Quote Originally Posted by estherderu View Post
dear colleague,
Have you checked the rotation of the tibia?
Some peoples feet are rotated so much because of ossal "differences". Nothing will change that if this is the case.

The other thing that puzzles me is, why do you want to change these feet? They could be the most perfect adaptation for this particular patient.
I would suggest you reassess and think carefully before giving a patient exercises that over-exert other joints.

esther
I will do that, i appreciate your input. My tendancy to "correct" these feet is due to the LBP. I subscribe to the idea that walking is theraputic for these patients. I am concerned that the duck feet are hindering the patients efficacy. I do however agree that this adadptation maynot be "correctable", when he walks with feet pointed forward, his knees are rotated internally, do you suggest i encourage him to walk naturally?