Hi all,
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Just a quick question about cast corrections for true FF varus deformity.
I had a patient with a 3 month history of plantar fasciitis and among other treatments I am prescribing an orthotic. Biomechanically he has a true FF varus deformity which I can "almost" reduce with a fair amount of force applied to the 4th / 5th rays with STJ in neutral.
In resting stance he is excessively pronated - I'm guessing partly as a compensation for the FF varus. He has a low - moderate Supination resistance.
In terms of correction, do I balance to verticle (ie correct the FF) or do I balance "as is" and use external FF and RF posting?
Thanks for any advice. I don't see many actual FF varus cases.
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