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Orthotics recommendations?

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A question for all you sports gurus. I have a new patient

who has unilateral pronation syndrome? He sustained a shotgun blast to the

right gastroc/soleus in his adolescence and is missing a good portion of the

medial muscles bellies. Now in his late 20’s he’s decided to start training for

the HTC marathon and is experiencing right sided IT Band syndrome and a SI

joint dysfunction. I did the Foot Levelers PSI test and he’s got a significant

drop in the right arch (10 mm) but mild on the left (5 mm). My question is

should I prescribe an orthotic for the pronation syndrome for both sides or mix

the arch support to accommodate the differences between the two sides.

I’ll add a caveat that I’m a skeptic of the neutral casting

and also the Food Levelers products. I’ve had good success sending my patients

who need an orthotic up to REI to buy a pair of Superfeet orthotics based on

the results of my assessment. It’s a whole lot cheaper and as a far as I can tell just as

effective as the overpriced custom made products.

Yours In Health,

Mealey, DC

Milwaukie Wellness Center

5111 SE Lake Rd

Milwaukie, OR 97222

www.milwaukiewellness.com

 

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