Anyone with any experience or suggestions?
21 y.o. gentleman STJ over pronation,with tibia vara - slight (EM<10) but c/o knee pain when running (for football) and some new bony growth at the ankle as a result of the off centre angle.
Also noticed a forefoot varus which makes this gentleman's STJ pronation even more extreme as he tries to get the 1st MPJ plantargrade
I am considering either altering the scan of his foot 'straight up' in neutral with a whole foot medial posting (ie. the eversion angle in Amfit correct and confirm) -- but am wondering if there is perhaps an even more effective method of scanning with the foot at an angle, but the the knee in 'neutral'
This pt has had orthotics before from another practitioner who had not taken account of blouts/T. vara at all and had taken a sponge cast of the foot in neutral and then produced from that with no alteration -- obv he was not able to use these as they were painful