Patient Education
Empowering you with the knowledge to maintain your mobility.
PTTD (Adult-Acquired Flatfoot)
Posterior Tibial Tendon Dysfunction is a progressive arch collapse.
Stage 2: The Critical Turning Point
Single-Leg Heel Raise Test: A primary indicator of Stage 2 is the inability to stand on your tiptoes on the affected foot.
- Visible flattening of the arch in one foot.
- The "Too Many Toes" sign when viewed from behind.
- Pain and swelling along the inner ankle path.
Treatment Strategy
Once you reach Stage 2, the goal is to stop progression before the foot becomes rigid.
Intervention Options
- Custom EVA Orthotics: To manually support the arch.
- Richie Brace: Advanced ankle bracing to "unload" the tendon.
- Stability Footwear: High medial support running or walking shoes.
Metatarsalgia
Pain and inflammation in the ball of the foot (the metatarsal heads).
Common Symptoms
- Sharp or burning pain just before the toes.
- Sensation of a "pebble in your shoe."
- Pain that increases when walking barefoot on hard surfaces.
Relief & Prevention
Usually a "physics problem" caused by shifting too much weight forward.
Recommendations
Swap ill-fitting shoes for professional footwear with a wide toe box and integrated metatarsal pads to redistribute pressure.
Custom EVA Orthotics
The Gold Standard material—balancing support, flexibility, and comfort.
Why Ethylene Vinyl Acetate?
EVA is a dense polymer that provides a superior alternative to rigid plastic shells for many patients.
- Shock Absorption: Superior rebound properties protect joints from impact.
- Durability: High-quality medical-grade EVA won't "bottom out" over time.
- Variable Shore Rating: We customize the firmness (density) based on your specific activity levels and body weight.
The Fabrication Process
- Step 1: Biomechanical gait analysis.
- Step 2: 3D Neutral-position casting.
- Step 3: Precision milling from high-density EVA blocks.