Dr. Adam Spector Offers Advice on Ensuring the Perfect Fit for Orthotics

Adam K. Spector, DPM, of Foot and Ankle Specialists of the Mid-Atlantic, LLC comments on construction, casting, and fitting patients for orthotics Foot and Ankle Specialists of the Mid-Atlantic, LLC ("FASMA") podiatrist Adam K. Spector, DPM (Wheaton and Shady Grove Divisions) was recently featured in Podiatry Today, an “award-winning, premier publication that emphasizes informative clinical features and columns as well as practice management articles.” Dr. Spector is featured as an expert panelist in an article titled “Ensuring Patients Get a Perfect Orthotic Fit ” in the Volume 28, Issue 10 edition of the publication. In the article, Dr. Spector walks the reader through the entire orthotic process, from evaluating the patient to fitting the finished orthotics in shoes.  He first discusses the extensive methods he uses when assessing the patient's needs, including static/non-weightbearing exams, weightbearing/standing exams, walking and running gait, limb length discrepancies, stride length, cadence, posture, pressure points, and the weight of the patient.  Once all the measurements are gathered, a prescription is sent to the lab to create the perfect orthotic for the individual. “If the lab followed my prescription precisely and utilized our old-school, more reliable plaster cast properly, then the orthotic should fit, feel and function well,” says Dr. Spector. After they are created, the orthotics are then further evaluated on how it fits in the patient’s shoes. “A common reason for orthotics not being effective is not fully considering how they will fit and function in our patient’s shoes. Communication with the lab is also vital and it is sometimes necessary to send photos of the patient’s foot or shoes, or even send the shoes themselves, to meet this goal.” Dr. Adam K. Spector practices in the FASMA Wheaton and Shady Grove offices. He is also an avid runner and conducts bimonthly multispecialty running clinics. He is board certified by the American Board of Podiatric Surgery, and is a Fellow of the American Society of Podiatric Surgeons. For more information on Dr. Spector and Foot and Ankle Specialists of the Mid-Atlantic, and to find a location near you, visit our website.

These Boots are Made for Walking

As cooler weather settles in and the leaves fall, that means one thing for my shoe wardrobe - it’s boot season! Even as a podiatrist, I am not immune to the call of a truly adorable pair of boots. But unfortunately not all of these lovely shoes are as comfortable as I’d like. That’s where my orthotics come in - versatile prescription supports that can go in whatever shoes they’ll fit in. I put mine in my sneakers, my Chuck Taylors, and of course - my boots! They help my high arches last pain-free all day. Many people have orthotics (custom made foot supports), but not everyone knows they are able to fit them in shoes besides their athletic shoes. Since so many people wear dress shoes all day, it’s always worth trying your inserts in your dress shoes, after first removing the sock liners. Lower-profile sneakers sometimes work as well, as do oxford-type shoes. Your orthotics might not fit in all of your shoes, but there are other options for much dressier shoes - besides the prescription option, there are some over-the-counter inserts made for dress shoes. Orthotics are useful for all arch types, from flat feet to high arches like mine, so if you already have a custom-made pair, it’s important that you use them. Their purpose is to improve the biomechanics of your feet and to realign the way your feet move as you stand and walk. Your feet - and your ankles, knees, and hips - are in a better more natural position, which allows pain to decrease. The more you wear them, the better you’ll feel. Let’s not forget about the other important aspect of fall - fall sports! For those kids (and grownups, of course) out there on the football and soccer fields, try to fit your orthotics in your cleats. All that running, jumping, and tackling is bound to tire out your feet. Wearing your orthotics could help prevent some soreness at the end of the game. If you are seeing your podiatric physician for arch pain, and you have specific shoe needs - from boots to cleats - make sure you mention them. There are many different ways to make orthotics for you. They can stop right behind the ball of your foot, or they can go the whole length of your shoe. They can be very thin or thick. There are lots of options! Some of this depends on what type of correction your feet need, but by working with your doctor you can come up with an orthotic prescription that both fits your shoe “lifestyle” and what your feet need to feel better. So now that autumn is upon us, make sure you try to put your orthotics in those cute boots you can’t wait to wear! It can be kind of a pain to switch them between shoes, but try to think of the benefits. Whether you’re at work, at the gym, on the field, or just around the house, orthotics can help reduce foot and/or ankle pain. You love those boots - and so does everyone who compliments them - so put your orthotics in them and wear them all the time! - Caitlin Mahan Madden, DPM Dr. Mahan Madden practices in the Wheaton, Shady Grove and Rockville offices. The information on this site is provided for your assistance only; this site does not provide podiatric advice.  You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose.  Likewise, you should never determine that treatment is unnecessary based on this information.  The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional.  The information provided herein is not podiatric, medical or professional advice.  This site does not create a doctor-patient relationship. Doctor Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site.  Doctor Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use.  You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance.  In no event will Doctor Madden and Foot and Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory.   This Website, and the information contained herein, is provided to you as a service for use at your sole risk.   If you are feeling ill, please call your primary care physician, or other healthcare provider.  In the case of an emergency, please go to the nearest hospital.

