Saturday, April 20, 2024
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Muckle Wells Syndrome- Orthotic management question

Greg Armstrong

I have a 7yr 9month female with Muckle Wells, an auto inflammatory disease.
For my purpose, she has tight heel cords, about 5 to 7 degree PF
contractures easily collapsing her feet into overpronation and
calcaneovalgus. Pt will see orthopedist soon for possible tendon
lengthenings. Does anyone know if they can be stretched or do I take the
Elaine Owens approach by tuning and accommodating for best function? Over
stretching is painful for this kiddo and the current plan is SMO’s and shoe
wedging to accommodate. Does anyone have any other suggestions?

—
Thanks,
Greg Armstrong
​, CPO/L​

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