Internal tibial torsion puts pressure on the outside of the foot

Take a look at these pictures. This is also a good reason to always look at the insoles. Take a good look. Can you see the increase printing on the lateral aspect of the right foot?

You’ll note that he has internal tibial torsion on the right side. This often presents with a forefoot supinatus and results in pressuring of the lateral column of the foot and an inability to descend the first ray. Note that the footbed on the right shows increased pressure of the lateral column and a lack of pressure under the head of the first.

Stand up and put the weight on the outside of your right foot. Can you feel how the toes on right side pressing more in an attempt to shift the center of gravity medially while it offloading the toes on the left foot? This is also represented in the foot beds.

Yet another great reason to not only look at the wear on the outside, but also on the inside of your clients/patients shoes.

Dr Ivo Waerlop, one of The Gait Guys

#footbeds #internaltibialtorsion #lateralfootpressure #insoles