Gday Folks
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I am a new graduate and I have recently come accross two patients with similiar symptoms which have thus far not responded well to my or numerous other pods treatment. Both patients complain of a burning sensation in the weight bearing areas of their feet when standing for relatively short periods (10 min) on the one spot. Both patients work in proffessions that demand standing on the one spot for extended periods of time. Both patients have tried hard (rigid 4mm p/prop) devices with no success, and any attempt to cushion the foot results in only mild improvements/reductions. Both patients are young, fit and neither have any systemic complaints (Im aware of the DANG THERAPIST acronym). All neuro and vascular assesmnets WNL. Both patients have tried changing footwear with limited (short term/small) reductions. Heel raises and mild cushioning (SCF innersole with MLA fill) seemed to get best result but was ultimately still only a short term 10% reduction in symptoms. Both patients have been to at least two other pods befor me and other pods have all said somethiong along the lines of "you are the 1st patient in ..... years i havnt been able to help" (so Im a little worried :confused: )
Im more accustomed to treating the feet in accordance with dynamic biomechanical theory, the static stuff seems to be a bit trickyer. Oh and what orthotic design do you advocate for functional hallux limitus in a runner with lateral For Foot shoe wear (soory am I allowed to ask 2 questions at once)
Regards
MrT :)
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