QUADRA STEP SYSTEM SEVERE PES CAVUS SEVERE PES CAVUS POSSIBLE CLINICAL SYMPTOMS KEY ORTHOTIC FEATURES

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1 KY ORTHOTI TURS Lateral iaxial orefoot Posting 1st MTH ut-out eep Lateral Heel up quinus orrection QUR SYSTM POSSIL LINIL SYMPTOMS Lateral nkle Instability Peroneal Tendonitis Heel Pain 5th Metatarsal ase Pressure Lower ack Pain Sesamoiditis, Hammer Toes Knee Recurvatum STP SVR PS VUS SVR PS VUS The Quad foot type is commonly thought of as an oversupinated or Severe Pes avus foot. This condition, also known as a Torque oot, occurs when an Uncompensated Rearfoot Varus is coupled with a Large Rigid orefoot Valgus. PROPLS ORULLY ROM 1st MTTRSL PK--OO HLLUX LRG XTRNL TIIL/IULR ROTTION LRGLY INVRT HL VUS/HIGH RH VLGUS OROOT Lateral nkle Instability Peroneal Tendonitis Heel Pain 5th Met. ase Pressure Lower ack Pain Sesamoiditis, Hammer Toes Knee Recurvatum - ORL, RY-TO-WR, WITH USTOM RSULTS!

2 KY ORTHOTI TURS Medial R Posting Intrinsic Lateral Posting Mild Medial Skive QUR SYSTM STP POSSIL LINIL SYMPTOMS Sesamoiditis 1st Ray Hypermobility Sacro-iliac Joint Pain Often unilateral, may be associated with leg length discrepancies MIL PS PLNUS MIL PS PLNUS The Quad foot-type is a mildly over-pronated foot. This is the result of a ompensated Rearfoot Varus with a flexible forefoot valgus deformity. It is often unilateral and may be associated with a leg length discrepancy TO IN TO IN MIL-MORT INTRNL TIIL/IULR ROTTION MILLY INVRT HL LOW-MIUM RH VLGUS OROOT Sesamoiditis 1st Ray Hypermobility Sacro-iliac Joint Pain Often unilateral, may be associated with leg length discrepancies - ORL, RY-TO-WR, WITH USTOM RSULTS!

3 QUR SYSTM STP POSSIL LINIL SYMPTOMS Retrocalcaneal ursitis Lateral Hip Pain KY ORTHOTI TURS Stabilizing R Posting Medium rch Standard epth Heel up Haglund s eformity Lower ack Pain Iliotibial and Syndrome Pinch allus Medial Hallux NUTRL OOT NUTRL OOT The Quad foot-type is sometimes referred to as a subtle Pes avus foot or an under-pronator. This foot-type exists when an Uncompensated Rearfoot Varus is coupled with a relatively normal (neutral) forefoot alignment. key distinguishing feature of this foot-type is an obvious toe-out gait pattern. TO OUT LS TO SIGN NORML XTRNL TIIL/IULR ROTTION MIUM RH Retrocalcaneal ursitis Lateral Hip Pain Haglund s eformity Lower ack Pain Iliotibial and Syndrome Pinch allus Medial Hallux MORTLY INVRT HL NORML OROOT - ORL, RY-TO-WR, WITH USTOM RSULTS!

4 KY ORTHOTI TURS eep Heel up Medial R Posting Moderate Medial Skive Medial and Lateral lare QUR SYSTM POSSIL LINIL SYMPTOMS Plantar asciitis Metatarsalgia unctional Hallux Limitus Patellofemoral Pain Syndrome Posterior Tibial Tendonitis Neuromas Hallux Limitus MORT PS PLNUS STP MORT PS PLNUS The Quad foot-type is a moderately over-pronated foot. This foot-type occurs when a ompensated Rearfoot Varus exists with a normal or neutral forefoot alignment. PROPLS O 2N & 3R MTTRSL (U TO TRNSVRS MTTRSL RH RVRSL) NUTRL TO SIGN MORT INTRNL TIIL/IULR ROTTION VRTIL HL LOW RH NUTRL OROOT Plantar asciitis Metatarsalgia unctional Hallux Limitus Patellofemoral Pain Synd. Posterior Tibial Tendonitis Neuromas Hallux Limitus - ORL, RY-TO-WR, WITH USTOM RSULTS!

