Question: Can a patient be treated for obvious mechanical discrepancies contributing to mild midfoot pain post running, without an MRI? A runner /patient with a prominent navicular and os navicularis was informed by an orthopaedic surgeon that an orthotic could only be prescribed with an MRI (and only by using the MRI), and that only ‘soft’ insoles could be of benefit. Any ‘hard’ orthotic was ‘wrong’ and could not help (All in the absence of indicated clinical assessment such as Sagittal plane function (Windlass / Lunge) or supination resistance / navicular drop:drift / gait, or footwear / WB activity / and no consideration of Tissue Stress Theory nor SALRE)
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MRI required to prescribe Orthotics says Orthopaedic Surgeon
