under the bear-
ing surface of
the heel. This
condition d e -
mands a heel
one to two
inches high, ac-
cording to the severity of the condition, of live rub-
ber or live rubber covered with Buy Generic Cialis Uk a lift of leather.
Should there be any pronounced metatarsal symp-
toms, this modification Buy Generic Cialis Uk of the shoe will not be Buy Generic Cialis Uk agree-
able. In this case the ordinary shoe may be given a
thick Buy Generic Cialis Uk piece of felt under the tender heel as a cushion,
and a slip in counter to hold the heel snugly. Should
the anterior metatarsal arch be weak or tender, with
deep or hemorrhagic corns uiion the heel and
metatarsal at the same time, a felt insole one half
inch thick will give relief, .\gain, all weight may
be taken ofl" the tender parts by making depressions
in the felt insole.
sliado\\
Custom lu.iiU-
t toe. tllUUgll
the rubber hc(
Deformities so prevalent as not to be recognized
as such are ingrowing nails, clubbed toes, over-
rifling toes (Fig. 1 1 J, inflamed great toe joint,
bunions, hallu.x valgus, the result of the pressure of
narrow, wedged toed shoes, the ordinkfy shoe,
combined with the unphysiological stride and the
toeing out of the loot in c,.nsi,K.re.i In have treatm e n t of
phys.oioRicai poiut ..1 v.esv Nnie th.1t the nietatarsa 1 g i a.
nccordttiK to the rule. * .
Due attention
must be paid to cultivating the intrinsic muscles of
the foot, the toe flexors, by exercise.
Mild to severe bunions, hallux valgus lieformi-
lies (Figs. 13 aiul 14"!. and inflamed great toe joint
may be treated successfully by making the shoes
snug ixisterior to the ball (Meyer) to support the
bunion, with a straight inner vamp line to the end
of the great toe. Give plenty of room over the
distal extremity of the fifth metatarsal and little
toe. Encourage the great toe to swing into a
straight line with the centre of the heel by culti-
vatiiiE; tlie habit of walking with toes straight to
the front. The shoe should "break" in line with
ASHLEY: SHOES.
437