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Foot orthoses for unstable feet

Discussion in 'Biomechanics, Sports and Foot orthoses' started by guinue, Dec 5, 2016.

  1. guinue

    guinue Member


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    Hi. I have one interesting/a bit challenging case.
    78 yrs old patient with midfoot break (unilateral) and compensatory extensor/flexor muscle imbalance, leading to lesser MTPJs subluxation.
    Surgeon sent referral letter to me to make foot orthoses - functional and accommodative orthoses which off-load lesser MTPJs whilst provide support calcaneal/cuboid area to stabilise R/mid-foot
    The patient has wide feet and wants to have prefabricated or semi-customised orthoses (precast) for financial issues
    A bit trouble for me to select mid-foot device vs rear-foot device and orthotic shell materials such as polypropylene vs EVA. His rearfoot - slightly valgus and medial arches were collapsed
    Any suggestion and/or advice would be appreciated
    Thank you
    Kind regards
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    7
    What actually hurts?
     
  3. guinue

    guinue Member

    Patient said forefeet - over lesser MTPJs. Fibrofatty padding over plantar MTPJs was diminished
     
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