bringing you simple effective relief™
bringing you simple effective relief™
related pathologies & Literature
Equinus has been associated with 96.5 percent of all biomechanically-related lower extremity pathologies.
Medial Tibial Stress Syndrome
Adult & Pediatric Flatfoot
|Lower Extremity Orthopedic Pathology Related to Equinus||Reference(s)|
|Plantar heel pain/plantar fasciitis||1, 2, 5, 6, 7, 8, 9, 10, 58, 59, 60, 61, 62, 63, 64, 65, 67, 69, 70, 71, 72, 73, 74, 75, 76, 78, 79, 88, 101, 102, 103, 111, 126, 127, 128, 136|
|Achilles tendonitis/tendonosis||1, 11, 12, 13, 21, 22, 57, 77, 78, 129, 130, 131, 136, 138, 140, 141, 142|
|Posterior tibial tendon dysfunction/Adult flat foot deformity||2, 10, 14, 15, 16, 17, 18, 19, 20, 35, 36, 57, 78, 79, 128, 136, 139, 143|
|Stress fractures||22, 24, 48, 88|
|Shin splints/Medial tibial stress syndrome||22, 24, 25, 46, 88|
|Iliotibial band syndrome||24, 25|
|Patellofemoral syndrome||26, 88|
|Diabetic foot ulcers||28, 29, 30, 31, 32, 39, 43, 78, 79, 122, 123, 124, 132, 133, 134, 135, 136|
|Charcot deformity||33, 34, 37, 38, 39|
|Metatarsalgia||1, 2, 10, 16, 20, 36, 41, 62, 78, 126, 127, 128, 136, 137|
|Hallux abducto valgus||1, 2, 16, 20, 40, 52, 66, 78, 128|
|Hammer toes/Claw toes||20, 44, 78|
|Lis Franc’s/Midfoot arthrosis||35, 53, 78, 136|
|Hallux limitus/Hallux rigidus||20, 68|
|Forefoot calluses||1, 20|
|Morton’s neuroma||38, 45, 78|
|Chronic ankle instability||47, 88|
|Poor balance/Increased fall rate in elderly||49, 89|
|Sever’s disease||50, 51|
|Pediatric flatfoot||54, 55, 139, 143|
|Lateral foot pain||1|
|Genu recurvatum||38, 41|
|Low back pain||38|
|Ankle arthrosis||78, 79|
|Anterior compartment syndrome||88|
|Forefoot nerve entrapment||125|
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- Chimera N, Castro M, Manal K. Function and Strength Following Gastrocnemius Recession for Isolated Gastrocnemius Contracture. Foot & Ankle International 2010; 31: 377-384.
- Chimera N, Castro M, Davis I, Manal K. The effect of isolated gastrocnemius contracture and gastrocnemius recession on lower extremity kinematics and kinetics during stance. Clinical Biomechanics 2012; 27: 917-923.
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- Duthon V, Lübbeke A, Duc S, Stern R, Assal M. Noninsertional Achilles Tendinopathy Treated with Gastrocnemius Lengthening. Foot Ankle Int 2011; 32: 375-379.
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- Laborde J, Weiler L. Achilles Tendon Pain Treated with Gastrocnemius-Soleus Recession. Orthopedics 2011; 34: 289-291.
- Dayer R, Assal M. Chronic diabetic ulcers under the first metatarsal head treated by staged tendon balancing: A prospective cohort study. Journal of Bone & Joint Surgery, British 2009; 91: 487-493.
- Hamilton G, Ford L, Perez H, Rush S. Salvage of the neuropathic foot by using bone resection and tendon balancing: A retrospective review of 10 patients. The Journal of Foot and Ankle Surgery 2005; 44: 37-43.
- Laborde J. Neuropathic Plantar Forefoot Ulcers Treated with Tendon Lengthenings. Foot Ankle Int 2008; 29: 378-384.
- Laborde J. Midfoot Ulcers Treated with Gastrocnemius-Soleus Recession. Foot Ankle Int 2009; 30: 842-846.
