Thanks for your reply. She walks with small shuffling steps. There is no heel strike or toe off. Her toes extend from the MTP jts, the distal jts are also extended. These joints extend even more with effort including ambulating and even in non weightbearing trying to flex her toes. EDB and EHB are hypertropied. Stretching the toes toward flexion causes extreme discomfort. She is extremely tender in the soles of her feet, particulary under the MTPs, though it was a bit hard to judge specifically as she complains of severe pain throughout the dorsal and plantar surfaces. She lacks a transverse arch. When this is restored manually she is able to flex her toes with considerable effort and discomfort. Further information in the coming week in the meantime I appreciate your questions and any further input you may have. Regards Ben