Clinical Reference

Find a Disease or Condition

Thirty-three presentations mapped to the RX devices and modifications that treat them

ConditionSummaryRecommended Rx

Accessory Navicular Syndrome

An extra ossicle at the navicular, inflamed by posterior tibial traction and shoe pressure — medial midfoot pain with activity.

RX Functional + navicular button out · RX UCBL

Achilles Tendon Disorders

Insertional or midsubstance tendinopathy driven by repetitive load and equinus; heel elevation and pronation control reduce tensile strain.

RX Functional + heel lift · RX Sports

Ankle & Foot Arthritis

Degenerative or inflammatory joint change causing stiffness and load-related pain; motion-limiting support and cushioning settle symptoms.

RX Geriatric · Gauntlet AFO

Ankle & Foot Neuropathy

Loss of protective sensation from diabetes or other causes — pressure injury the patient cannot feel. Total-contact protection is first line.

Diabetic Inserts · Custom Shoes

Ankle Sprain & Instability

Lateral ligament injury; recurrent sprains leave chronic instability that responds to rearfoot control and bracing.

Richie Brace® · RX UCBL

Charcot Foot

Neuropathic joint destruction collapsing the midfoot into a rocker-bottom deformity — containment and protection are urgent.

Custom Shoes + double rocker · Gauntlet AFO · Diabetic Inserts

Charcot-Marie-Tooth Disease

Hereditary neuropathy producing progressive cavus, clawed toes and weakness — often with foot drop in later stages.

Traditional AFO · RX Functional (cavus Rx)

Diabetes Complications & Amputation Prevention

Neuropathy, vascular compromise and deformity compound into ulceration risk; pressure redistribution and protective footwear interrupt the cascade.

Diabetic Inserts · Custom Shoes

Equinus

Restricted ankle dorsiflexion that overloads the forefoot and drives compensatory pronation.

RX Functional + heel lift · Rocker soles

Foot Drop

Weak dorsiflexion from peroneal palsy, CVA or neuromuscular disease — steppage gait and swing-phase toe drag.

Traditional AFO

Genu Valgum

Knock-knee alignment loading the medial foot and driving pronation; foot posture control reduces the valgus moment.

RX Functional + medial posting

Genu Varum

Bow-leg alignment overloading the lateral column and inviting instability.

RX Functional + lateral posting

Hallux Rigidus

Arthritic, stiff first MTP joint painful at toe-off; restricting its motion relieves it.

Morton's Extension · Rocker sole + shank

Hallux Valgus (Bunions)

Progressive first-ray deviation; controlling pronation and first-ray mechanics slows progression and relieves joint pain.

RX Functional · Custom Shoes (depth)

Heel Spur

Traction spur at the fascial origin, painful when the surrounding tissue is inflamed.

RX Functional + horseshoe pad · Heel punch out

Intoeing

Rotational in-toed gait in children — tripping, abnormal shoe wear, parental concern.

RX Gait Plate

Jones Fracture

Fifth-metatarsal base fracture prone to delayed union; the return to activity needs stiff protection.

RX Functional (rigid) · Steel shank + rocker

Lisfranc Injuries

Tarsometatarsal ligament injury; the midfoot needs stiffness and load sharing long after immobilization ends.

RX Functional (rigid) · Rocker + shank

Metatarsalgia

Overload of the lesser met heads — from equinus, first-ray insufficiency or fat-pad atrophy — producing forefoot pain under load.

RX Functional + met pad

Metatarsus Varus Adductus

Congenital adduction of the forefoot on the rearfoot; residual cases need straight-last control.

RX Gait Plate · Custom Shoes (straight last)

Morton's Neuroma

Perineural fibrosis of the common digital nerve, usually the third interspace — burning pain radiating to the toes, relieved by removing the shoe.

Neuroma pad · Reverse Morton's

Peroneal Tendon Injuries

Tendinopathy or subluxation behind the lateral malleolus, common with cavus alignment and chronic instability.

Richie Brace® · RX Functional + lateral post

Pes Planus (Flatfoot)

Flexible arch collapse with pronation-related fatigue and pain.

RX UCBL · RX Functional + medial skive

Pes Cavus (High Arch)

Rigid high-arch foot concentrating load on the heel and met heads, with lateral instability.

RX Functional (accommodative) · Lateral flare

Plantar Fasciitis

Degeneration of the fascia at its calcaneal origin — first-step pain, medial tubercle tenderness. Arch support reduces fascial strain.

RX Functional + fascia groove

Plantar Plate Tear

Attenuation or tear of the plantar plate, usually at the second MTP — focal pain, swelling and a drifting toe.

RX Functional + met pad · Reverse Morton's

Posterior Tibial Tendon Dysfunction

Progressive tendon failure collapsing the arch into adult acquired flatfoot — "too many toes" sign, failed single-heel rise.

Richie Brace® · RX UCBL + medial skive

Sesamoid Fractures & Sesamoiditis

Injury to the sesamoids beneath the first MTP — sharp pain at toe-off and direct tenderness.

Dancer's pad · Rigid forefoot + rocker

Shin Splints

Medial tibial stress from training overload and excess pronation, typically in runners.

RX Sports / RX Running

Tailor's Bunion

Prominent, irritated fifth metatarsal head rubbing in footwear.

RX Functional + 5th button out · Custom Shoes (wide)

Tarsal Coalition

Congenital bridging of tarsal bones — a rigid, often painful flatfoot presenting in adolescence.

RX UCBL · Gauntlet AFO

Tarsal Tunnel Syndrome

Tibial nerve compression behind the medial malleolus — burning plantar pain; pronation control reduces nerve traction.

RX Functional + medial posting

Ulcers

Active or healed plantar wounds needing total off-loading and pressure redistribution to close and stay closed.

Diabetic Inserts + met punch · Custom Shoes + rockers