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Morton's Neuroma
Kilmartin and Wallace167 found that orthotic intervention did
not improve symptoms of Morton's neuroma.Twenty-three
individuals with pain of the third and fourth intermetatarsal
space, aggravated by exercise and relieved by rest, were randomly assigned to two groups, with no consideration of foot
type.Those in the supination group wore a Cobra orthosis
with a thicker medial heel and arch filler.Those in the pronation group wore a reverse Cobra orthosis with a thicker
lateral heel.
Morton's Neuroma
Kilmartin and Wallace167 found that orthotic intervention did
not improve symptoms of Morton's neuroma. Twenty-three
individuals with pain of the third and fourth intermetatarsal
space, aggravated by exercise and relieved by rest, were randomly assigned to two groups, with no consideration of foot
type. Those in the supination group wore a Cobra orthosis
with a thicker medial heel and arch filler. Those in the pronation group wore a reverse Cobra orthosis with a thicker
lateral heel. Pain was measured by a visual analog scale.
Sensory impairment and pain were objectively measured by
tests that elicit neuroma pain. Function was assessed with
the McMaster-Toronto Arthritis Patient Function Preference
Questionnaire patient-specific measure of maximal function. No differences in pain or function occurred between the
supination and pronation groups. Neither orthosis produced
additional symptoms in the lower extremity.
The authors suggested that prescribing a custom orthosis based on foot type would have provided greater relief of
symptoms.
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