Originally Posted by dtv5144
Hi Craig would you still lateral wedge peroneal tendonitis patient if he has very high supination resistance? in this case do you think lateral wedge would still reduce the excessive contraction of the peroneal ms??? I just see 2 patients this week with peroneal pain and high supination resistance, I'm trialling lateral wedge, waiting on review
There is more than one cause of high supination resistance. If there is high pronation moment from the ground there will be high supination resistance. If there is high pronation moment from constant contraction of the peroneals there will be a high supination resistance. Some feet, with laterally positioned STJ axes will tend to supinate to end of range of motion unless their peroneal muscles are contracting. These people are likely to get peroneal tendonitis.
How to differentiate. Palpation of location of STJ axis. Or Examination of peroneal tendons in stance. or both.
You have to be careful with lateral wedge as there is a point where there is too much when you attempt to evert the foot farther than it can go.