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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

 

Quadrasteps from talarmade, Type A.

 

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

 

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

 

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.

 

Are there any websites which ship to europe please? Thanks