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Roanoke, Virginia 24012-5725


Five Easy Ways to Screen for Spinal Pelvic Stabilizers

When you evaluate your patients for Spinal Pelvic Stabilizers, there is a simple and effective way you can screen them. You can easily tell which patients need Stabilizers by using the Five Red Flags: Foot Flare During Gait, Internal Knee Rotation, Bowed Achilles Tendon, Low Medial Arches, and Excessive Shoe Wear. If you see any of these five flags during your evaluation, your patient needs Stabilizers.

Foot Levelers' custom-made Stabilizers support all three arches of the foot and help align the feet, ankles, knees, and hips to provide a balanced foundation for the body. Stabilizers also help chiropractic adjustments hold longer, helping prolong your patients' wellness.

Evaluating the Five Red Flags:

  1. Foot Flare During Gait - As your patient is walking down the hall towards the exam or treatment room, take a look at what is going on with his/her feet. Ideally, the toes should point straight forward while walking but during the swing phase of the gait cycle, you will often see the toe of your patient's foot point laterally away from the mid line.
  2. Internal Knee Rotation - Standing in front of your patient with their knees and lower legs exposed, observe the position of the patellae. If you had a plumb line positioned at the center of the knee cap, the line should fall vertically to a point over the second metatarsal bone. Often we see an internal deviation of the knees with the patellar line falling medial to the second metatarsal bone. Another thing to take notice of is whether or not the knee rotation is symmetrical. Asymmetries of this nature are the cause of accelerated degenerative changes.
  3. Bowed Achilles Tendon - Have the patient stand facing away from you with his/her lower legs exposed. Take a look at the medial aspect of the Achilles tendons. If the Achilles bows medially, it indicates that the calcaneus is rolling to the inside, which is a strong indication that the foot is pronating excessively. This distortion is often present with foot flare and the next Red Flag.
  4. Low Medial Arches - If you look at the medial aspect of foot from big toe to the heel, the center of the foot should be higher than the front and rear of the foot. You should be able to slide your fingers under the arch up to the distal interphalangeal joint of your middle finger. If you can't, we have a positive finding for this Red Flag.
  5. Excessive Shoe Wear - The key is simply this: do the shoes wear evenly on the heel area? If they don't, we have an indication of asymmetry or imbalance. Also look for a broken down heel counter. This is a common finding and is usually worse on one side more than the other.

For more information about the Five Red Flags or about any of Foot Levelers' products, call 1.800.553.4860 (USA), 1.800.344.4860 (CAN), or visit us online at www.footlevelers.com.

Foot Levelers, Inc. is the world's exclusive provider of custom-made Spinal Pelvic Stabilizers and other therapeutic products that have served the healthcare profession for 55 years. Foot Levelers' products have helped millions of people enjoy fuller and happier lives at work, home, or at play.

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