case history
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young male, 14 years old, Bi- lateral F/F varus, severe flat feet, hypermobility, clumsy slapping gait.
4 years ago he was seen by a podiatrist C/O uni-lateral knee pain. diagnosis osgoods schlaters
full length bespoke insoles supplied to improve foot posture-significant improvement in symptoms.
this young male is a close relative. he is a very talented footballer and has created a lot of interest from some top clubs.
however, i can foresee his running ability letting him down in the future, albeit he took a stretch recently a his running has improved slightly, a pitty as he has all the other qualities and an exceptional talent at this time.
im currently a fourth year student and have supplied him with 3/4 length slimflex insoles to try and controll the abnormal and excessive pronation. with a veiw to cast him to make more dynamic insoles suited to his feet when i go back to uni and manufacture an EVA neutral shell.
some expertise advice would be invaluble. whats likely to be the prognosis ??? i know hes not going to be a 100m champ
Cheers bkelly11
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Related thread:
Foot orthoses and asymptomatic pediatric flatfoot -
with the intervention of foot orthoses, what can i expect the prognosis to be ??????
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What does this tell us ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????
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Some of the world's best sprinters (i.e. 100 meter champions) have flatfoot deformity so I don't think I would be too worried over just a flatfoot in this 14 y/o unless he has something else that is giving him problems. Luckily, having championship-level sprint speed is not a requirement for football or there would be a very few soccer clubs in existence around the world. I would much rather have a football player on my team that can put a ball in the back of the net once or twice a gaime than have him/her be able to win the race from one side of the field to the other. -
Thanks for your reply Mr kirby
I can assure you that this boy has severe flat feet and is an exceptional footballer. he trains with the one of the top clubs in the country, he plays for the district team, and is involved at the moment in trials to play for his country.
He presents with
Helbing sign
abducted feet
Low MLA
pattela internally rotated
long thin feet (problems with good fitting football boots)
he has anterior Knee pain after activity
My point in the post was to find out if functional foot orthoses could improve his running ability and the possibilty of them being propholactic measure for him from developing serious pathology in the future. Do yo know of any research that has been conducted on orthotic devices to improve running ability??
On another matter, i disagree with your theory of just being a good footballer. In my opinion and i express it is only my opinion that in todays game (football) to play at the top level you have to be a top athelete as well. You commented on a race from one side of the field to another, who would you have as a coach a) an average player with great pace who can outrun defenders and put the ball in the net or an exceptional player with all the skill in the world who is an average athelete who cant outrun defenders to put the ball in the net??
thanks for your interest
bkelly11 -
Hmm,
I have a 10 year old son lanky, long.... long feet. loves to run!! Large forefoot varus-foot slap->too much grinding of bones-> knees medially rotate. aged 6 started winging:) sore feet/ sore shins/achilles(in any order). I ingnored him and about 7 yrs old I believed him. When you work podiatry, you don't want more at home. Finally I got Alpha orthotics(cork-firm but shock absorbing) and he felt better and if he does not use these pain comes back. Now I use sport type insoles from Briggate-thick in cushioning to toes and has various arch heights. Cost effective for my son CHANGES shoe size EVERY 6 months from day one. Ian Thorpe Feet??
Make sure the 14 yr old stretches those Quadricepts- sounds like he realy needs it. Be gentle and set up easy routine. When he improves increase stretching. I often refer to physio for stretches if they don't know that Podiatrist can help. Reluctance to comply often is due to lack of information or supporting evidence, but in kids they just forget!
All the best -
Thanks for your reply Podiatry777.
could you pass on more info on the sport style insoles-do they have a web address.
i tried the stretching and your totally correct, getting him to comply is a nightmare-however, i will try again.
cheers bkelly11 -
My point is not that absolute running speed is not important in the game of soccer (i.e. football). My point is that absolute running speed, by itself, does not make an elite soccer player. And if you read my original posting, I did not use an example of a player that could not put the ball in the net, I used the example of a player that could put the ball in the net. Soccer is more than absolute running speed, but obviously having both great skills and great running speed are most desirable in soccer. -
A strange bunch you Americans. Football, (a game played mainly with the feet) you call soccer. What you call American football, (as opposed to British football?) is a game played primarily with the hands. :confused: :rolleyes:
You know i love you all.
So far as football boots are concerned i tend to find that the ever contentious forefoot Varus extention gives a significant degree of symptom releive for a very modest amount of space in many cases.
Regards
Robert -
Mr Kirby, im only looking for advice. And on the other matter i expressed an opinion that is obviously different from yours.... Todays game is not just about skill, i only commented that you need to get to the ball 1st to put it into the net. you said you wanted somone on your team that can stick the ball in the net and that you dont need to be a championship runner. I disagree with that
Regrads bkelly11Last edited: Jan 11, 2007 -
Thanks Robert
i will look into the F/F extension
Cheers bkelly11 -
In American football the feet are used for
1) Running
2) Kicking field goals
3) Punting at fourth downs
4) Tripping opponents illegally when the referee is not looking
5) Purposely stepping on opposing players feet and other appendages when the referee is not looking
I would agree that the sport you call football, what we Yankees call soccer, is more foot dependent. It seems that the only function of the hands in soccer (excluding the goalie, of course) are more for making flailing motions while on the ground while the player is doing their best job acting to favorably impress the referees that they should pull a yellow or red card from their shirt pocket to flash in the face of one of the opposing players. :p -
Regrads??.............What does that mean?? :p -
anyway toys are back in the pram
:rolleyes: cheers bkelly -
Of course the tea is important. Is there anything more quintisentially English? Only fishing can match it for a sport involving a minimum of exertion.
Did you know the FA (football association) is entering into a collaberation with the royal shakespear company and the special effects studio responsible for "Saving Private Ryan" to improve performances from players?
I only wish i could get hold of those sponges the physios run on the pitch with. They seem to get players from rolling around on the ground in agony with what appears to be a double spiral fracture of the leg at the very least, to sprinting up the pitch like gazelle* within minutes!
If i could only isolate the active component in those sponges i'd be rich! Rich i tell you!
Regards
Robert
*you'd be surprised how often you see a gazelle on a football pitch. -
Hi there,
Tech Soft full length comes in 4,6,8 degrees arch heights. Patient needs plenty of room as innersoles areat least 3mmm thick forefoot and more at heels.manufacturer InterPod have their websit. Stocked by Briggate. You need to decide on shoe suitability and arch height. men love these soft very cushioning innersolles-cost $34. ;)
I won't get involved in your football chat-easy for me the game does little for me, sorry. My lanky son is wondering why mum has been on computer 1st thing, I'm sure :eek:
Bye for now -
Hi, Some personal anecdotal experience with the twisting and turning associated with Aussie rules rigid OT's often can not be tolerated. I have had top level footballers who wore rigid OT's for day to day wear and running but softer devices for the game. Others who wore rigid for game.
Having played and treated my team mates at an International level of sport...I could not function without my rigid OT's but some team mates could and some team mates could not wear rigied during the game.
2 of my team mates had the similar feet to your description, one was fast the other much slower BUT all three of us won the WORLD Series in a game with very similar running action to Aussie rules! So there are no rules on what feet are going to make or break you being that top athlete. On a different note age 13 year old son with size 11 1/2 feet, Pes Planus doesn't getter any planor.....can't function without his rigid OT's and well laced boats oops I mean shoes
kind regards Heather Bassett Pod Melbourne
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