- Cychosz C, Phisitkul P, Belatti D, Glazebrook M, DiGiovanni C. Gastrocnemius recession for foot and ankle conditions in adults: Evidence-based recommendations. Foot and Ankle Surgery 2015; 21: 77-85.
- Morales-Munoz P, De Los Santos Real R, Barrio Sanz P, Perez J, Varas Navas J, Escalera Alonso J. Gastrocnemius Proximal Release in the Treatment of Mechanical Metatarsalgia: A Prospective Study of 78 Cases. Foot & Ankle International 2016. DOI:10.1177/1071100716640612.
- Nawoczenski D, DiLiberto F, Cantor M, Tome J, DiGiovanni B. Ankle Power and Endurance Outcomes Following Isolated Gastrocnemius Recession for Achilles Tendinopathy. Foot & Ankle International 2016. DOI:10.1177/1071100716638128.
- Rong K, Ge W, Li X, Xu X. Mid-term Results of Intramuscular Lengthening of Gastrocnemius and/or Soleus to Correct Equinus Deformity in Flatfoot. Foot & Ankle International 2015; 36: 1223-1228.
- Nawoczenski D, Barske H, Tome J, Dawson L, Zlotnicki J, DiGiovanni B. Isolated Gastrocnemius Recession for Achilles Tendinopathy: Strength and Functional Outcomes. The Journal of Bone & Joint Surgery 2015; 97: 99-105.
- Tallerico V, Greenhagen R, Lowery C. Isolated Gastrocnemius Recession for Treatment of Insertional Achilles Tendinopathy: A Pilot Study. Foot & Ankle Specialist 2014; 8: 260-265.
- Phisitkul P. Endoscopic surgery of the Achilles tendon. Current Reviews in Musculoskeletal Medicine 2012; 5: 156-163.
- Sammarco G, Bagwe M, Sammarco V, Magur E. The effects of unilateral gastrocsoleus recession. Foot & Ankle International 2006; 27: 508-511.
Along side Dr. DeHeer, through years of research and testing, IQ Medical can proudly say that our braces succeed in providing the following:
Effective and Precise Treatment
Ankle dorsiflexion with the foot supinated to isolate the dorsiflexion force to the hindfoot stabilizes the midtarsal joints and externally rotates the tibia locking the knee in full extension.
Patient Friendly Treatment
The Equinus Brace® requires 1 hour per day of treatment, unlike other treatment options, resulting in greater patient compliance.
Essential for comprehensive treatment of numerous equinus related deformities
Equinus is associated with more than 35 lower extremity pathologies referenced in the literature. A comprehensive treatment plan of these pathologies should include proper equinus management.
- 5th Annual Sports Medicine Conference & Clinic (Columbus, OH) – August 11, 2018
- Ontario Society of Chiropodists Spring Annual Conference (Markham, ON, Canada) – May 4-5, 2018
- MsPMA Annual Spring Conference (Natchez, MS) – April 6-9, 2018
- North Central Academy of Podiatric Medicine No-Nonsense Seminar (Independence, OH) – March 9-11, 2018
- 21st Annual Georgia Summit (Atlanta, GA) – February 21-24, 2018
- Michigan Podiatric Association’s 2018 Great Lakes Conference (Dearborn, MI) – January 24-28, 2018
- Biomechanics & Equinus Master Classic (Orlando, FL) – December 1-2, 2017
- Goldfarb Clinical Conference (Camp Hill, PA) – November 9-12, 2017
- KCF Fundraiser (Florida) – October 25-29, 2017
- New Mexico Podiatric Medical Association Meeting (Albuquerque, NM) – October 6-8, 2017
- IPMA Annual Convention (Indianapolis, IN) – October 5-8, 2017
- ACFAP Podopediatrics Seminar (Bar Harbor, ME) – June 7-11, 2017
- Midwest Podiatry Conference (Chicago, IL) – April 27-30, 2017
- KPMA Meeting (Lexington, KY) – April 21-23, 2017
- GPMA Annual Summit (Atlanta, GA) – February 15-18, 2017
- Midwinter Seminar (RFUSM North Chicago, IL) – January 20-21, 2017
- FPMA SAM Meeting – January 18-22, 2017
- NCFAS Annual Meeting (Greensboro, NC) – January 12-15, 2017
- Goldfarb Meeting (Annapolis, MD) – December 2-4, 2016
- Indiana Podiatric Medical Association Annual Fall Convention (Indianapolis, IN) – October 20-23, 2016
- Wisconsin Podiatric Medical Association Annual Scientific & Membership Meeting (Wisconsin Dells, WI) – September 30-October 1, 2016
- Heartland Foot & Ankle Conference (Des Moines, IA) – September 28-29, 2016
- Virgina Podiatric Medical Association Summer Scientific Seminar (Virginia Beach, VA) – August 18-21, 2016
- Presence St. Joseph Hospital (Chicago, IL) – August 17, 2016
- Surgical Management of Equinus – International Federation of Podiatrists World Congress, Montreal, Canada – 2016
- Equinus Management for Better Orthotic Outcomes – International Federation of Podiatrists World Congress, Montreal, Canada – 2016.
