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Midfoot Sprain | Diagnose, treatment and surgery options | SportsMD
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Forefoot Plantarflexion Test for Diagnosing Midfoot Pathologies The Forefoot Plantarflexion Test is a very useful clinical test which I invented over 25 years ago to diagnose causes of dorsal midfoot pain, including Dorsal Midfoot Interosseous Syndrome (DMICS). I first described the pathological condition, DMICS, in my February 1997 Precision Intricast Newsletter (Kirby KA.: Foot and Lower Extremity Biomechanics: A Ten Year Collection of Precision Intricast Newsletters. Precision Intricast, Inc.
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Midfoot OA is often treated like a static degenerative condition. This paper reminds us it is anything but static. Patients with midfoot OA load their midfoot more, push off laterally, and avoid hallux-driven propulsion. That matters. It explains fatigue pain, failed orthoses, and why some fusions underperform. If we do not correct the mechanics, we are only treating symptoms. How are you assessing propulsion patterns in your midfoot OA patients? Are you modifying footwear before escalating care
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