New Office Location as of 10-1-20

Footco has moved from the Southport location to 2650 W. Montrose, Suite 105.

The new location is more convenient with regard to transportation. Street parking on Montrose in front of the building is free. There is also free parking in the rear of the building, in addition  to a handicap ramp. The Montrose bus stops just down the block. The e-mail address and phone number will remain the same. Clinic hours are on Mondays only from 11am-6pm.

Covid Protocol in place

Limited clinic hours have resumed. Appointments are limited to one day per week. Appointments are spaced with at least 20 minutes between patients to allow for sanitizing/cleaning between appts.
*Only one patient at a time will be in the clinic. The exception to this rule is when a caretaker, spouse or parent of the patient is present.
All are required to wear masks while in the office.
Hand sanitizer is readily accessible.

Traveling CE course is temporarily on hold due to physical distancing protocol

Continuing education credits may again be available after distancing protocol is relaxed AT YOUR FACILITY! *As of this date (2021), it is not clear when this will be.

SAVE BIG by booking a presentation AT YOUR LOCATION!

Current states served are Illinois, Indiana, Wisconsin, Minnesota, Pennsylvania, Northern California, Oregon. Contact us to book a presentation in your state.

To discuss arranging an on-site presentation of “Orthotic Design in Theory and Practice” (6 CE credits), contact Tim at 312-409-2175 or e-mail: tporcelli@earthlink.net

Heel “offset” feature of anti-pronator shoes

Some of the current designs of athletic shoes are offering a “heel offset” feature to appeal to “pronators”. What this means is that the heel is positioned into inversion. Although it is a logical feature to offer, the degree of positioning can be rather large.  An 8mm offset can translate to 10 degrees or more of heel inversion.  From an orthotic perspective, 8mm is generally an extreme degree of positioning.  With that said, it is important to consult with your health care professional prior to purchasing a shoe with an “offset” heel.  If you are wearing orthoses, it is usually best to wear a neutral athletic shoe to maintain the accuracy of the orthoses’ position.

Orthoses and Balance

In response to the increasing interest in balance within the elderly population, “Orthotic Design in Theory and Practice” now includes an in-depth discussion of orthotic alignment as it relates to balance and gait.

“Geriatric Balance and Lower Extremity Orthoses” will be offered as a separate course later in 2018.

Contact us for more info at 312-409-2175 or tporcelli@earthlink.net

Spring loaded heels

We get frequent questions about the various “new” shoe designs that are heavily marketed online. In response to these questions;

There are a few companies that are marketing shoes with spring loaded heels.
The premise of the shoe design logic is that it absorbs shock at the heel. While shock absorption is often a good thing at heel strike, it is not that good immediately following heel strike. The springs that are embedded in the shoe’s heel can have the effect of irritating the Achilles tendon at the back of the heel when the heel drops lower than usual as the springs compress. The moment of time between when the heel compresses and the weight transfers to the front of the foot is the critical potential problem time.
The function of the shoe may cause a sudden loading of the mid-foot resulting from this temporary negative heel height. If this happens, it can cause moderate to severe injuries of the heel cord and the ligaments that run along the bottom of the foot.

For patients who have tight calves or a tendency to experience arch pain or other foot pain, we advise consulting an orthotist or pedorthist prior to purchasing this type of shoe.

Footco Continuing Education

Due to the demand for local continuing education credit opportunities, Footco is now offering a fourth year of live courses in your state.

The  2018 Lower Extremity Biomechanics Education Seminars have begun!

“Orthotic Design in Theory and Practice”

*This course has officially been approved by the American Board for Certification in Orthotics and Prosthetics (ABC) for (6) Category 1 Scientific CMEs.

This is now a traveling course. To arrange a presentation at your facility, contact Tim at 312-409-2175 or tporcelli@earthlink.net

running shoes and heel problems

Over the past few years there has been a trend for running shoe companies to make their shoes with lower heels, and a lower “heel pitch”. The “heel pitch” is the angle from the heel to the ball of the foot. It is determined by the thickness of the material under the heel as compared to the thickness of the material under the ball of the foot. Prior to this trend, the heel was elevated about a half inch in most running shoes.heel pitch

Recent designs have reduced the standard 1/2″ heel pitch to zero. This may have been influenced by the fad to run in “barefoot”-styled shoes.

For much of the population this isn’t necessarily a problem. However, for people who have chronic Achilles Tendon tightness or tendonitis, lower heels can be problematic. The lower heel pitch may put stress on the Achilles tendon, resulting in heel and/or arch discomfort.

If you experience new symptoms of heel and/or arch discomfort immediately after changing to new shoes, it may be related to the lower heel height.

How frequently should my orthoses be checked?

Orthoses should be checked every two years, or sooner. Your feet change over time, and your orthoses may need to be adjusted to reflect the changes.  In many cases an in-office adjustment is all that’s necessary to update your orthoses. In other cases where there has been a significant change with your feet, re-casting may be necessary. If you are wondering about a recheck visit, please call to talk it over.