) though they found a decrease in the pressure on the hallux it was not statistically significant when they were using the kinetic wedge, for what we might not conclude that the kinetic wedge is effective for the treatment of the functional hallux limitus. If we assume that you cause the tension of the fascia when MPJ plants flexion moment at the our aims they should go directed to eliminating this tension to promote the movement in the MPJ, if this tension in the fascia comes from an excessive pronación we would use a medial heel skive, besides it seems to be that to wedge under the wings aspect of the forefoot reducing strain in the to plant aponeurosis (J. Bone Joint Surg. Am. 81:1403-13, 1999), for what this wedge would be a part of the treatment. I personally would treat it with an ortesis that had a medial heel skive and other elements of control of the pronación (as the Dr. Kirby comments in his books, longitudinal internal arch with his forces
reactivate of the orthesis, etc.) and to wedge under the wings aspect of the forefoot.
Cheers and sorry for my english.
Jonatan