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Foot orthoses for tarsal coalition

Discussion in 'Biomechanics, Sports and Foot orthoses' started by podiatrystudent, May 24, 2010.

  1. podiatrystudent

    podiatrystudent Welcome New Poster


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    Hi All
    Just wondering if anyone could provide info/opinions on best orthoses management/prescription for tarsal coalitions in kids? Have read a bit of conflicting material lately.
    Thanks
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    Re: orthoses for tarsal coalition

    Tarsal coalition hurts to move --> use foot orthotics to stop movement in the direction that it hurts to move.

    Surgery is a better option.
     
  3. Admin2

    Admin2 Administrator Staff Member

    Re: orthoses for tarsal coalition

    Related threads;
    Other threads tagged with tarsal coalition
     
  4. Re: orthoses for tarsal coalition

    Craig:

    Can't agree with you that surgery is a better option for tarsal coalitions. Appropriately made custom foot orthoses have made 75% of my patients with tarsal coalition asymptomatic. Custom foot orthosis therapy is the first line option and, if they fail, then surgery is certainly an available option. I have seen some tarsal coalition surgical patients have more pain after surgery than before their surgery...surgery wasn't a better option for these individuals.
     
  5. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    Maybe I am overgeneralising, but I just seen too many in the last few years with the 'bag full' of failed orthotics from several different type of clinicians - you know the the patient - they really been mucked around too much.
     
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