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offloading 1st met head

Discussion in 'General Issues and Discussion Forum' started by Shaz, Feb 26, 2014.

  1. Shaz

    Shaz Welcome New Poster


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    Hi all,

    I have an elderly patient with chronic hyperkeratosis plantar to the 1st met head due to a cavus foot type and rigid 1st ray.

    What would be the best option for offloading this area and trying to reduce the pressure and callus build-up?

    Any thoughts would be much appreciated :)
     
  2. footdoctor

    footdoctor Active Member

    Hi Shaz.

    The following orthotic prescription should help reduce GRF plantar to the 1st met.

    Total contact eva device
    1st met cut out with soft poron infill
    reverse mortons extension (cork)
    2-5 met bar sub mets

    Best of luck

    Scott
     
  3. Boots n all

    Boots n all Well-Known Member

    l would add to Scotts; Rocker sole and check the off loading is correct with an inshoe pressure mapping system
     
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