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Case study assistance

Discussion in 'Introductions' started by olgaharry, May 10, 2015.

  1. olgaharry

    olgaharry Member


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    Hello I am hoping someone can point me in the right direction. I am a podiatry student and have a case study of a lady 69, osteoarthritis to feet and hands, no medication. HAV, pronation, callus to 2nd and 3rd MPJs, HD to R/3rd MPJ on. Pronation, and ankle dorsiflexion only 5 degrees knee extended and flexed. Hallux has 5 degrees WB and 50 degrees on NWB, 1st Ray restricted. I am looking at an orthotic for pronation- a rear foot medial post, a MLA support, a 'U' cut out for L/3rd MPJ. However I had considered a forefoot cut out for first ray but now I am doubting this due to the hallux 5 degrees. The case study is regarding the HAV. I am hoping for some direction to help me choose the right orthotic.

    Thanks in advance.
     
  2. efuller

    efuller MVP

    Is this a case study of a real person, or a list of symptoms and measurements?
    Make the orthotic to fix the chief complaint(s).

    If she is complaining of HAV.... I have a few questions for you. Why does HAV hurt?
    How would an orthortic relieve pain in HAV? Are there any findings in the physical exam that would tend to increase pain in the first MPJ? How would you address those in an orthotic.

    By the way case studies are supposed to make you think about the above, and other, big questions, and not just get the answer of make an orthotic with a half Nelson thingamabob and a 45 degree push. You should always be able to defend your prescription with a thought process.

    Eric
     
  3. Heather J Bassett

    Heather J Bassett Well-Known Member

    Welcome Olga Harry, great that you have moved your post to another forum. Well done. A complex case will always lead to more questions,,,

    So many variables, I look forward to further replies, good luck

    Kind regards
     
  4. olgaharry

    olgaharry Member

    Thanks for replies. I got the answer from another source.

    Olga x
     
  5. Rob Kidd

    Rob Kidd Well-Known Member

    My suggestion is, that you go to the library, and start reading. With respect, and I do mean with respect, you need to find out for yourself. Education is that process that brings about a permanent change in behaviour - let yours start now!
     
  6. efuller

    efuller MVP

    you do realize there is more than 1 answer to your question
     
  7. olgaharry

    olgaharry Member

    Not sure if this is how to reply as new on this. Rob I think you will find that I have read around this and was just asking for guidance if I was going in the right area. I was not asking for the answer.
     
  8. olgaharry

    olgaharry Member

    Yes I do thanks efuller :)
     
  9. Rob Kidd

    Rob Kidd Well-Known Member

    Then I am uncertain as to why you are asking for help at all. If you are uncertain about a reply in the public arena, I am happy to receive PM. Rob
     
  10. Heather J Bassett

    Heather J Bassett Well-Known Member

    :) Olga
     
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