Orthotic management of the XXXX : An interdisciplinary care perspective.

@entity1 @entity5109 @entity3657 @entity1066 @entity1109 @entity2720
BACKGROUND: Clinical management of the @entity1 with @entity1109 is becoming commonplace in orthotic clinics worldwide. The presentations that can result from @entity1109 are diverse, requiring clinicians to understand the pathomechanics of @entity1066 , and @entity2720 to provide effective interventions. OBJECTIVES: The purpose of this clinical perspective is to provide a review of the literature regarding clinical conceptsassociated with orthotic management of @entity1109 . STUDY DESIGN: Literature review and clinical case study. METHODS: Relevant literature were reviewed and summarized, and a clinical case study synthesizing reviewed concepts was presented. RESULTS: Given the multifactorial nature of the @entity1109 , treatments must be multifaceted and @entity1 -specific to effectively address the underlying disease processes. While systemic issues such as @entity3657 are treated by physicians, local issues such as @entity5109 are managed by orthotists. Orthotic interventions commonly include custom footwear to reduce the risk of @entity1066 through creation of a protective environment or targeted plantar offloading. @entity1 and caregiver education to encourage management compliance is equally as important to ensure successful treatment. CONCLUSION: @entity1 with @entity1109 benefit from an interdisciplinary care approach which engages physicians, wound care practitioners, and orthotists to treat and manage systemic and local problems. Addressing this pathology through interdisciplinary care may positively affect the @entity1 's health status while lowering associated healthcare costs through improved treatment efficacy. CLINICAL RELEVANCE: The commonality of @entity1109 and associated complications including @entity1066 , and @entity2720 requires that the @entity1 care team have a fundamental understanding of these pathologies and common treatment modalities. We review orthotic treatment modalities to assist clinicians with the management of @entity1 with @entity1109 .
