CMT with marked pain 1-5 at Met heads

CMT with marked pain 1-5 at Met heads

McNally, Patrick

10/10/2000

Dear Members;

I have a young patient suffering from CMT. He is a 16 y/o male 6' 1
& 210 lbs., independent ambulator without assistance. His gait displays
an antalgic shortened stride (B). He has the typical cavus foot (B),
decreased ROM (+/- 3*) (B). His chief complaint is marked pain
at the met heads 1-5 (B). He comments about a high pain tolerance,
as he is able to walk throughout the day with his pain. He plays
basketball at school and it has recently affected his sport. He
has no previous experience using orthotics.

About 4 weeks ago I designed AFO's for him. I used TPE in
a solid ankle design, applied 3/16 PPT for relief of the met heads
1-5 (drop out design, not inserted after vacuum forming) and
accommodated the plantarflexion angle as not to increase
pressure at the met heads during stance with rearfoot posting.
He returns with no relief of symptoms.

Any thought on further treatment is appreciated...pkm

Patrick K. McNally, CPO
Chief, Orthotics & Prosthetics
Arkansas Children's Hospital
voice) 501.320.2262 fax ) 501.320.6264
Mailto: <Email Address Redacted>
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