Saturday, February 19, 2011
Top 100 Biomechanical Guidelines #41: Root Balancing Forefoot Varus may have to be a compromise (esp. over 5 degrees)
This has been a problem long recognized by the orthotic industry. Compromises in support are being made with this foot type daily. It is important to realize that they are compromises, and suboptimal support is achieved. Suboptimal support can lead to poor symptom response, and even the creation of bunions, etc. Even in patients with 2 or 3 degrees of forefoot varus, I will try to modify the correction to place more support proximally with the Inverted Technique or the Kirby Skive. This way the anti-pronation support is not compromised, and the possibly damaging problems associated with full forefoot varus correction are eliminated.