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A. Absolutely not! Would you wait until you had 20,000 miles on your car tires to balance them? The sooner the subtalar joint is stabilized, the better. The average person takes nearly 10,000 steps a day and with every step there is excessive wear and tear. Even if symptoms are not present the pathological condition is still present and it requires a physical correction. I think we need to be a lot more proactive. Do we need to wait for someone to end up in a diabetic coma to begin insulin treatment? Eventually, a cumulative trauma disorder will occur resulting in a symptom. We need to eliminate the root-cause and not just ameliorate the symptoms.

A. By the time a child is 3 to 4 years old the sinus tarsi is formed by the osseous structures from the talus and calcaneus. It is my belief that the sinus tarsi does not change in its dimensions (yet to be proven). This is based on the fact the most common HyProCure size is 7 then 6 in adult patients. So, if a child already has a size 6 or 7, then they already have the most common adult size stent. However, I have found that in my hands, the most common pediatric sizes are 7 and 8. I will always advise parents that it may be that once the child has reached skeletal maturity that the stent may need to be either up-sized or down-size.