Recently consulted a 12 year old athletic female who complained of bilateral knee pain. A standard 4 degree inverted modified root device was prescibed. Orthotic review at 4 weeks revealed resolution of all knee pathology. 2 weeks later the patient presented with an acute localised swelling, erythema and pain overlying the navicular of the left foot after sporting and dancing activites. Ice massage and rest resolved the acute inflammation but any activity reproduced the original symptoms. Modifications to the left orthotic included adjustment of the anterior edge, first ray cut out and a 3mm heel lift. Bone scans were ordered and results are pending. Differential diagnosis' included navicular apophysitis and stress fracture. Is there any other acute pathology that could have been induced via the orthotics? And do you think the orthoses have a direct correlation to her symptomology?
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Interpreting gait, late swing abnormality
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Thought Experiment #2:
Effect of STJ Axis Location on Met Head GRF
>
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Interpreting gait, late swing abnormality
|
Thought Experiment #2:
Effect of STJ Axis Location on Met Head GRF
>
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