Time for a quick pedograph case:
This person presented with arch pain and occasional forefoot pain.
Note the increased size (length) of the heel print with blunting at the anterior most aspect. The midfoot impression is increased, revealing collapsing medial longitudinal arches. The forefoot print has increased pressures over the 2nd metatarsal heads bilaterally, and the 1st on the left. She claws with toes 2-4 bilaterally.
This demonstrates poor intrinsic stability of the foot (as evidenced by the increased heel impression and midfoot collapse) and well as decreased ankle rocker (as evidenced by the increased forefoot pressures).
We also see increased ink under the distal second digit (esp on the right). This suggests some possible incompetence of the first ray complex and big toe, which is represented by the medial ink presentation under the great toe (suggesting a pinch callus, which is seen when there is spin of the foot and insufficient great toe anchoring and push off). When the great toe function is compromised, we tend to see increased activity of the 2nd digit long flexors, represented well here by increased ink under the 2nd toe.
The pedograph truly does provide a window to the gait cycle!
We remain: Gait Geeks
