Have recently dispensed an athlete a apir of soft cad cam orthoses with bilateral 4mm heel raises. These were for treatment of Achilles tendonopathy. The patient responded well to copelands style taping and had previously worn orthoses for this conditiion. Biomechanically he has bilateral flexible pes planus. He weighs over a hundred kilograms. resupination and jacks force tests require a lot of force to achieve any outcome, as you would expect with a flat foot and 100+Kg!
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the patient has had major symptom relief in his achilles 2 weeks after dispense. However he is now getting left knee pain medially and in the patella tendon. He has also had a mild hamstring strain. I am not convinced that hamstring strain is related but I thought I would throw that in for the sake of completeness.
I am thinking that The orthoses may be slightly over controlling( I haven't actually seen him again yet, only spoken on the phone) any help or advice is appreciated.
cheers
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