- Equinus Management for Better Orthotic Outcomes – Kentucky Podiatric Medical Association, French Lick, IN – 2016.
- Equinus in the Pediatric Patient – American College of Foot and Ankle Pediatrics 2nd Annual Pediatric Foot & Ankle Seminar – Yosemite, CA – 2016.
- Equinus Management for Better Orthotic Outcomes – Great Lakes Conference Michigan Podiatric Medical Association – Dearborn, MI – 2016.
Kentucky Podiatric Medical Association Annual Scientific Conference (Louisville, KY) – April 20-22, 2018
- Equinus – The Basics. Discusses the definition, evaluation, associated conditions, classification and literature review of these components of Equinus deformity. Estimated time 20 minutes.
- Equinus – Biomechanics. The complexities of the biomechanics of Equinus are discussed and used to help explain the role of Equinus in foot pathomechanics by reviewing the literature. Estimated time 20 minutes.
- Equinus – Non-Surgical Treatment. Review of the literature to discuss what is stretching with non-surgical treatment, how to stretch, the role of the subtalar joint in stretching, manual stretching vs. brace stretching and the use a new method for stretching. Estimated time 20 minutes.
- Equinus – In the Athlete. Review of the role of equinus in the athlete defining the condition, examining prevalence, examination of non-surgical treatment, and specifically the role of equinus in elite athletes. Estimated time 20 minutes.
- Surgical Treatment of Equinus Deformity – Examines the different options of surgical treatment of equinus deformity with a literature review and recommendation of preferred choice. Estimated time 20 minutes.
- Equinus Management for Improved Orthotic Outcomes – This lecture examines the definition of equinus, the frequency of equinus, pathological conditions associated with equinus, the biomechanics of the medial arch, the biomechanics of equinus, the effects of static stretching on the muscle-tendon unit, how long Achilles tendon stretching should be done daily, the effect of stretching on ankle joint range of motion, the importance of subtalar position during stretching, the methods of stretching the Achilles tendon, unilateral vs. bilateral stretching, relationship between orthotic correction and equinus deformation, the role of shoe drop in equinus management. Estimated time 45 minutes.
- Equinus in the Pediatric Patient – This lecture examines the definition of equinus, the frequency of equinus, pathological conditions associated with equinus, the biomechanics of the medial arch, the biomechanics of equinus, the effects of static stretching on the muscle-tendon unit, how long Achilles tendon stretching should be done daily, the effect of stretching on ankle joint range of motion, the importance of subtalar position during stretching, the methods of stretching the Achilles tendon, unilateral vs. bilateral stretching, examines the different options of surgical treatment of equinus deformity with a literature review and recommendation of preferred choice. Estimated time 45 minutes.
“…Not only has the brace helped increase our patient compliance by 75%, but it also allows the stretching to be done correctly and controlled so as to avoid additional injuries and/or pain…”
~ Tom Troung, DPM