In this F-Scan film we see increased pressure on the lateral column of the foot with forces traveling to the 2nd metatarsal as they come across the foot. This is most likely due to an uncompensated forefoot varus. Note the hot spots at the 2nd and 5th met heads. This patient also has a Morton’s toe which is a longer digit.
Rule #1…..never assume. Examine your clients even after F-Scans, pedographs, stop frame digital movie etc. What you see is often not the problem, rather their adaptive compensation around the parts that are working and those that are not. The problem can be local, where it appears the deficit is, or it can be elsewhere. Let the clinical examination draw the correct conclusions. For example, in this case, we could have metatarsus primus elevatus or a Rothbart Foot variant or a combination of all of the above with the FF varus.
There is nice engagement of the hallux flexors but when you see this in combination with a preceding insufficient 1st metatarsal grounding (as evidenced here of lack of “heat” under the 1st Metatarsal) a late supination attempt may be suspected to reduce a late midstance pronation vector. Again, let your clinical examination draw the correct conclusions.