Hi Everyone, I have been scratching my head with a problem concerning 2 pt's who are getting blistering from their insoles. 2 different ends of the spectrum -
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1. Male who runs upto 120 miles/week, has had a number of complaints mainly achilles problems. hypermobile joints high beightons score, medial deviation stj. Due to his hypermobility. he has numerous insoles all of which are generally focussing on the arch profile rather than any skives etc. He Runs in neutral asics but when he runs in stability asics he gets blistering.
2. Female - again high beightons, med deviated stj all jts hypermobile B/F had a Rsided tib stress # 1yr ago and started getting same symptoms xray inconclusive but there is some periotial reaction going on. Made her up something simple with mid foot saddle and triplaner medial post to behind 1st mpj as thought she wouldn't tolerate any arch fill. I used a baileys xline as a base ( don't know if anyone uses them) again blistering in arch area approx 1" proximal to 1st mpj?
anyone have any pearls or have had this in patients before? If more info is required please let me know?
thanks
Bartypb
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