Dear Forum,
A UCBL Foot orthotic may be a suitable device for Judys
dilemna. AS Mr. Secoura stated, Insoles can take up to
much room in the toe box of the shoe. A UCBL { University
of California Laboratories } device usually has a very
deep heel cup and high medial/lateral flanges. If constr
ucted with 1/8 or 1/4 inch thermoplastics, fitting is no
longer an issue. A DPM { Podiatrist } should be consulted
as they are well accomplished in the art of biomechanics.
Best regards, Stephen
Bernie Secoura wrote:
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Pes cavus is one of the most difficult foot problems to manage. It is sometimes, but not always associated with neurologic conditions, but not necessarily so. There are two main problems with the excesively high-arched foot. Firstly, it forces weight bearing on only a small portion of the foot . . typically the heel and the ball. That is why insoles have been recommended . . to disperse the weight over the entire foot. Unfortunately, the added thickness of the insole may cause shoe-fitting problems if you wear shoes with laces or slip-ons which require the top of the shoe to be somewhat snug in order to keep the shoe on. Secondly, the high-arched foot is often locked in relative supination (inversion) and does not adequately evert (pronation). Pronation of the foot (as well as supination) are necessary phases in the gate cycle. Pronation allow for the joints of the foot to become less ridid, allowing of adaptation of the foot structures to varying ground surfaces, and supination causes.... |
