What do we have here and what type of shoe would be appropriate?
Having trouble with terminology? check out this post on FF varus.
The incidence of this condition is 8% of 116 female subjects (McPoil et al, 1988) and 86% of 120 male and female subjects (Garbalosa et al, 1994), so it happens more in males.
- partially compensated
So, what do you do and what type of shoe is appropriate? Here’s what we did:
- try and get the 1st ray to descend as much as possible with exercises for the extensor hallucis brevis and short flexors of the toes (see our videos on youtube)
- create more motion in the foot with maniipuulation, massage mobilization to optimize what is available
- strengthen the intrinsic muscles of the feet (particularly the interossei
- increase strength of the gluteus maximus and posterio fibers of the gluteus medius to slow internal rotation of the leg during initial contact to midstance
- put him in a flexible shoe for the 1st part of the day, to exercise the feet and a more supportive, medially posted (ideally fore foot posted) shoe for the latter part of the day as the foot fatigues
- monitor his progress at 3-6 month intervals
- a rigid orthotic will likely not help this client and they will find it terribly uncomfortable because this is a RIGID deformity for the most part (the foot will not accommodate well to a corrective orthotic. Besides, the correction really has to be made at the forefoot anyways. We will talk about medial forefoot postings again at a later date.)
The Gait Guys. Uber foot geeks. Still bald and good looking. Separating the wheat from the chaff, with each and every post.