transition to a midrange drop shoe like a 4-8 mm drop shoe initially then reducing the shoe drop to a 0mm drop with equinus resolution . The shoe drop concept is very familiar in the running shoe world , but less discussed for dress shoes . For women , the recommendation should be flats instead of heels . Men ’ s dress shoes can be problematic also and require counseling .
Appropriate management of equinus leads to improved orthoses outcomes . The timing of the two therapies is dependent upon the deformity severity . Typically , equinus deformity correction should precede orthoses therapy . Equinus correction allows the patient to fully tolerate the correction within the orthoses satisfying both the patient and healthcare provider .
1 . DiGiovanni , Christopher W ., et al . " Isolated gastrocnemius tightness ." J Bone Joint Surg Am 84.6 ( 2002 ): 962-970 .
2 . Barouk , Pierre , and Louis Samuel Barouk . " Clinical diagnosis of gastrocnemius tightness ." Foot and ankle clinics 19.4 ( 2014 ): 659-667 .
3 . Hill , Russell S . " Ankle equinus . Prevalence and linkage to common foot pathology ." Journal of the American Podiatric Medical Association 85.6 ( 1995 ): 295-300 .
4 . Thordarson , David B ., et al . " Dynamic Support of the Human Longitudinal Arch : A Biomechanical Evaluation ." Clinical orthopaedics and related research 316 ( 1995 ): 165-172 .
5 . Johnson , Cherie H ., and Jeffrey C . Christensen . " Biomechanics of the first ray part V : The effect of equinus deformity : A 3-dimensional kinematic study on a cadaver model ." The Journal of foot and ankle surgery 44.2 ( 2005 ): 114-120 .
6 . Amis , James . " The split-second effect : the Mechanism of How equinus Can damage the Human Foot and ankle ." Frontiers in Surgery 3 ( 2016 ).
Figure 7 — Learn more about the Equinus Brace and how it treats foot , ankle , and leg pain related to equinus .
— https :// youtu . be / r38w _ zJDZIE —
Figure 8 — Dr . Patrick Deheer demonstrates how to properly adjust and wear the Equinus Brace .
— https :// youtu . be / g _ kChs-SWfQ —
48 Pedorthic Footcare Association www . pedorthics . org