Hi two Biomech probs encountered recently:
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(1). Male patient young fit healthy plays lacrosse, pes planus foot type no other probs noted or stated. but now encountering pain 6 weeks after issueing polycarbonate orthoses.Both with a rear foot posting of 4degrees pain/aches in peroneous longus/Brevis area posterior to lateral malleolus.Nothing upon palpation.some soreness in the left 5th metatarsal area.Soreness/pain usually comes on around 45 minutes after wearing.Upon examination tonight left device is not as supportive as right when viewed in frontal plane.The right device described as perfect by patient.
Any ideas on what this might be and how to correct the orthoses as/if neccesarey.
(2), Female, fit and healthy no medication decent runner.Dull ache pain in right lateral knee right ITB/glute' area and numbness in right shoulder. always occurs when runing and lasts to a varying degree for approx 24 hours after completeing run which is usually a 10k distance. VAS of pain usually a 3' nagging ache in knee and hip areas.
First occured in 2006, since then has has x rays on both areas and mri nerological tests on all areas and on her brin courtesy of the NHS - all negative results.
Pes cavus foot type/rearfoot varus.with secondary tibial varum.No probs with STJ.mtj or ankle joints qom or rom.
Neutral asics runners, has sedentary job.Pain Never occurs when fell walking or day to day activities.Has hardly run since prob first arose.When she started back a few weeks back problem resurfaced.Previous physio after 10 sessions no positive result after being treated for ITB syndrome.
O/e today left LLD approximately 7-9mm shorter.
Provided patient with pair of slimflex insoles to be used only in runners left device with detatachable raises of 4 & 6mm - all i had at my disposal today.
Any help or thoughts
Thanks
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