
The B QUAD Foot-Type is a mildly over-pronated foot type or Mild Pes Planus. This is the result of a Compensated Rearfoot Varus with a flexible forefoot valgus deformity. It is often to be found unilateral and is often associated with a structural leg length discrepancy.
The B QUAD Foot-Type is a rarely occurring combined foot deformity, affecting less than 10% of the population. In addition, it is often unilateral. The B QUAD Foot-Type is a mildly over-pronated foot due to a compensated rearfoot varus deformity, however that over pronation is somewhat minimized by a forefoot valgus deformity that acts like a “pronation-deterrent”.

In some cases, this foot-type may be caused by an acquired plantarflexed 1st ray, functioning as a forefoot valgus. This may occur in flexible pes planus foot types as the peroneals are working overtime to try and pull the forefoot into a pronatory twist in attempt to stabilize the midtarsal joint. It is also common to see this condition occur unilaterally on a short limb. Pronating the forefoot into a valgus alignment supinates the foot and helps lengthen the limb. When this foot-type occurs on one side only, we refer to this as a “foot disparity”. When foot disparities occur, each foot functions differently from one another, as so each limb functions differently as well. This has a direct affect on the hips and low back, often leading to sacral-iliac pain. Heel and lower back pain is common. The torque foot nature of this foot-type allows the valgus forefoot to offset the uncompensated inverted heel alignment that would normally lead to a toe out gait pattern (see C Quad Foot-Type). Overall, the foot progression angle for this person is such that the feet point relatively straight ahead during gait (no toe out) with a narrow base of support, much like a tight rope walker.

For more about the B QUAD Foot-Type go to our website.
All Quadrastep Orthotics are available in Regular and Narrow Widths, and with a topcover an an additional charge. For more information see our Customized Orthotics.page on nolaro24.com.
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As we step into 2019, our thoughts are returning to cleaning out the old, organizing, and refreshing! Now is a great time to go through your orthotic stock and see what you are missing, what you need to order, and how you can make it easier on yourself to find things.
