3.8-cm rigid or 3.8-cm stronger rigid tape (Leukotape P) and 5-cm elastic adhesive bandage (EAB).
Sitting on the plinth with the foot relaxed over the edge of the bed.
I. Apply the tape around the midfoot from lateral to medial, starting on the dorsum below the base of the fifth metatarsal and finishing on the dorsum below the base of the first metatarsal. Note: Do not pull the strap. Place it around the foot.
2. Leave a gap between the two edges of the tape on the dorsum of the foot, i.e. do not encircle the entire foot (Fig. 5.10a and b).
3. Repeat four to five times (dependent on the size of the foot), overlapping each strap by half (Fig. 5.11). Note: It is critical that the last strap does not end at the origin of the plantar fascia on the calcaneum. This will aggravate the plantar fascia.
4. The last strap may end on/around the medial malleolus to keep the underfoot area in a straight line throughout and thus prevent any wrinkles underfoot (Fig. 5.12).
5. Note that the taping does not extend far into the heel. It is just posterior to the plantar fascia origin on the calcaneus.
6. Apply two lock strips to tie down the loose ends on the dorsum of the foot, leaving a gap in the centre (Fig. 5.13).
7. The strapping can be finished off with one or two lightly applied 5-cm EAB around the existing strapping, finishing on the dorsum of the foot. A small strip of rigid tape can be used to hold the EAB down (Fig. 5.14).
Allow the patient to walk/run with taping and assess. Sometimes the taping needs to be reinforced during a match, e.g. rugby.
• The tape must NOT be pulled around the foot (lateral to medial) so that there is any change in the biomechanics of the foot.
• The tape must not terminate at the origin of the plantar fascia at the calcaneum.
If the patient has MTSS as a result of an overpronated foot, this tape can be used exactly as described. However, the last two straps may be brought up even further to travel along and finish at the junction of the medial shin and the muscle bulk, as high up as the MTSS pain (Fig. 5.15).
A stronger, more rigid tape (Leocotape P) can be used for the larger patient or the more demanding sport/conditions. This tape is excellent as a temporary measure for assessing whether a patient needs medial arch supports (orthotics) as a permanent fixture.
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