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11/15/2018 Howard J. Dananberg, DPM,
RE: VT Podiatrist Explains How Orthotics Improve Back Pain (Joshua Kaye, DPM)
Joshua, the answers to the posed questions are easily available on the Internet. Had even minimal time been spent researching my background, your letter would never have written in the first place. But since you chose to write to PM News without doing your homework, I’ll do it instead.
Here are some of my accomplishments in the field of gait style and chronic back and postural pain. I am a contributing editor to JAPMA and have been for decades. I am a long-term consultant to Tekscan, the makers of the F-scan in-shoe pressure analysis system. I received the Astra award in 1986 for my original work on "Functional Hallux Limitus and its Relationship to Gait Efficiency."
I won the Scholl’s Award in 1994 for the Outstanding Clinical Paper of the Year Award published in JAPMA describing the impact of sagittal plane dysfunction on chronic postural symptoms. I have published a long-term outcome study in JAPMA in 1999 which followed medical endpoint chronic lower back pain patients for greater than one year after foot orthotic treatment was initiated. This paper has been cited worldwide and is the source for the quote of 84% improvement. The significant of this is the duration. Lower back pain is a recurring disease.
Maintaining improvement for greater than one year is an important distinction in the world of back pain research.
I published a paper as part of the faculty of the World Congress on "Lower Back Pain" in Montreal measuring the changes in hip extension during single support phase when custom prescribed foot orthotics were dispensed.
Hip extension is the preload mechanism for pre- swing to swing phase. Without adequate extension, pre-swing is compromised and the iliopsoas muscles (primary hip flexors at toeoff) consequently strain at their origin….the entire lumbar spine. Hip extension was shown to be dramatically improved (7.5 degrees to 13 degrees average) when appropriately prescribed foot orthotics to increase sagittal plane motion are used. And it coordinated precisely with improved symptoms. The author who wrote the Forbes piece took the time to read these papers before writing this article which was designed to simplify an otherwise complex issue for the public. I have lectured hundreds of times on this topic on every continent in the world excluding Antarctica. These have included podiatric, physical therapist, and medical audiences. I am a founding member of the Vasyli Medical Think Tank for Biomechanics and whose seven other members include David Armstrong (who needs no introduction) and Jenny McConnell, the world-famous physical therapist.
I was awarded the MIT-Lemmelson Inventor of the Week award for my invention of Insolia, a device installed into millions and millions of women’s high heeled shoes worldwide, and granted the APMA product approval certification. I was named as one of the 100 Most Influential Podiatrists in the US by Podiatry Management multiple times. I hold multiple utility patents worldwide for a wide variety of products which are independently and scientifically proven to truly make shoes more comfortable and improve gait style and posture. I trust that this adequately answers the questions as to the background for this article and my credentials.
I suggest that the next time you choose to write publicly, do some research. You may save yourself considerable embarrassment and perhaps learn about something which you appear deficient. Below are a few of the 36 reviewed articles I have authored over my 40-year career. Note that the various citations which include Churchill Livingstone and the NIH. I have earned my world-renowned reputation.
Howard J. Dananberg, DPM, (retired)
Dananberg, Howard J. “Gait Style and Function of the SIJ” in Movement, Stability, and Lower Back Pain, Ed, Vleeming, Mooney, Snijders, & Dorman, Churchill Livingstone, June, 1998
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