Is it posterior tibial tendon dysfunction?

By |2022-06-05T17:13:41+10:00May 5th, 2022|Flat feet, Tendonosis|

An astute podiatrist referred this patient to me recently with a history of treatment for supposed posterior tibial tendon dysfunction (PTTD). The patient has been symptomatic on the medial navicular region radiating slightly proximal. She had been treated for PTTD for many months, including rest, orthotics and physiotherapy with no poor results by another previous practitioner. [...]

Post-operative pes planus/flat feet/excess pronation

By |2022-05-29T14:20:40+10:00February 4th, 2022|Flat feet, Uncategorized|

The images are of a recent patient who is 4 weeks post-op, following Hyprocure insertion. This patient had the typical signs and symptoms seen with pes planus and her symptoms could not be controlled with orthoses solely. Note the excellent alignment seen both anteriorly and posteriorly. On the anterior images, you can observe the small eschar [...]

Accessory navicular with pes planus

By |2022-03-18T11:00:03+11:00October 19th, 2021|Flat feet|

Approximately 2.5% of the population are born with an accessory navicular. There are three types of this condition with type 2 being the most commonly symptomatic. The fibrocartilagenous union between the ossicle and the navicular can be torn, particularly when it occurs in an excessively pronated foot type. The tibialis posterior tendon will contract and pull [...]

Hyperpronation cure

By |2022-03-18T11:00:11+11:00August 10th, 2021|Uncategorized|

Many of you may have heard of HyProCure (hyperpronation cure) and wondered what it is. The HyProCure website does a very good job of explaining in detail, both descriptively and via graphics and illustrations. In very basic terms during excess pronation the talus glides excessively across the calcaneus at the subtalar joint, this, in turn, unlocks [...]

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