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Dr. Paul Coffin - Orthotic Adjustments

As with all medical services, orthotics are not guaranteed to make you pain-free. You may need to continue additional therapies, stretches, etc. They may require an adjustment period, but Dr. Coffin expects the orthotics to correct your biomechanical problems. They may need some alterations to fit into certain shoes. He will do his best to make them comfortable and adjust them as needed.

You can return orthotics by mail for adjustments or you can make an appointment for this. If he feels it is necessary, he will make a new pair with the same or a new set of impressions. After one year, there may be a charge for adjustments, remakes or recovers.

Dr. Coffin is always experimenting with new processes and materials and at times, we have found that a material is not as durable as we had hoped. If a rip, tear or hole is the result of a defect in the material or construction, we will replace the orthotics free of charge. These incidents will be judged on an individual basis since many athletes in vigorous sports such as football, hockey and basketball will be extra hard on the orthotics and there will be a fee to repair or replace these orthotics.

Orthotics that are constantly moved from shoe to shoe or worn in inappropriate shoes will experience excessive wear problems earlier as well.

We keep the positive foot casts approximately one year, and if the orthotics cannot be repaired, it will be necessary to take new impressions. Patients who feel they will want additional pairs may request the casts be kept longer. 

Dr. Paul Coffin - Orthotics - Adjustments

A second pair of orthotics can prevent wear and tear.

Dr. Paul Coffin - Orthotics - Adjustments

An orthotic insert (right) and the cast it came from (left).

Foot Note: Neutral Position

Foot note: Neutral Position

The cast on which the orthotic is made is taken in a neutral position, with the joints held in their mid-range of motion. Then, because the materials are flexible, but very supportive, the foot is able to stay in correct alignment throughout the gait cycle.

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