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I had a patient in this week who is suffering from recurrent hamstring strains.
Male
24 y.o.
Local Footballer
Suffered 8 left hamstring tears and 1 right - through all sports of different mechanisms
He was consulted all sorts of Allied health professionals to find a solution to his problem - Who have mostly focused on establishing hamstring and core strength and trunk support.
He has decided to conbsult podiatry as he feels hes running out of ideas.
He presents with very flat feet with significent rearfoot eversion through late contact - early midstance in gait. There wasn't any noticible over internal tibial rotation. No abductory twist present, very slight early heel off, patient has great flexibility at the hip and ankle joints, no noticible difference between either sides.
The paitent was assessed by a colleauge of mine, and he is returning in a week to see me.
Ive found some evidence to suggest there is some correlation between hamstring tears and over-pronation. And between foot orthotics and a reduction in hamstring activity.
Does anyone have any clinical experience dealing with a similar problem. Im inclined to cast him for orthoses anyway and at the very least prevent any furure lower limb problems he might confront, although the main reason he presents is to prevent the reoccurance of his hamstring problems.
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