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An intrinsically medially posted orthotic with additional posting options for triplanar control of pronation and forefoot loading

The TRIO orthotic is designed to resist excessive valgus rotation. It does this by inverting the calcaneus within the heel cup. In this way the mid tarsal joint integrity is maintained and damaging compensations are avoided. TRIO also supports the proximal medial arch of the foot providing navicular stability. It is essential to allow for the first MTP joint to extend during propulsion. TRIO is designed to facilitate this by means of a cushioned recess for the first ray. Inverted varus orientation of the forefoot may be treated by using the medial forefoot post to replace the polyurethane foam infill under the first MTP joint. Alternatively propulsion through the hallux can be encouraged by using the forefoot lateral posts where necessary. Only one of these forefoot posts should be used on each device. If symptoms fail to respond it is possible to increase the sub talar joint control by applying the additional biplanar rearfoot post to the demarcated area on the underside of the orthotic. This provides further extrinsic posting control.

Conditions treatable with TRIO:

• 1st MTP joint pain
• Metatarsalgia (including Morton's Neuroma)
• Plantar Fasciitis
• Plantar Heel Pain
• Tibialis Posterior Tendonitis
• Hip instability
• Posterior Heel Pain including Achilles Tendonosis
• Medial Tibial Stress Syndrome
• Calf strain
• Antero-medial knee pain
• Runners knee
• Low back pain