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MBT rocker sole footwear, for hallux limitus?

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  #1  
Old 12th June 2007, 06:16 AM
kmb204 kmb204 is offline
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Default MBT rocker sole footwear, for hallux limitus?

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after reading a little about the benefits of the mbt footwear in shock absorption i was wondering if they could be recommended for hallux limitus? any thoughts please
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Old 12th June 2007, 02:21 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Related threads:
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Old 14th June 2007, 09:58 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

I can't help you with the mbt, but the best shoe that I have found for shl is the Etonic Minato. This shoe has an excellent rocker sole. I can even make it rigid without needing to add to the rocker. The rocker also starts proximal to the mets which helps with lots of other forefoot problems.


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Old 14th June 2007, 04:14 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by kmb204
after reading a little about the benefits of the mbt footwear in shock absorption i was wondering if they could be recommended for hallux limitus? any thoughts please
Yes I would and have recommended MBTs for symptomatic structural hallux limitus and rigidus with good results. Don't recommend them for anything/anyone else but I get lots of queries from patients about them.
Rebecca
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Old 16th June 2007, 12:39 PM
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Smile Re: MBT rocker sole footwear, for hallux limitus?

Hi there

I wear MBT shoes for a hallux limitus condition and am pleased to say that I remain symptom free by wearing them. Hope that helps you. I also recommend them to my patients with similar conditions.
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Old 25th June 2007, 02:21 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Hi,

I have had quite a lot of clinical experience with MBTs and I have found them to be very good for the treatment of hallux limitus and especially in the case of post operative treatment for sugical fusion of the first MPJ where dorsal pressure can occur with orthotics. I have found that they are mainly problematic when there is hypermobility present, especially in the knees. I would contraindicate them in unstable ankle joints, when genu recuvatum is present, and also when neuromas are present as it is seems that the increased movement of a mobile forefoot seems to aggrevate this. However I have found it to be very good for plantar fascitis. I have found them too heavy to run in so I feel orthotics are always a much better option for this. Hope this helps.
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Old 30th March 2011, 06:48 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

I have bilateral h. Rigidus and have worn mbt's for years. They have worked fine for my toes, but are, by design, unstable from side to side and unsuited to uneven surfaces. I just discovered a great pair of running shoes. Nike air torch runners (316124 010). They are stiff enough, stable, and flex at just the right spot! They are way lighter than mbt's and put less stress on my knees and hips. I'm going to buy 5 pairs as they are out of production. The soles are hard rubber and are available on other Nikes, so there may be other options. They look a little weird for work, but so do mbt's. Way cheaper $60 at Sports Authority. Walk around the store in various sizes, as the toe flex has to happen in just the right spot, which is not crucial in hard rocker soles.
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Old 30th March 2011, 07:25 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Before you do anything, get a client/friend that's being wearing the MBT for 6 months and then video their gait at ground level from both behind and in front and make your choice
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Old 21st October 2011, 08:37 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Have had personal experience of MBTs. They are fabulously comfortable not just for feet but great shock absorption for backs and knees.Have advised a number of patients to try them for hallux limits with great success ESP as now a wide selection of styles and one shop allows you to try at home before you buy. Have had some patients use them instead of anti pronatory orthoses as they encourage supination. Not good in icy weather though.
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Old 21st October 2011, 09:20 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Katiebruce View Post
Have had some patients use them instead of anti pronatory orthoses as they encourage supination.
Really??
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Old 21st October 2011, 10:06 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Any rigid shoe could be good for hallux rigidus. As you can see from the testimonials above, some people love them. I've also had patients hate them. Whenever I recommend shoes like these I tell people that some people love them and others hate them.

Eric
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Old 22nd October 2011, 01:45 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

I found that Sketchers Shape ups and their derivatives have been great for relief of my right hip pain and right forefoot pain, especially when walking around London all day and dancing salsa. When dancing I can move around on the mid foot and so keep my forefoot offloaded and when walking on pavements and in superstores I can just feel my gait being more propulsive. Terrible for walking on rough ground though, so then a I use a pair of Caterpillar walking boots that have a shallow rocker fore and aft and side to side. I often recommend Sketchers to my patients when appropriate.

