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Fallen Arch; Posterior tibial tendon dysfunction

This client has a fallen arch which is caused by failure of the tendon.

Surgery is required when all other methods to stop the progress of the arch falling have failed.

In this case, there was a lot of pressure on the ball of the foot under the big toe which makes the skin vulnerable to break down and wounds. In order to avoid any further issues, an off-load can be made to protect the skin and deflect some of the pressure

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