Graeme

On Wednesday, 6 September 2000 10:13, gee simpson 
[SMTP:[log in to unmask]] wrote:
> Giving orthoses as a preventative measure is a practice that I often do.
> Even to myself!
>
> As an ex- pro triathlete and coach I would always suffer shin pain and 
arch
> pain as my running Km's approached 60km / week. Good training shoes was a 
> must, but still , unless I reduced my Km's my shin's were very tender.

You had symptoms initially, so it is not really true to say that this 
constitutes preventative treatment. There is a significant difference 
between ongoing orthotic Tx to prevent *recurrence* of a condition which 
has already demonstrated a good response to orthoses, and blanket 
prescription of orthoses in the absence of symptoms, simply on the basis of 
the functional measures not looking 'right'. We cannot really use a good 
clinical outcome in the first scenario as a justification for broad 
treatment in the second.

We must be careful to compare apples with apples

Tony




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