by a radiological examination (X-ray).

When a foot bone is exposed to constant stress (pronation) (plantar fasciitis), calcium deposits build up on the bottom of the heel bone. Generally, this has a substantial effect on a person's daily life. Repeated damage can cause these deposits to pile up on each other, causing a spur-shaped deformity, called a calcaneal (or heel) spur. Obese people, flat-footed people, and women who constantly wear heels are most susceptible to heel spurs.

Custom Foot Orthotics are the best solution to a heel spur pain. Mechanically controlling the gait cycle and evenly distributing the weight and pronation forces will remove the causes of the inflammation.

HappyFeetOrthotics.com has special heel spur accommodations that are very effective. Heel Spurs are usually on the bottom of the heel and become weight bearing during the gait cycle. Our laboratory technicians will drill a hole in the firm shell and allow the heel spur to reside in a pocket of cushion and allowing the rest of the foot to absorb the weight.

A non weight bearing accommodation and controlling the mechanical forces of pronation is the key to heel spur pain relief.

#heel spurs, #David Yoshida DC, #Orthotics, #heel pain, #plantar fasciitis,

Repair and Duplicate Foot Orthotics

Duplicate Orthotics, repair orthotics, adjust orthotics and new orthotics are all available worldwide.

Modern transportation and internet communications has enabled HappyFeetOrthotics.com to reach around the world.

We have discovered a market that caters to those who wear orthotics and need a source to get basic repairs and alterations quickly done without a doctors appointment.

The environment inside shoes hastens the wear and tear aspect of Orthotics. We recommend that all orthotics be recovered and sanitized at least once a year.

Considering getting a duplicate pair to wear while you get your Orthotics recovered and sanitized. Having a second pair for your other types of shoes is convenient.

Send us your worn out orthotics and we send them back in a "like new" condition.

HappyFeetOrthotics.com  

#orthotics #happyfeetorthotics.com #repair orthotics #Podiatrist  #Chiropractor

Plantar Fasciitis and Custom Foot Orthotics

Plantar fasciitis (PF) is a painful inflammatory process of the plantar fascia, the connective tissue on the sole (bottom surface) of the foot. It is often caused by overuse of the plantar fascia or arch tendon of the foot. It is a very common condition and can be difficult to treat if not looked after properly. Another common term for the affliction is "policeman's heel".^[1]

Longstanding cases of plantar fasciitis often demonstrate more degenerative changes than inflammatory changes, in which case they are termed plantar fasciosis.^[2] The suffix "osis" implies a pathology of chronic degeneration without inflammation. Since tendons and ligaments do not contain blood vessels, they do not actually become inflamed. Instead, injury to the tendon is usually the result of an accumulation over time of microscopic tears at the cellular level.

Treatment

Treatment options for plantar fasciitis include rest, massage therapy, stretching,^[7] night splints, physical therapy, cold therapy, heat therapy, orthotics, anti-inflammatory medications, injection of corticosteroids and surgery in refractory cases. Also, in some cases, massaging of the inflamed location serves as a temporary relief.

Custom Foot Orthotics from a medical provider work best. Mechanically holding up the arch thereby not pulling on the plantar fascia tendon renders the most relief.

#orthotics #HappyFeetOrthotics #plantar fasciitis

This is the first blog for us. We will be bringing more information about Foot Orthotics and their relationship to optimum health.

Richard Lowe Internet Marketing Strategies was and will be instrumental in becoming sociable in the business communities. HappyFeetOrthotic.com will be the hub of our orthotic therapy program. You will hear from us soon.