Hello O&P.
I have a patient in her 30’s. When she was a child a tarsal coalition
between her talus and her calcaneus formed. I have not officially
evaluated her yet but believe that the coalition is bilateral. She opted
not to be operated on and the coalition breaks and reforms periodically.
She has been wearing cork FOs from another practitioner which are old and
worn out. She says that she cannot walk without them. She has shown me
that she has rigid varus alignment of her hindfoot. I will be evaluating
and casting her this week and was wondering if anyone has any ideas on
which position to cast/biofoam her since STN does not necessarily represent
her feet during gait. I’m pretty sure that I will simply be accomodating
a rigid hindfoot deformity but if anyone has any helpful suggestions I’d
appreciate them.
Thanks.
Yitzchak Langer, CPO
