Orthotic causing Intermetatarsal Bursitis?

Hello, I have been treating a patient with a small longitudinal tear of the posterier tibialis tendon. He has been wearing this more and more and has been walking 1-2 miles maximum a day.

Hello, I have been treating a patient with a small longitudinal tear of the posterier tibialis tendon. He has been wearing this more and more and has been walking 1-2 miles maximum a day.

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Orthotic causing Intermetatarsal Bursitis?