Friday, January 4, 2013
Sketchers: A Modification for Stability
I love the concept behind Sketcher's roll bar. It can be very helpful for many different injuries like Hallux Rigidus/Limitus, metatarsalgia, plantar fasciitis, and others where limiting the bend at the ball of the foot (metatarsals) could be helpful. However, this shoe can produce medial instability, called over pronation as we roll forward. This can be easily treated for a little shoe doctoring. I take a scalpel, but a shoe repair store some other sharp instrument, and cut 1 to 1 and1/2 inches into the shoe from the big toe joint area. The length of the cut is 3 inches long as seen in the photos. The material used can be colored for cosmesis, and is beveled before applying. I use Barge Cement and Superglue or knockoff to secure into the shoe. As the patient rolls forward, the 1/4 inch forefoot varus wedge stops the foot from pronating and should subjectively to the patient feel that it holds the foot centered. I have never had a patient not feel more stable with this technique.