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11/13/2024 Keith l. Gurnick, DPM
False Advertising of Custom Orthotics
An accurate definition of the word "custom" (as an adjective) is something made to unique specifications, especially something one of a kind. It's synonym is "custom-made". A definition of "custom-made" is something made for a specific or a particular person or individual. A definition of a "specific or particular person" is of or relating to a single or specific person, rather than to others or all. There are numerous definitions of the word "orthotic".
Here are examples of some of them: An orthotic is an orthopedic appliance designed to straighten or support a body part. Another is a device or brace to control, correct, or compensate for a bone deformity. Still another I found is a shoe insert designed to improve posture improve function and prevent injury. I am certain our readers can find many more in the literature.
Combine all of these and I came up with the following description for a custom orthotic. It should be an orthopedic appliance, uniquely made for only one specific individual and must be a shoe insert designed to improve posture, prevent injury and support or straighten a body part and improve function.
Now, as we all should do, when I add the additional adjective "prescription" directly in front of custom orthotic, then we have further made the criterion more specific, because the definition of a "prescription" includes a direction, usually written, by the health care provider for the preparation and use of the orthotic.
In conclusion, a "prescription custom orthotic", requires a prescription and is uniquely anufactured for one individual only. If you can't write a prescription, than you certainly can't offer a prescription custom orthotic and if you do, that would certainly be false advertising.
Let the profession of podiatry stop comparing what we make, which is a true prescription custom foot orthotic to everything else out there that tries to be, but often falls short of what we as podiatrists are trained to do for our patients. We should, and must be better for our patients, regardless of what others try to call those other devices that they sell, by blurring the truth through deceptive promotion and advertising direct to the public where loopholes exist in some state laws that allow this deceptive practice to exist.
Keith l. Gurnick, DPM, Los Angeles, CA
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