By Dianne Mitchell on
5/20/2011 6:26 PM
I never thought I would place a full-length valgus wedge on a patient's orthotics.
I see a lot of workers comp cases and presently see a roofer. After about 2-3 hours on the roof he feels pain. In a stance exam of this patient, he is bow legged b/l with pronounced tibial varum and his RCSP is nearly perpendicular to the ground. Initially, he presented with typical plantar fasciitis symptoms and we tried a 0/0 motion rearfoot posted functional foot orthotic, neutral device with no inversion. This seemed to help the arch, but the patient slowly developed peroneal pain. In my initial attempt to relieve this, I added a reverse Morton's extension of cork to the devices that the patient enjoyed; then he increased time on the roof and this was proving to not help. So, I ...