To the Editor:

A forefoot varus defect is a common cause of over-pronation compensation. Traditional treatment for this condition employs the use orthotic posting, supporting the defect. In contrast to supporting a forefoot varus, an intervention to correct the condition by reducing the defect is absent in the current literature. As a result, I undertook an independent self-study to assess the hypothesis that a forefoot varus defect can be reduced, with improved efficiency of gait. The study took place over a 2-month period in 2013 using a rehabilitation regime emphasizing muscle balance and musculoskeletal alignment devices that I developed. The study involved my right foot, inflicted with a moderate to severe over-pronation with an associated forefoot varus, and a moderate to severe great toe bunion formation. The measured variables were ankle and first metatarsophalangeal (MTP) pain, one-legged standing balance time, forefoot...

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