5 KY ORTHOTI TURS Medial R & Posting 5th MTH ut-out 1st Ray Recess Mild Medial lare QUR SYSTM POSSIL LINIL SYMPTOMS Shin Splints Plantar asciitis Tailor s unionette uboid Syndrome Medial Knee Pain UTOVRUS OROOT STP UTOVRUS OROOT The Quad foot-type is one of the most unique looking feet, often with a reverse-lasted foot shape. This foot-type is the result of a combined Uncompensated Rearfoot Varus, coupled with a large Rigid orefoot Varus. MIL HL PIVOT UT TO SIGN MIL INTRNL TIIL/IULR ROTTION MILLY INVRT HL UT OROOT MIUM/LOW RH VRUS OROOT Shin Splints Plantar asciitis Tailor s unionette uboid Syndrome Medial Knee Pain - ORL, RY-TO-WR, WITH USTOM RSULTS!

6 KY ORTHOTI TURS eep Heel up Large Medial Skive Medial R & Posting 1st MTH ut-out to assist Peroneal unctioning Ideal for Posterior Tibial Tendon ysfunction QUR SYSTM POSSIL LINIL SYMPTOMS Posterior Tibial Tendon ysfunction Tarsal Tunnel Syndrome Plantar asciitis Patellofemoral Pain Syndrome Subfibular Impingement Hallux Valgus/union Splayfoot SVR PS PLNOVLGUS STP SVR PS PLNOVLGUS The Quad foot-type is commonly referred to as a Pes Planovalgus foot deformity because of its very poor alignment to the floor. This is a true f lat foot. The condition occurs when a ompensated Rearfoot Varus is coupled with a large lexible orefoot Varus (also called orefoot Supinatus). LTRL OLUMN INSTILITY UT TO SIGN LRG INTRNL TIIL/IULR ROTTION LRG TO SIGN VRT HL LT RH VRUS OROOT Posterior Tibial Tendon ysfunction Tarsal Tunnel Syndrome Plantar asciitis Patellofemoral Pain Syndrome Subfibular Impingement Hallux Valgus/union Splayfoot - ORL, RY-TO-WR, WITH USTOM RSULTS!

7 QUR SYSTM STP thequadrastepsystem.com SVR PS VUS MIL PS PLNUS PK--OO HLLUX PROPLS ORULLY ROM 1st MTTRSL TO IN TO IN TIIL/IULR ROTTION LRG XTRNL MIL-MORT INTRNL TIIL/IULR ROTTION LRGLY INVRT HL VUS/HIGH RH VLGUS OROOT Lateral nkle Instability Peroneal Tendonitis Heel Pain 5th Met. ase Pressure Lower ack Pain Sesamoiditis, Hammer Toes Knee Recurvatum MILLY INVRT HL LOW-MIUM RH VLGUS OROOT Sesamoiditis 1st Ray Hypermobility Sacro-iliac Joint Pain Often unilateral, may be associated with leg length discrepancies NUTRL OO T MORT PS PLNUS normal LS TO SIGN TO OUT NUTRL TO SIGN PROPLS O 2N & 3R MTTRSL (U TO TRNSVRS MTTRSL RH RVRSL) NORML XTRNL TIIL/IULR ROTTION MORT INTRNL TIIL/IULR ROTTION MORTLY INVRT HL MIUM RH NORML OROOT Retrocalcaneal ursitis Lateral Hip Pain Haglund s eformity Lower ack Pain Iliotibial and Syndrome Pinch allus Medial Hallux VRTIL HL LOW RH NUTRL OROOT Plantar asciitis Metatarsalgia unctional Hallux Limitus Patellofemoral Pain Synd. Posterior Tibial Tendonitis Neuromas Hallux Limitus UTOVRUS OROOT SVR PS PLNOVLGUS UT TO SIGN MIL HL PIVOT UT TO SIGN LTRL OLUMN INSTILITY MIL INTRNL TIIL/IULR ROTTION LRG INTRNL TIIL/IULR ROTTION MILLY INVRT HL UT OROOT MIUM/LOW RH VRUS OROOT Shin Splints Plantar asciitis Tailor s unionette uboid Syndrome Medial Knee Pain VRT HL LRG TO SIGN LT RH VRUS OROOT Posterior Tibial Tendon ysfunction Tarsal Tunnel Syndrome Plantar asciitis Patellofemoral Pain Syndrome Subfibular Impingement Hallux Valgus/union Splayfoot - ORL, RY-TO-WR, WITH USTOM RSULTS!