Hi all
Members do not see these Ads. Sign Up.
I have recently been referred a patient from my local physio. He is a 14 year old boy who has been suffering from patellofemoral syndrome on inetrmittantly for 2 years. He has been given foot orthoses from other podiatrists( varying shapes, styles and designs). The orthoses have been successful in treating his knee pain however he also has an intoeing gait pattern on both legs. the physio is treating his internal hip position with various physical therapies. However, he has severe medial heel wear on both of his shoes. This is present when he wears orthoses and when he doesn't.
His mother is very concerned about the cost of footwear and also the long term effect of this severe wear on his lower limbs.
He is severly pronated, he has very little external hip rotation, the physio believes this to be of musculature nature. Also of note is that he is very small for his age- he only weighs 28kg. The paediatrician is monitoring this but does not appear to be overly concerned.
My quandry is that this boy appears to require his orthoses as treatment for PFS, but how do I change his orthoses to reduce the amount of intoe and subsequent medial heel wear? I thought if I am to try making an orthoses I might as well not repeat what the other practitioners have already tried.
Tags:
Loading...
- Similar Threads - Severe medial heel
-
- Replies:
- 0
- Views:
- 714
-
- Replies:
- 0
- Views:
- 1,955
-
- Replies:
- 1
- Views:
- 1,584
-
- Replies:
- 0
- Views:
- 1,151
-
- Replies:
- 2
- Views:
- 2,067
-
- Replies:
- 1
- Views:
- 2,800
-
- Replies:
- 2
- Views:
- 2,882