G'day fellow podiatrist & health professionals,
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Let me introduce myself. I am a podiatrist that been practicing for just under 2 years hence pretty much everyweek to some extent is still a learning experience
I would like to seek some opinion from everyone who may have an idea or two regarding my questions on orthotics.
I recently prescribed a custom device polypro (milled-not heated) to a 75 yo patient with RA feet. She suffers from constant pain during weight bearing.
I've decided to prescribed an accomodative device hence the casting technique was semi weight bearing. The idea for the device is not corrective but accomodative to have a more even plantar pressure distribution.
She has bilateral MTJ collapse with very broad and flat foot type. Supination resistance is high.
After wearing the device for 8 weeks she is gradually getting adductor pain on the inside of her thigh muscle whenever she wears the device.
The device is posted to 0 degrees at the rearfoot.
Structurally she has mild tib varum
My questions is what may have cause the adductor pain?
All i could think of would be the MLA area may be too much for her to tolerate but it is casted semi wb hence the MLA profile is not prominent.
Thanks in advance for any opinions and suggestions of what may have caused it and any ideas on orthotic modification.
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