PL enthesopathy - valgus forefoot post?

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what is your opinion on putting a valgus extension on the lateral side of the forefoot for patients with PL tendonitis. I have seen some people add some felt to patients existing orthotics on the lateral forefoot to relieve the PL.

thanks

 

If supination resistance is low, then lateral wedging (esp under heel) invariably works every time.

 

And what if supination resistance is high, is lateral wedging contraindicated?

 

I have only ever seen peroneal tendonitis in those in which supination resistance is low.

 

Ive just picked up on this thread as currently have a good friend with high supination resistance and peroneal tendinitis. Im slightly unsure what to do.

 

Check to see if the peroneals are active in static stance. Some feet supinate so easily that if the peroneals were not constantly active they would just roll into supination.

Also look here for when to wedge.

http://www.podiatry-arena.com/podiatry-forum/showthread.php?t=69635