Midtarsal pain of a ballet dancer

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Hi folks
I have a patient who is a retired ballet dancer with midtarsal and medial ankle pain. There is more range of motion of STJ eversion twice than inversion. What could done to eleviate the pain. Pain goes down when walking barefeet. I have already tried medial wedge posting and a valgus filler, tried calf streches and Alfreson exercises. however muscle are really strong. Thanks

 

HI
Sounds like Posterior Tibial Dysfunction and Post Tib tendinitis. Tough one to treat. Try bracing in a CAM walker and compression for several weeks to calm down. A gel arch pad can alleviate some of the symptoms.
Hope this helps.
Teri Green
Atlas Biomechanics