How is the Cluffy Wedge different than a forefoot post?
A varus or medial forefoot post will correct for a forefoot supination, it also will jam the first ray and limit motion of the first MTPJ. Show references for this statement. A forefoot poat actually is contraindicated if you are trying to improve motion of the first MTPJ. The Cluffy Wedge is not a forefoot post. It goes under the hallux and pre stresses the hallux in dorsiflexion and allows improved mobility of the first MTPJ. As dorsiflexion of the first MTPJ occurs, any forefoot supination will reduce and the need for the forefoot post can be eliminated. This can also be done by dorsiflexing the first MTPJ during the casting procedure and the forefoot supination can also be removed from the cast.
