Thursday, 14 December 2017

SUCCESS STORY OF FLAT FEET WITH POSTERIOR TIBIAL TENDON DYSFUNCTION



CASE STUDY: FLAT FEET WITH POSTERIOR TIBIALTENDON DYSFUNCTION (PTTD)

41 year old female complaints pain & swelling at inner side of left ankle since a year. Pain was gradually increased. Initially it use to heart on prolong standing & walking eventually pain got worst. Now not even able walk few steps also.

On Examination:
  • Swelling was present around left navicular area
  • Grade III tenderness at the navicular area
Biomechanical Assessment:
Static-
  • Clawing of toes left side
  • Medial Arch- Flat Bilaterlly (Flat Feet)
  • Transvrse arch reduced
  • Subtalar joint- Overpronation bilatrally more on lfert side
     
  • Navicular drop- Present bilaterally
  • Navicular drift- Present bilaterally
  • Calcaneum (Posterior view)- Eversion bilaterally more on left side
  • Knee- Valgus
Gait Assessment:
  • Gait Pattern- Poor heel to pattern
  • Heel Strike- Medial heel strike
  • Stance Phase- Overpronation at the sub-talar joint bilaterally
  • Limp on left side

Treatment & Advice:
Advice-
Bio-Advance

  • Complete rest for one week with cold pack 4 time a day over affected area for 20 min. each time.
Orthotic correction to improve lower limb biomechnical alignment-
  • Advised to wear sport shoes (Even indoor) with firm heel counter (Stable Shoes) few days as concidering her pain & sevirity of flat feet.
  • Prescribed Bio-Advanced medium density orthotic insole in her shoes & also to reduce stress on Tibialis posterior muscle tendon.

1st Follow up after two week
  • Demarkeble changes seen. More than 50% of pain was reduced.
  • Added correction in orthotics to further enhance arch support.
  • Advised to continue with cold pack. 
2 nd Follow up after one month
Strive

  • This time 90% pain reduced.
  • Now slight discomfirt only after long stand or walk.
  • Adviced Strive orthotic footwear for short distance (Near by) & continue the sports shoes for out door.
  • Exercises for strengthening tibialis posterior muscle.
3rd Follow up after 2 months
No pain & Adviced to continue with orthotics



Feedback of Patient's husband

1 comment:

  1. congrats.
    We provide the Bio-Advance products & Strive footwear all over India.

    ReplyDelete