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Off the Shelf orthotic for Pes Cavus

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Jo jo, Jul 7, 2015.

  1. Jo jo

    Jo jo Active Member


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    Hi All,
    My patient is a heavy lateral striker. Unstable on heel strike. Mild pronator. Pes cavus
    Overweight.

    No current pathology but would like to prevent any. Will only get privte insurance to cover her orthotics in 6 months and in the meantime would like an off the shelf device.

    Any advice on what to put her in. I am yet to find a really good supination control orthotic.

    Has anyone had much success with Vasyli and Hoke?
    http://www.vasylimedical.com/products/product_brian_hoke.html

    I don't like formorthotics much but was thinking of using this as a base too.

    Thanks would appreciate feedback
     
  2. Peter

    Peter Well-Known Member

    Quadrasteps from talarmade, Type A.
     
  3. efuller

    efuller MVP

    If... the patient has a laterally deviated STJ axis and
    If... there is eversion range of motion...

    A lateral wedge applied to any OTC device can make heel contact more stable. You can make a wedge out of many different materials, cork, adhesive felt, multiple layers of moleskin..

    Eric
     
  4. Daniel Bagnall

    Daniel Bagnall Active Member

    Hi Jo Jo,

    As Eric suggested, I would suggest you try experimenting by adding forefoot valgus posting to an existing pre-fabricated orthotic device which should suffice. I have done this with Formthotics before and has worked quite well. You can also grind the MLA to lower the arch height if necessary.

    Thanks.

    Daniel
     
  5. dazzalyn1

    dazzalyn1 Member

    Hi Jo Jo, I like SIDAS, for off the shelf, a good price for patients that don't have insurance, hard wearing and have a nice deep heel cup for stability, haven't had any complaints.
     
  6. antonioflores

    antonioflores Member

    Are there any websites which ship to europe please? Thanks
     
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