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Old 23rd October 2011, 09:01 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Ian G View Post
Really??
Yes ,a few patients don't want to bother trying to accommodate orthoses and have found MBTs seem to reduce their pro nation symptoms. Katie
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Old 23rd October 2011, 11:34 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Katiebruce View Post
Yes ,a few patients don't want to bother trying to accommodate orthoses and have found MBTs seem to reduce their pro nation symptoms. Katie
That isn't my experience with MBTs at all. Numerous cases of exacerbated Tibialis Posterior symptoms with them come to mind. I haven't noticed them consistently increase STJ supination moments (external) either.
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Old 23rd October 2011, 11:47 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Katiebruce View Post
... MBTs seem to reduce their pro nation symptoms. Katie
Tend to agree with IG here. Had more than a few pts with PTTD complain of increased pain following the use of MBT`s directed by well meaning friends/health professionals. Care to elaborate on their ability to reduce `pronation symptons`?
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Old 24th October 2011, 11:18 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

[quote=blinda;231157]Tend to agree with IG here. Had more than a few pts with PTTD complain of increased pain following the use of MBT`s directed by well meaning friends/health professionals. Care to elaborate on their ability to reduce `pronation symptons`?[/.




Was advised by the people displaying MBTs at a conference trade fair that patients can often go without their orthoses when wearing the shoes because of the tendency for the foot to roll on the lateral border during gait. Have not advised any patients to wear them instead of orthoses but have had a small number who have tried them off their own bat and returned saying they have had a reduction in symptoms such as forefoot pain , big toe pain arch pain etc. All of which could be down to increased shock absorption and reduced flexion I accept but it helped. I think it is a case of choose your patient carefully before you advise. Can't say this is based a large caseload just a few with a mixed bag of symptoms. Katie
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Old 25th October 2011, 12:57 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Katiebruce View Post
Quote:
Originally Posted by blinda View Post
Tend to agree with IG here. Had more than a few pts with PTTD complain of increased pain following the use of MBT`s directed by well meaning friends/health professionals. Care to elaborate on their ability to reduce `pronation symptons`?
.




Was advised by the people displaying MBTs at a conference trade fair that patients can often go without their orthoses when wearing the shoes because of the tendency for the foot to roll on the lateral border during gait. Have not advised any patients to wear them instead of orthoses but have had a small number who have tried them off their own bat and returned saying they have had a reduction in symptoms such as forefoot pain , big toe pain arch pain etc. All of which could be down to increased shock absorption and reduced flexion I accept but it helped. I think it is a case of choose your patient carefully before you advise. Can't say this is based a large caseload just a few with a mixed bag of symptoms. Katie
Katie don´t believe things a rep tells you invested interest and all, hear what they say and investigate you might find they were telling porky pies.

MBT´s and rocker bottom shoes do work and have place in clinic practice, but it is important to understand how they work and " reducing pronation " is not one of them IMO
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  #18  
Old 26th October 2011, 01:21 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by Ian G View Post
That isn't my experience with MBTs at all. Numerous cases of exacerbated Tibialis Posterior symptoms with them come to mind. I haven't noticed them consistently increase STJ supination moments (external) either.
Agreed. If you want to give someone a rocker soled shoe to help with hallux rigidus/severe structural hallux limitus, I would suggest a Ryn shoe. Same shape as an MBT/Sketchers Shape up but without the soft poron heel cushion. I'm of the school that doesn't believe that shock absorbing cushioned shoes are all good

http://www.ryn.ie/index.php?option=c...tpage&Itemid=1

Obviously don't believe the propaganda on their website about toning etc. They are just rocker soled shoes without such a spongy bit at the back that tends to increase external STJ pronation moments(in my experience)
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Old 26th October 2011, 02:52 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by RobinP View Post
They are just rocker soled shoes without such a spongy bit at the back that tends to increase external STJ pronation moments(in my experience)
I agree.

