Hi,
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I am treating a 32yr old runner training for the marathon next year. She developed right heel pain in area of medial tubercle about 2 months ago. New Trainers have not helped.
On examination she does not have everted heels/ excessive rearfoot pronation but she does have forefoot valgus. She also has a very small leg length difference of about 8mm shorter on right. As most of her pain seems to occur due to excessive load at heel strike I have prescribed her neutral semi-rigid polyproylene orthotics with shock absorbing heel plug on right, closely conforming arch height to foot and forefoot valgus posting to reduce tension on plantarfascia. Have also advised on stretching of plantarfascia.
My question is would you treat the small limb length difference? I wouldn't normally treat such a small leg length difference but wondered if this difference would be exaggerated whilst running?
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articles requested for the effect of functional orthoses on plantar pressure in patients who pronate
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Puzzling symptoms in a gardener
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<
articles requested for the effect of functional orthoses on plantar pressure in patients who pronate
|
Puzzling symptoms in a gardener
>
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