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PODIATRY  2004

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Subject:

Re: walking on side of footpaths

From:

David Smith <[log in to unmask]>

Reply-To:

A group for the academic discussion of current issues in podiatry <[log in to unmask]>

Date:

Wed, 15 Sep 2004 13:44:38 +0100

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (79 lines)

Reply

Reply

Dear Jeff

If you wear 'court shoes' to play tennis and raquetball you deserve to get
foot problems. Are there any photo's.?
P.S. In the UK 'court shoes' is a generic name for ladies high heel dress
shoes. Just tickled my sense of humour.

                            Cheers Dave Smith

----- Original Message -----
From: "Jeff Root" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 14, 2004 9:04 PM
Subject: Re: walking on side of footpaths


> Simon wrote:
> >If foot orthoses "work" by modifying GRF then they themselves are
> >environment (all non-genetic factors)
> dependent. The fact that they do seem to "work" in a variety of
environments
> suggests that there is a broad envelope of "working" and that their effect
> may be more than just direct mechanical.
>
> Having been a fire fighter who seasonally fought wild fires for 11 years
in
> extremely steep and rugged California terrain, I can tell you that I
> depended on my foot orthoses more in extreme terrain than I did for use on
> hard, flat everyday surfaces.  With a mild plantarflexed 1st ray and a
> limited MTJ ROM, I have a history of sesamoiditis and sub 1st hematomas
with
> certain activities.  While I did not require orthoses for everyday walking
> and moderate running, I did require them for use in my wildland boots and
in
> my court shoes for tennis and racquetball.  Orthoses were not developed or
> designed for climbing steep canyons covered with loose rock that required
> holding on to brush in order to prevent a serious fall while wearing a
sixty
> pound hose pack on your back and carrying an axe in one hand!  Needless to
> say, climbing such steep canyons required me to be on the ball of my foot
> and put enormous demand on my 1st ray and 1st MPJ.
>
> Perhaps another possibility is that the mechanical influence of foot
> orthoses is much greater than we can appreciate at this point in time.  I
> know they helped reduce shearing forces that caused trauma with my "rigid"
> foot type.  Orthoses certainly do much more than reduce pronation.
>
> Respectfully,
> Jeff Root
>
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