Current Pedorthics | July-August 2018 | Vol.50, Issue 4 | Page 47

Peroneal Anterior Tibial Anterior Peroneal Perforating Posterior Tibial Posterior Peroneal Perforating the met heads (ball of the foot). Met pads should never be directly beneath the met heads, as this will cause more irritation. Once you’ve found the winning combination of cleat and orthotic for your client one area of Lateral and Medial Tarsal injury prevention that is often overlooked is to equalize the Arcuate Lateral and Medial Plantar Dorsalis Pedis training of the hamstrings and the quadriceps. Running primarily works the hamstrings, so to keep the knee, strong and injury free, Perforating (deep plantar) Branch the athlete should make time for exercises such as lunges, leg presses, or a personal favorite - Plantar Arch box jumps. Lastly, remind them to properly warm up, cool down and stretch after practice, training the forefooes for soccer will have firm support to prevent the foot from over-pronating. An over-pronated foot will tend to elongate in the shoe, contributing to friction, heat, blisters and bruised toes. This is especially important when there is minimal room in the shoe. Insure the insole fits the foot. An arch that is to short or too long will be uncomfortable to the player. Insist that the orthotic is tried in the shoes before the plaarsalgia can be relieved with met pads. Some insole brands come with met pads built in, some take a modular approach with removeable met pads, and others come without met pads. In either case, make sure that the front edge of the met pad sits just behind and games to help continually prevent injury and tightness. And, most importantly, they should get out on the field and have fun! FOOTNOTES 1[Ramos-González E, Moreno-Lorenzo C, et al. Comparative study on the effectiveness of myofascial release manual therapy and physical therapy for venous insufficiency in postmenopausal women. Complement Ther Med. 2012 Oct;20(5):291-298.] Current Pedorthics | July/August 2018 45