Good evening.
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Still learning as I go. I understand the concept of a knee adduction moment as seen in varum and therefore understand the efficacy of lateral posts to offload medial knee OA..... even if this needs to be done with medial rear foot support to maintain a functional foot.
I use lateral postings and heel raises with moderate arch fills for those with a propensity to lateral ankle sprains/cuboid/supinated feet shiz however.... I note that many supinated feet come with valgum knee types. Questions are:
- has any one else noticed supinated feet often corresponding to knee valgum.
- could the knee deformity be explained by lateral STJ axis during development or incidental.
-is their such a thing as a knee abduction moment and what is the intermediate to long term risks of laterally posting feet with knee valgum. Is there the same risk of lateral knee compartment issues be it meniscus or OA as a consequence of this prescription.
I tend to prescribe aggressive glute strengthening aimed at external hip rotation to counteract the lateral posting in these people however I'm not sure if I'm overthinking or off the mark in this regard.
Any answer gratefully received
Appreciate your time
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Is lack of arch recoil more important than over pronation?
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