Friday, March 29, 2024

Re: [Compile mail on Medial Arch]

asif ali

Dear Mini

I am very thankful to you for taking the interesrt

We donot have the foot scanner.

But as you say Is the most applicable method

My opinion is that “the nature must develop a propotional for this purpose.

Might you under stand my opinion

looking forward

Asif

—– Original Message —–

From: Mini Krishnan

To: asif ali

Sent: Wednesday, August 16, 2000 7:21 PM

Subject: Re: [Compile mail on Medial Arch]

> Asif, hello! for flat foot correction ,the size of the arch support varies

> according to each individual.what i usually do is either get a footprint

on a

> paper and then shape out to fill in the gap.initially i go in for a 1/2′”

> wedge covering the areas not touching the groung.i make the patints walk

with

> it for almost a month,follow the results with a foot scan or verbal feed

back

> and then add on or reduce the width accordingly.

> i hope this info helps you .bye mini.

>

> Thanks

>

> Asif Ali

>

> Relplies

> thanks fo cooperation

>

>

>

> 1 Rnjonker

>

> My main focus is not the degree of deformity but rather how much wedging

> is

> needed to get the A/P-alignment of the foot corrected.I hope my reversed

> mindset helps

>

> 2 Andrew ..

>

> Personally, I can’t help. This all depends on:

>

> Child or adult?

> Severe, moderate, mild pronation?

> Tight heel cord or no?

> Diabetic?

> Patient tolerance?

>

> Generally, the apex of the medial arch should not be modified as far

> back as we all were once taught, mostly due to poor patient tolerance.

> I stay between the navicualr and Medial Maleolus and I try to wrap the

> modification diagonally under calcaneous and across to the lateral arch

> posterior to the base of the fifth met head.

>

> Hope this helps

>

>

>

> 3 Bikeliker

>

> Highly individualized and I’ve seen thousands of feet in all these

> years.

> If anyone gives you “ratios” well, let’s just say, it will make for

> interesting reading

>

>

>

> 4 Joan Cestaro, CP

>

>

>

> The medial arch is defined when the foot is properly cast. It varies

> from

> individual. The foot should be cast in subtalar neutral position and

> the

> arch accommodated to that. Any orthotic reference or podiatry book can

> explain the subtalar neutral casting methods. Good luck.

>

> 5 Richard Ziegeler

> …. I make a lot of these and I have always worked on the premise that

> some arch

> better than no arch. I try to correct the foot when I cast it so my

> positive mold is actually a representation of the corrected foot or foot

> in

> a position as close to anatomical neutral position as I can get it.

> I do not know of any papers on this subject but can say that I haven’t

> had

> any failures yet.

>

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