I treat many patients that are inverted aka varus aka supinated. This is a great foot for me to help. Even though the exact numbers do not mean much, this is a patient with 10 degrees of genu varum (bow legs) with 10 degrees of tibial Varum. You can tell this patient likes to walk on the outside of their feet, however the compression forces are at the inside (medial) aspect of the ankle and knee.
As the patient stands they are inverted to the ground. You will want to perform the block test or have them rotate internally with the leg to see if there heels get to vertical. This patient easily had the range of motion to get to vertical.
Treatment wise you may decide on holding the patient inverted (say in the case of lateral meniscus injury or sesamoid injury) although allowing pronation for shock absorption, or getting the patient back to near a vertical position (say in a lateral ankle instability patient trying to avoid surgery, or chronic medial meniscus pain trying to avoid knee replacement. I will talk more on the inverted foot in the next few days. Rich
