Customizable Component Insole System
a technology of insoles and components, applied in the field can solve the problems of high cost of custom made insoles, inability to make such custom made insoles for the general public, and complex biological mechanisms of the human foot, and achieve the effect of increasing the supination moments
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example 1
[0413]Scenario: Patient reports burning pain beneath the left big toe joint. Intermittent episodes of pain with sports for many years. Worse since starting step classes three times a week. Had to pull out of the last class due to severe soreness.
[0414]Examination: Pain with direct pressure beneath the inflamed first metatarsophalangeal joint (MTPJ), especially over the tibial sesamoid. Plantarflexed first metatarsals bilaterally, plus a forefoot valgus on the left foot.
[0415]Diagnosis: Tibial Sesamoiditis.
[0416]Treatment: A forefoot wedge may be applied to the left insole to further redirect ground reaction forces (GRF) away from the painful first metatarsal head. Heel cushions may be applied to maintain the magnitude of GRF forces beneath the central heel.
[0417]Alternatively, the insoles may be delivered to the user with the heel cushions and first metatarsal head pads pre-attached before application of additional components by the user. For this example, adjustments may need to be...
example 2
[0424]Scenario: Patient reports painful lump on the ball of the left foot. Calluses have been on the soles of both feet for many years, but the left foot has become increasingly more red, swollen, and painful over the last three months.
[0425]Examination: Area of thick callus with edema and erythema beneath the left second MTPJ. Bilateral excessive foot pronation with calcaneal eversion in static stance and gait. 0° ankle joint dorsiflexion bilaterally. Metatarsus Primus Elevatus on the left foot.
[0426]Diagnosis: Plantar Metatarsal Bursitis.
[0427]Treatment: The metatarsal dome and cushioned forefoot extension will reduce excessive GRF beneath the 2nd MTPJ. Rigid arch supports and rearfoot wedges may be applied to reduce the excessive pronation moments. Heel lifts may be used for the ankle equinus if the shoe style permits. First metatarsal head pads and heel cushions may be applied to maintain the magnitude of GRF forces beneath the first metatarsal heads and central heel.
[0428]Alter...
example 3
[0447]Scenario: Patient reports painful lumps on the outside of the balls of the feet.
[0448]Examination: Bilateral Intractable Plantar Keratosis (IPK) with swelling and erythema beneath the 5th metatarsal head. Inverted heel positions in static stance and gait and bilateral forefoot valgus.
[0449]Diagnosis: Plantar metatarsal bursitis with overlying IPK.
[0450]Treatment: Forefoot wedges should be applied to both insoles to off-load the 5th metatarsal heads and to reduce the degree of heel inversion. First metatarsal head pads and heel cushions may be applied to maintain the magnitude of GRF forces beneath the first metatarsal heads and central heel. If symptoms persist, adjust the first metatarsal head pads to enhance the effect of the metatarsal dome and forefoot wedges.
[0451]Alternatively, the insoles may be delivered to the user with the heel cushions and first metatarsal head pads pre-attached before application of additional components by the user.
[0452]The forefoot wedge area be...
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