Hence my reply:
Quote:
Originally Posted by Ian G View Post
Really??
to the comment:
Quote:
Originally Posted by Katiebruce View Post
Have had some patients use them instead of anti pronatory orthoses as they encourage supination.
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  #20  
Old 24th February 2012, 04:52 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

i guess they don't work on pronating foot, the foot moves too much side to side
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Old 26th February 2012, 12:07 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

World renown US Pedorthist Dennis Janisse will give a presentation called "Effect of Rocker Soles on Plantar Pressures and Lower Extremity Biomechanics" at the IVO2012 congress in March in Sydney. This is not specific about a particular product it promises to be interesting.
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Old 26th February 2012, 04:29 AM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by efuller View Post
Any rigid shoe could be good for hallux rigidus. As you can see from the testimonials above, some people love them. I've also had patients hate them. Whenever I recommend shoes like these I tell people that some people love them and others hate them.

Eric


Spot on.

Rigidity is the cake. Rocker is a good icing though.



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  #23  
Old 26th February 2012, 10:10 AM
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Smile Re: MBT rocker sole footwear, for hallux limitus?

I tried on these shoes and couldn't believe how much motion was going on in the rearfoot. Too much pronation. I could foresee many problems resulting from this. I certainly will not be recommending MBTs to my patients.
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Old 28th February 2012, 03:34 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by RobinP View Post
Agreed. If you want to give someone a rocker soled shoe to help with hallux rigidus/severe structural hallux limitus, I would suggest a Ryn shoe. Same shape as an MBT/Sketchers Shape up but without the soft poron heel cushion. I'm of the school that doesn't believe that shock absorbing cushioned shoes are all good

http://www.ryn.ie/index.php?option=c...tpage&Itemid=1

Obviously don't believe the propaganda on their website about toning etc. They are just rocker soled shoes without such a spongy bit at the back that tends to increase external STJ pronation moments(in my experience)
I have had excellent results fitting Ryn shoes for those with hallux rigidus, or very limited ROM in the 1st MPJ. Customers remark that they like the (frontal plane) stability and have better sense of control when they walk in the shoes. Ryn has a very rigid, reinforced PU midsole with almost no bend. Also find them to be very helpful for those with midfoot & ankle arthritis, and for some people suffering from plantar fasciitis.
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Old 28th February 2012, 04:56 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by RobinP View Post
...a spongy bit at the back that tends to increase external STJ pronation moments(in my experience)
Goodaye Robin, I'm not disagreeing, don't know enough, but I would have thought that there would be less external pronatory moments than a solid lateral flared sole would make?, any replies from anyone appreciated, mark
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Old 28th February 2012, 05:16 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by markjohconley View Post
Goodaye Robin, I'm not disagreeing, don't know enough, but I would have thought that there would be less external pronatory moments than a solid lateral flared sole would make?, any replies from anyone appreciated, mark
The Nigg paper from way back looked at pronation velocity vs midsole hardness and lateral flare. The pronation was faster, consistent with higher pronation moments from the ground, with more lateral flare and harder midsoles. This would be counter to the assertion that the spongy heel would increase pronation moment from the ground.

Eric
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Old 1st March 2012, 02:22 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by markjohconley View Post
Goodaye Robin, I'm not disagreeing, don't know enough, but I would have thought that there would be less external pronatory moments than a solid lateral flared sole would make?, any replies from anyone appreciated, mark
Hi Mark, you are right, that was poorly worded. The soft spongy bit doesn't increase the external pronation moments.

It would depend on the cop but the foot that has a medially deviated STJ axis that suffers with pronation related pathology will probabaly find that there will be greater internal supination moments required to prevent structures being damaged by residual external pronation moments versus a solid midsole shoe through the midstance portion of the gait cycle................................I think!
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Old 23rd March 2012, 05:26 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Quote:
Originally Posted by footpower View Post
World renown US Pedorthist Dennis Janisse will give a presentation called "Effect of Rocker Soles on Plantar Pressures and Lower Extremity Biomechanics" at the IVO2012 congress in March in Sydney. This is not specific about a particular product it promises to be interesting.
where can we find something about this presentation? thank you, alessandro
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Old 23rd March 2012, 05:31 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

http://www.sciencedirect.com/science...03999303003745 IVO2012
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Old 23rd March 2012, 05:49 PM
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Default Re: MBT rocker sole footwear, for hallux limitus?

Alessandro, if you are coming to IVO 2012, seek me out and will introduce you to Dennis personally.

In the mean time l will see if we cant put his abstract here.
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