Dr. Firestone Comments on Revolutionary New 3D Printed Shoes

Rapid advances in 3D printing over the past few years has catapulted this technology into a tool for quickly and efficiently creating finished products such as human bone replacements, car parts, toys, accessories, and now, custom-fit shoes. According to WTOP News, Adidas has introduced a shoe with a custom 3D printed midsole, “the crucial part of the shoe that fits the bottom of the arch and supports the foot.” Foot and Ankle Specialists of the Mid-Atlantic, LLC podiatrist Lee E. Firestone, DPM, who is also an avid runner, commented on the new shoe trend. “This can be a whole new world. Look at the midsole as the foundation of the shoe, and then you can build the housing around that,” he commented in WTOP’s October 15 Health News article, “3D Printed Shoes Could Mean a Perfect Fit for Runners.” Dr. Firestone predicts that these 3D printed shoes will take off with runners, and will likely be adapted for other sports, such as football and soccer. Dr. Firestone has been in practice since 1994. He is an avid runner, and competes in many local and regional races, including the Boston Marathon. He works extensively with runners, and is proud to be a member of the Montgomery County Road Runners Club. Dr. Firestone was recognized by his peers and colleagues in the ‘Washingtonian Magazine’ as one of DC’s top sports medicine providers (2010) and as a top DC Podiatrist (2012). He was also recognized by his fellow runners as best doctor by ‘Run Washington Magazine’ (2013).  

Physician’s Footwear Earns Facility Accreditation from the American Board for Certification

Physicians Footwear, owned by Foot and Ankle Specialists of the Mid-Atlantic, LLC (“FASMA”) podiatrist Dr. David Levine, DPM, C.Ped, in Frederick, Maryland, has received Accreditation from the American Board for Certification, which has been providing facility accreditation since 1948. ABC’s evaluation of Physician’s Footwear includes a thorough review of the physical facility and the quality of patient care. ABC interviews both staff and patients and conducts a review of organizational documents, including records of patient care. “Receiving Accreditation is a significant achievement, one that recognizes outstanding performance by Physicians Footwear,” says Catherine A. Carter, Executive Director of ABC. “The Facility owners should be commended for their commitment to providing quality care to the people in the community.” Founded in 1948, ABC is dedicated to improving the quality of the nation’s orthotic and pedorthic care through accreditation and certification. ABC encourages facilities to meet or exceed quality standards through accreditation and the teaching of quality improvement concepts. Physician’s Footwear offers professional shoe fitting featuring brands Dansko, SAS, Brooks, and Aetrex, just to name a few, along with on-site orthopedic shoe modification and orthotic lab services. Physician’s Footwear also participates in the Medicare diabetic shoe program, offering expert fitting from our large inventory of footwear. “We are extremely pleased to have achieved this designation,“ states Dr. David Levine, DPM, C.Ped, owner. "Accreditation is a rigorous process, but one that we welcome as a continual quality improvement mechanism. Earning ABC accreditation is another measure of our excellence as a premier provider of pedorthic and podiatry care and reflects our commitment to our patients.” Dr. Levine’s podiatry practice is located in Frederick, Maryland, where he has practiced since 1989. In addition to his podiatry office, his facility includes a gait analysis lab and orthotic lab.

Dr. Kathrotiya-Mago Participates in Local Health Fair

Dr. Hetal Kathrotiya-Mago, DPM (Silver Spring Division) of Foot and Ankle Specialists of the Mid-Atlantic (FASMA) participated in the annual BAPS Washington D.C chapter Charity Health Fair on September 20, 2015 in Beltsville, MD. Over 133 physicians and medical professionals volunteered to offer personal consultations to a total of 614 participants. The participants gained insights on healthy living and awareness. This event was covered by many different specialties including Podiatry, Orthopedics, Endocrinology, Dermatology, and Cardiology.  Dr. Kathrotiya-Mago was the only Podiatrist at the fair and provided foot screenings, educating patients regarding diabetic foot care and proper footwear to prevent injuries. Dr. Hetal Kathrotiya-Mago joined the Silver Spring Division of FASMA in July.  She is a native of Maryland, having grown up in Laurel, MD. She graduated with academic honors from University of Maryland, Baltimore County, with a Bachelor of Science in Biological Sciences and a Bachelor of Arts in Psychology. Dr. Kathrotiya-Mago received her Doctorate of Podiatric Medicine from Temple University, School of Podiatric Medicine in Philadelphia, PA. While in podiatric medical school, she actively served on the boards of the Diabetic Awareness Club, American Association of Women Podiatrists and the American Professional Wound Care Association. During a three-year comprehensive foot and ankle surgical residency at Roxborough Memorial Hospital (Prime Healthcare) in Philadelphia, PA, Dr. Kathrotiya-Mago was selected to serve as the chief resident during her final year. Although she enjoys all aspects of podiatric medicine and surgery, Dr. Kathrotiya-Mago has a particular interest in dermatology, sports medicine, reconstructive surgery, diabetic wound care, and limb salvage, and treats patients of all ages. A team-player with a deep dedication to serve her patients, Dr. Kathrotiya-Mago strives to make them informed and active participants in their foot and ankle care.