Two things we hope you see right away when viewing this video.

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We talked about this woman in yesterday‘s post and, when viewing from the front, we wanted to bring out a few salient points

Notice how her foot progression angle is diminished bilaterally. Normally the foot will “toe out“ somewhere between 12 and 20° when the foot hits the ground and hers are nearly straightahead. This can be due to numerous things such as femoral retro torsion, internal tibial torsion, or subtalar version. All of these things will often have the foot point medially when examining a patient on the table and placing the knee in the sagittal plane. In this particular case, she has internal tibial torsion.

The next thing we would like you to look at is noting how her knee falls “outside“ the sagittal plane. In other words, instead of the knees pointing straight ahead, the point slightly out laterally. This is a cardinal sign of internal tibial torsion, especially in a gait analysis.

So what’s a clinician to do?

In this particular case, there’s nothing really to “fix“ as these are hard deformities that are often congenital. Our job is to help the patient to compensate and the best way possible so that they can remain pain and as injury free as possible. We discussed remediation in the post yesterday, So please refer back to that for what we did


Dr Ivo Waerlop, one of The Gait Guys

#invertedforefoot #forefootsupinatus #forefootvarus #pronation #forefoot #gaitanalysis #decreasedprogressionangle #toeingin