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Tom,
Could you explain, in lay terms, what is a "biochemical orthotic" and how would
we make sure we have a biochemical problem other than to accept the opinion of
our doctor?
Thanks.
Bob Chapman

Tom Riess wrote:

> In my former (pre-PD) life I was a foor doctor (podiatrist) so I do feel
> qualified to comment on this topic.
>
> My general advice is make sure you have a biomechanical problem before
> embarking on a biomechanical solution i.e. foot orthotics.  The latter can
> be very effective  for controling how the foot functions and is most
> helpful for problems such as pain associated with "fallen arches" (pronated
> feet), heel pain (plantar fasciitis) or insulating specific pressure points
> from excessive weightbearing.  Swelling in the ankles or other areas of the
> feet will not respond to orthotics.  In the absence of cardio-vascular
> problems I would look to meds as a likely cause of this problem.
>
> regards,
>
> Tom