With a PF first ray, the likely compensations will be a supinated forefoot
(relative to its starting point in prone - which may appear to be level in
standing) and an inverted calcaneous (in standing). The calcaneous may
appear to be rigid because it may be at end range inversion. Anyway, it is
also likely that the compensations for the PF 1st ray are putting stress on
the plantar fascia. I'd post the forefoot on the lateral side and the
calcaneous on the lateral side as well (if they are positioned as above).
In my opinion, if the PF 1st ray is related to the plantar fascitis, then
it won't respond well unless the stress is relieved by orthotics. I would
also mobilize any stiff joints in the foot to make sure that the soft
tissue adaptation to the orthotic is smooth.
Regards,
Jason
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Jason Steffe, PT, MS, MTC
Physiotherapy Associates
1089 Red Bud Rd, NE
Calhoun, GA. 30701
706-602-0027:W
706-625-3910:F
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