Dear All,
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I have seen many patients who have an enlarged 5th met/cuneiform . On the brother and sister (11 and 13 years) pair I am treating presently, they both have significant lower extremity discomfort, medial long arch strain, anterior knee pain, and plantar heel pain. They are active in a variety of sports, can play with pain which is never disabling but pain is a constant presence during and after sports. They have normal ROM, even at the true ankle joint which I would have expected to be tight. There is significant eversion of the calcaneous( Valgus) and medial long arch flattening on both these kids.
The question I have is this: is there a direct relationship between a prominent 5th met/cuneiform and a form of functional equinus? I seem to do better in controlling these types of feet,and reducing their sympstoms (adult or pediatric) when I put in between a 3 and 5mm heel raise. I believe the heel raise serves to reduce the 'pivoting' abductory stress on the 5th met/cuneiform.
Sincerely,
Freeman
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