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Orthotic Expert Witness

Martin Middleton

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Orthotic treatment transmetatarsal amputation
May 1, 2025
Orthotic treatment transmetatarsal amputation
May 1, 2025

Research suggests orthotics can improve mobility and comfort after transmetatarsal amputation, but evidence is mixed. Common options include shoe modifications, toe fillers, and ankle-foot orthoses (AFOs), with varying effectiveness. Proper fitting and patient education are crucial for success.

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May 1, 2025
The Evolution of Orthotic Materials: Innovations Driving Comfort and Functionality
Dec 5, 2023
The Evolution of Orthotic Materials: Innovations Driving Comfort and Functionality
Dec 5, 2023

In the realm of orthotics, materials play a pivotal role in defining the comfort, functionality, and efficacy of these transformative devices. Over time, the evolution of materials used in orthotics has been a testament to innovation, paving the way for enhanced performance, durability, and patient satisfaction.

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Dec 5, 2023
Orthotics Unveiled: Empowering Mobility and Transforming Lives
Dec 5, 2023
Orthotics Unveiled: Empowering Mobility and Transforming Lives
Dec 5, 2023

In the realm of healthcare, orthotics stands as an unsung hero, wielding the power to enhance mobility, restore functionality, and transform lives. These often-understated devices play a pivotal role in addressing a myriad of musculoskeletal conditions, ushering in a new era of personalised care and mobility support.

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Dec 5, 2023
Navigating the Current Landscape of the UK Orthotic Industry in 2023
Dec 5, 2023
Navigating the Current Landscape of the UK Orthotic Industry in 2023
Dec 5, 2023

In 2023, the UK's orthotic industry demonstrates resilience and adaptability, embracing digital technologies for precision and personalisation.

Digital advancements, like 3D scanning and computer-aided design (CAD), have streamlined production, creating bespoke orthotic devices tailored to individual anatomies. This shift towards digitalisation ensures enhanced accuracy and comfort for patients.

An emerging focus on sustainability sees the industry exploring eco-friendly

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Dec 5, 2023
Night stretching AFOs for contractures - General information
Feb 1, 2023
Night stretching AFOs for contractures - General information
Feb 1, 2023

Orthotic devices, such as ankle-foot orthoses (AFOs), are often used to help prevent and treat contractures, which are conditions that cause permanent shortening and tightening of muscles, tendons, and ligaments. In this article, we will explore the efficacy of these orthotic devices in the treatment and prevention of contractures.

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Feb 1, 2023
Knee osteoarthritis and orthotics - General information
Feb 1, 2023
Knee osteoarthritis and orthotics - General information
Feb 1, 2023

Knee osteoarthritis is a common degenerative condition characterized by the breakdown of cartilage in the knee joint. This can lead to symptoms such as pain, stiffness, and decreased range of motion. As the condition progresses, it can also lead to the development of bony growths called osteophytes and the formation of fluid-filled sacs called cysts.

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Feb 1, 2023
Pronation and foot orthosis - the basics
Feb 1, 2023
Pronation and foot orthosis - the basics
Feb 1, 2023

Pronation is a natural movement of the foot that occurs during weight-bearing activities such as walking or running. It is the inward roll of the foot that occurs when the foot hits the ground. Pronation is necessary for the foot to absorb shock and adapt to the surface of the ground, however, excessive pronation can lead to a number of musculoskeletal problems such as plantar fasciitis, shin splints, and knee pain.

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Feb 1, 2023
Leg Length discrepancy - General information
Feb 1, 2023
Leg Length discrepancy - General information
Feb 1, 2023

Leg length discrepancy (LLD) is a condition in which one leg is longer or shorter than the other. This can occur as a congenital condition or as a result of injury or disease. LLD can cause pain, discomfort, and difficulty with walking and other physical activities. It can also lead to a range of musculoskeletal problems such as lower back pain, hip pain, and knee pain.

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Feb 1, 2023
Drop foot - General information
Feb 1, 2023
Drop foot - General information
Feb 1, 2023

Ankle dorsiflexion insufficiency, also known as foot drop, is a condition in which the muscles that lift the foot are weak or paralyzed, causing the foot to drag or drop when walking. This can result in difficulty lifting the front part of the foot and can cause the person to trip or stumble. Drop foot can be caused by a variety of conditions, including nerve injuries, spinal cord injuries, and certain diseases such as multiple sclerosis and ALS.

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Feb 1, 2023
Lisfranc Injuries and orthotic treatment
Feb 1, 2023
Lisfranc Injuries and orthotic treatment
Feb 1, 2023

Lisfranc injuries, also known as Lisfranc fractures or dislocations, are a type of injury that affects the bones and joints in the midfoot. These injuries occur when the bones in the midfoot are damaged or dislocated, often as a result of a high-impact or twisting injury. Symptoms of Lisfranc injuries include pain and swelling in the midfoot, difficulty bearing weight on the affected foot, and difficulty moving the toes.

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Feb 1, 2023
Symopsis: The effect of night splints in the treatment of plantar fasciitis: a systematic literature review
May 13, 2019
Symopsis: The effect of night splints in the treatment of plantar fasciitis: a systematic literature review
May 13, 2019

Plantar heel pain is one of the most common foot conditions seen in clinic with plantar fasciitis being a regular diagnosis. Night splints are often cited amongst the regular treatment options for plantar fasciitis in both the medical literature and in patient focussed online articles and blogs. This systematic review aims to evaluate the effectiveness of this conservative treatment in the available literature.

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May 13, 2019
Article Synopsis: The diagnosis and treatment of injury to the tarsometatarsal joint complex - M. S. Myerson
Aug 15, 2017
Article Synopsis: The diagnosis and treatment of injury to the tarsometatarsal joint complex - M. S. Myerson
Aug 15, 2017

Tarsometatarsal joint injury or eponym “Lisfranc dislocation” is prevalent in medicolegal practice and often has profound effects on mobility.  The linked article offers a useful review of the functional anatomy, aetiology, diagnosis, treatment objectives and prognosis...

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Aug 15, 2017
Challenging the foundations of the clinical model of foot function:
Feb 7, 2017
Challenging the foundations of the clinical model of foot function:
Feb 7, 2017

I think adherence to the Root model of foot assessment/function has naturally waned amongst the Orthotists that I know but I do seem to note a more hardcore element amongst Podiatrists. I'd implore all to read the full paper, a link to which is below

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Feb 7, 2017
Carbon Cycling Arm Brace for Brachial Plexus Injury
May 11, 2016
Carbon Cycling Arm Brace for Brachial Plexus Injury
May 11, 2016

Today we completed a carbon fibre arm brace for one of our Brachial Plexus clients. We integrated a safe yet versatile ball and socket component for handle bar attachment...

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May 11, 2016
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