If you notice that the arches on your devices are coming out higher than the arch on the cast, it could be an indication that the core shells are not cooling down on the vacuum press. These inserts are for people who suffer from serious biomechanical syndromes which are more severe than the general ones most people deal with. The reason I talk to myself is that I'm the only one whose answers I accept. Morton's Neuroma results from inflammation of nerves between the toes. Denis-Browne Bar: Once serial casting has achieved the correction, the correction can be maintained by using appropriate shoes and a splint such as the Denis-Browne Bar. Corrective Shoes and Orthotics: As the correction takes hold and the child begins to walk, he or she can wear firm orthopedic shoes that preserve the foot position. The use of custom foot orthotics, corrective shoes, and other physical therapies—for as long as five years—are essential to maintaining the correction. Progressive pes planus, or flatfoot, deformity in adults is a common entity that is encountered by orthopedic surgeons. These variables are a part of every training program and need to be manipulated individually and as a group in a way that allows the body to develop a "tolerance" to the activity so progression can occur without injury. Ps I think the terms Pes Planus and Pes Cavus are ok and should not be banned - while not a Diagnosis - as has been used it is a clearly recognized foot type. F shows the line from the cross-point of A and C to the contact point of the heel (i.e. on line E). We measured: the angle between A and D (V-V angle, the standard angle showing varus or valgus of the calcaneus relative to the tibia); the angle between A and B (A-P mortise angle: A-P mortise angle of the ankle relative to the tibia); and the angle between A and F (T-H angle: the angle between the tibia and the hindfoot). Pes plenus may not be apparent in the non weightbaring patient. The aim of this systematic review was to assess the effectiveness of FOs to alter signs (abnormal rearfoot kinematics, abnormal kinetics and altered physical function) and symptoms (pain and fatigue) associated with flexible pes planus in adults. Key outcomes of this systematic review are that there are only two RCTs investigating the use of FOs for adults with flexible pes planus and that all studies had identified risk of bias issues (Additional file 3 ) and concerns regarding participant recruitment, choice of FOs or the outcome measures. It would seem more appropriate to investigate effectiveness of an intervention within a participant group who have recognised symptoms associated with the condition. Esterman A, Pilotto L: Foot shape and its effect on functioning in Royal Australian Air Force recruits. You do them at your own risk.