Case Study #10
An in-depth look at Paromed in the real world
History
- 45 year old female
- Complaining of sharp, stabbing pain in right forefoot
- Aggravated by any exercise and barefoot walking
- Activities: Crossfit (5/wk), cycling and walking
- Hx of plantar plate tear 3 years prior
- Footwear – Hoka Clifton, Saloman X Cross, Sketchers, ballet flats
Podosmart Movement Analysis Data
- Severe pes planus foot type
- Ankle equinus
- Bilateral hallux limitus
- POP – plantar and dorsal right 2nd and 3rd met heads
- Positive response to dorsal dislocation test at right 2nd and 3rd
- Hyperextension of right 2nd and 3rd noted
- Pain stopped testing of single leg heel raise on right side
- Gait – severe eversion and STJ pronation evident through heel strike
Medilogic In-shoe pressure measurement without orthotic
Orthotic design by the treating Podiatrist
Laser 3D scan of both feet taken in STJ neutral and semi weight bearing:
3D orthotic device is modeled with paro360 software to control rearfoot and midfoot pronation and redistribute pressure away from right D2 plantar plate:
Outcome
Reduction in 2nd met head plantar pressure. Patient reported continued reduced pain at 1 and 3 week reviews.
