drccds’s AchillesBlog

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1. normofthenorth, on July 27th, 2011 at 2:44 am Said:

   Didn’t use a VacoCast myself, but I did use a different hinged boot, so I can take a crack at the second Q. For my second ATR rehab (the non-op one), I thought going past 0=neutral with the hinged boot might be a logical transition to 2 shoes, so I tried it. Something like 10 degrees past 0 dorsi, and essentially unlimited plantar. (I’d been happily hoofing about with 0 dorsi and essentially unlimited plantar. To me it felt scary and uncomfortable, so I stopped.

   Since 8 weeks is “wean off boot” time in the UWO protocol, it sounds reasonable for you to try going past 0 with your Vaco if you like — cautiously at first, of course. If it feels good, don’t stop, I’d say. It’s still a lot more protection than a shoe.

   My only thought for the other Q is that you might try a slanted (wedge-shaped) footbed, or a heel wedge, that might compensate for the backwards lean of the low heel.

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