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An "orthotic" is an adjective, not a noun, although some people tend to use it as such. It is an orthosis or an orthotic device.

An orthosis is a device used to 1. correct deformity, 2. prevent further deformity, 3. Block motion across a joint. 4. Assist motion across a joint

Is an orthosis a treatment for ankle equinus?

An orthosis can be used as part of the treatment, it depends on the cause of the equinus. The condition might need physiotherapy or surgery or both and the orthosis can be used short term to assist in the progress of treatment. For example, if surgery has been carried out an orthosis might be used to maintain the foot in a certain position while the patient recovers from the surgery instead of using a plaster cast.

If the patient has a muscle deficit, which is common after a stroke, the foot might be forced into equinus by the muscle imbalance in the lower leg. An orthosis can be used to hold the ankle in a neutral position which will allow the patient to ambulate more naturally. The orthosis can be sprung to assist the weakened musculature to restore function to the ankle. This could be a short term or a long term solution depending on the prognosis of the neurological dysfunction which is causing the symptoms.

Also if the equinus is fixed, and not treatable, or surgery is not an option, perhaps the the degree of equinus is not severe, the orthosis can be used to accommodate the deformity, by filling in the gap between the heel and the ground (heel raise), a shoe can simply be modified to accomplish this task or insoles can be inserted into the shoe.

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Q: Is orthotic is a treatment for an ankle equinus?
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