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Pedorthics services are provided by visiting specialist Michael Hatfield, CPed, LO, with American Prosthetics & Orthotics Inc., based in Clive, Iowa.

To make an appointment to see Michael Hatfield, please call 515- 224-0537. He sees patients on the 1st and 3rd Tuesdays of each month.

The specialty clinic in Knoxville for American Prosthetics & Orthotics is located at:

Visiting Speciality Clinic
1008 Bell Ave., Suite 105
Knoxville, IA 50138
(See Directional Map)


Foot movementWhat is pedorthics?

Pedorthics is the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

What is a credentialed pedorthist? 

A credentialed pedorthist is a specialist in using footwear – which includes shoes, shoe modifications, foot orthoses, and other pedorthic devices – to solve problems in, or related to, the foot and lower limb.

When a foot requires medical attention, footwear becomes a factor in the patient’s treatment, recovery or rehabilitation. It’s a team approach: While the doctor treats your foot, the credentialed pedorthist addresses your footwear needs. Michael Hatfield is a credentialed peorthist.

How do I receive a referral to a pedorthist? 

When appropriate, your primary care provider or another medical provider may refer you to a pedorthist to address lower-limb-related problems and pathologies. A pedorthist understands the properties of footwear, and the interaction between the patient’s foot and shoe. A pedorthist is also skilled at evaluating feet and fitting footwear. After your medical provider has determined what kind of assistance your footwear should provide for you, a the pedorthist can fill the prescription.

What types of services does a pedorthist povide? 

The pedorthist will select and modify footwear (or make it, if necessary) to help people maintain or regain as much mobility as possible. When your ability to walk is affected, everything that surrounds or touches your foot – whether it’s foot orthoses, shoes, boots, slippers, sandals, socks, hosiery, night splints, bandages, braces, partial-foot prosthetics or other devices – interacts with your foot. That makes footwear a crucial part of your recommended treatment plan. Footwear adjustments can be made inside or outside a shoe.

Foot orthoses, also called orthotics, are an important component of footwear that can accommodate, support or relieve specific conditions, as well as improve the foot’s function. In addition to designing and fabricating an appropriate orthotic, a credentialed pedorthist can provide you personalized attention in selecting, fitting, and modifying shoes so that you can wear the orthotic effectively. The pedorthist will follow up to make sure the footwear functions as your medical provider has prescribed. A footwear prescription, like any other prescription, takes into account your medical history, activities of daily living, and treatment goals.

What kinds of problems does a footwear prescription address?

Pedorthics gives medical providers a whole range of conservative – or nonsurgical – treatment options. When medically necessary, your medical provider will write a footwear prescription to relieve pressure, redistribute weight, accommodate or support conditions, prevent injuries, compensate for imbalances or overuse, and preclude the worsening of damage to the foot.

In addition to addressing lower limb problems, footwear prescriptions can address foot-related problems, such as lower back pain, pelvic imbalances, or other limits to your physical ability to perform. Footwear prescriptions can even help athletes return to their sports faster from some minor injuries.

My feet sometimes bother me, but I don’t need a doctor, I just need more comfort in my shoes. Can a credentialed pedorthist help with that?

Yes. Many people can benefit from pedorthic devices or footwear modifications to make their shoes more comfortable. Sometimes they just need a shoe that has been properly fit. You can make an appointment to see Michael Hatfield without a footwear prescription. However, keep in mind that if you have a medical condition, you will need a footwear prescription from your primary care physician before the pedorthist can help you.

Patients may be eligible through health insurance for partial or full reimbursement for footwear prescribed to accommodate or alleviate medical conditions.