Progressive Collapsing Foot Deformity Classification by Dr Allen Jacobs

https://www.hmpgloballearningnetwork.com/site/podiatry/whats-name-understanding-progressive-collapsing-foot-deformity?hmpid=&utm_medium=email&utm_source=enewsletter&utm_content=1710811546

Pronated Left Foot: New Orthotic Device to be Made (Posterior Tibial Tendon Dysfunction)

This patient presents with a collapsing left arch for several years. I inherited the patient from my retired partner (Dr. Ronald Valmassy) who kept him going on a 20 year old orthotic device. However the patient has noted a change in the last year with a collapsing left arch and more left arch pain. He has no pain in his right side. He tries to walk 3-4 miles daily, but the last 6 months has been limited to very little walking. 

I am going to start with my highest correction of 35 degrees Inversion for the left foot. I am only making a new left for 3 reasons: only has pain on left, the right orthotic device seems excellent, and he has no insurance and is paying for this himself. 

     This is actually a typical stage 3 PTTD patient. The RCSP (resting heel position) was 17 everted or valgus standing on the orthotic device. The highest correction I do is 35 degrees initially which should push the patient into more varus by 7 degrees (5 to 1 plaster inversion to actual foot change). I will go up from there after he is used to it. I am always hoping for more than the 7 degrees change, but sometimes it will be less with the first correction. 3 months after his new left orthotic device is dispensed, I will either push the orthotic correction 3 or 5 degrees more.      

Good Article Posterior Tibial Tendon Dysfunction (PTTD)

I just recently checked your blog. I had no idea you answered all my questions. I left a quick reply with a  few questions. Besides helping me I am hoping there are others who benefit from my experience and your feedback. I read this article recently. I wanted to share with you

Researchers inch toward understanding of PTTD

Researchers inch toward understanding of PTTD In recent years, studies have elucidated aspects of the biomechanical effects of posterior tibial tendon dysfunc...

THANKS again. Are you a Golden State Warrior fan? I wonder if you have any articles on what the injuries were for Stephen curry, his treatment, and subsequent surgeries. Also, here in NYC, we have the NFL New York Giants. A few receivers had serious injuries. Odell Beckham Jr is the most famous player. I could be mistaken but when NFL and NBA and MLB players get seriously hurt it seems like they get surgery rather fast. It would be a TREAT if you wrote some articles on the more popular and famous athletes and some of their surgeries etc involving the feet.

I look forward to finally meeting and getting that infamous Dr Blake evaluation. THANKS AGAIN