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Hi all,

I have an elderly patient with chronic hyperkeratosis plantar to the 1st met head due to a cavus foot type and rigid 1st ray.

What would be the best option for offloading this area and trying to reduce the pressure and callus build-up?

Any thoughts would be much appreciated :)

 

Hi Shaz.

The following orthotic prescription should help reduce GRF plantar to the 1st met.

Total contact eva device
1st met cut out with soft poron infill
reverse mortons extension (cork)
2-5 met bar sub mets

Best of luck

Scott

 

l would add to Scotts; Rocker sole and check the off loading is correct with an inshoe pressure mapping system