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Runner's World, May 1991, 25 Most Significant Events

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Kevin Kirby, Nov 18, 2015.


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    Here is the first few pages of an article in the May 1991 issue of Runner's World that I was given while lecturing at the 2015 Richard Schuster Memorial Biomechanics Seminar at the New York College of Podiatric Medicine last weekend. Brings back many old memories...
     
  2. Craig Payne

    Craig Payne Moderator

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    ....ahhhh .... George Sheehan ... how much does the profession owe him?
     
  3. And we must give Richard Schuster credit for being good enough with foot orthoses to fix Dr. Sheehan's problems.

    The New York podiatrists still worship the memory of Dr. Schuster just like many California podiatrists still worship the memory of Dr. Merton Root. It was an interesting seminar in New York. After hearing the lectures, I just don't know how forefoot valgus is so rare in New York (according to some of the lecturers) and forefoot varus is so rare in California (according to some of my CCPM biomechanics professors).

    Medical professionals viewing this West Coast/East Coast forefoot valgus/varus debate from outside our profession certainly would have a hard time believing that podiatrists of the USA are "biomechanics experts", when they can't even agree on how to measure forefoot to rearfoot relationship in the same country!!
     
  4. Craig Payne

    Craig Payne Moderator

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    Kevin - any other obvious differences in the east/west divide?
     
  5. I found that the discussions of equinus deformity, limb length discrepancy and pronation-related pathologies are nearly identical when comparing the west coast podiatry beliefs to the New York podiatrists seminar I just lectured at last weekend.

    However, for some reason, the east coast podiatrists seem to think that forefoot valgus is rare but west coast podiatrists find lots of forefoot valgus. I did lecture on tissue stress theory and SALRE theory which many of the NYCPM students were very excited about. I would love to find out exactly why there is such a difference in beliefs on forefoot valgus/varus from east to west..but I don't currently have a good explanation for it.
     
  6. Craig Payne

    Craig Payne Moderator

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    Is not something as simple as ddx of forefoot supinatus?

    I recall a Langer Newsletter (remember them?) from last century talking about how rare ffvarus is (and they from east coast)
     
  7. I believe that Sheldon Langer was heavily influenced by Mert Root. Many of the lecturers at NYCPM I heard last weekend were more heavily influenced by Richard Schuster. These individuals tend to believe that FF valgus is rare. Maybe it's all a matter of difference of definitions and terminology from east to west?? I wish I could have had the time to see how they measure FF to RF in New York. That would have solved the problem for me in a minute.
     
  8. efuller

    efuller MVP

    Jack Morris used to tell a story where he went to the East coast and was having the prevalence of forefoot varus versus forefoot valgus discussion. He asked someone to show him how they measured forefoot to rearfoot and they placed the STJ in neutral position and pushed upward on the first met head. We all laughed, but we should have asked what happened after that.

    However, that does illustrate the problems inherent in the forefoot to rearfoot measurement. How hard do you push when loading the foot.

    Eric
     
  9. If that is indeed the way the East coast podiatrists are evaluating FF to RF relationship, then that fact, by itself, would explain the discrepancy between podiatrists on the East and West coast as to their prevalence of FF to RF relationship. Very interesting.
     
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