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Nov 23

Written by: Larry Huppin, DPM
11/23/2009 5:54 PM

I saw a 120 lb female patient back today who presented last year with medial malleolar pain when hiking. She was an active hiker, so this was significantly hindering her ability to enjoy the outdoors.

She didn’t have a particularly large malleolas, but she was quite pronated. Both heels were everted about 10 degrees in stance. As the feet pronated, the medial ankle rolled medially resulting in increased pressure of the malleolas against the medial wall of the boot.

Our treatment goal was to decrease the pressure between the boot and malleolas by limiting eversion of the heel.

Here is our prescription:

This has provided 100% relief of her symptoms. If this had not relieved all of the pain, I would have had a pedorthist modify the shoe over the malleolas.

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