An orthosis left in the cupboard

Setting: Biomechanics follow-up clinic

Grace Turner, 46, received a shoe insert two weeks ago, fitted in her walking shoes. She tried it in narrower work shoes, found them tight and stopped using it without altering the insert.

Task

Explore non-use without blame.
Identify the change from fitted shoes to work shoes.
Explain reassessment of insert and shoes together.
Discourage self-trimming and review the wear plan after checking fit.

An orthosis left in the cupboard consultation plan

The supplied insert was fitted and checked in one specific pair of shoes.
The current complaint requires checking the insert together with the shoe now being used.
The podiatrist can reassess fit and the agreed wear plan.
The patient should not cut or reshape the insert before professional review.
Grace Turner, 46, received a shoe insert two weeks ago, fitted in her walking shoes. She tried it in narrower work shoes, found them tight and stopped using it without altering the insert.

Fictional scenario information supplied for this examination exercise; not medical guidance for real patients.