Hi there
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This is my first post, and I really need it!
I have a pt of 70 who has legs anatomically the same length (measured from sternum and ASIS).
When she walks, a severe pelvic twist (under physio mgmt) makes her (L) leg barely touch the ground, which the (R) leg is heavily overloaded.
I am torn between a heel raise as part of an orthotic for the (L) side, but don't want to reinforce poor pelvic issues as there is not really a leg length differential to correct.
To complicate matters further, she has an ankle equinus (even when lying prone with knee flexed) on the (R) leg - so it could be argued that a heel lift is needed there to help dorsiflexion.
I'm concerned that too many heel lift issues (if used bilat) will make her feel like she's walking out the rear of her shoes and make her more unstable... but something clearly needs to be done.
Anyone got any experience pls?
Thx
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