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FAQ

When is the Cluffy Wedge indicated? 

See our learning pages to see how the first ray has a significant impact on many conditions.  If there is pathology of the first ray that is the core issue than the Cluffy Wedge is the best method of establishing motion of the big toe and weight bearing of the first metatarsal.

 

How long does the Cluffy Wedge last?

 The Cluffy Wedge is made out of polyurethane gel material.  The product is water resistant and will not bottom out over time.  So long as the adhesive works the wedge should last for a long time.

 

Are there any people who cannot tolerate the Cluffy Wedge?

 There are a small percentage of people that will not tolerate the correction of the Cluffy Wedge. If the wedge is improperly applied or if shoe gear is inadequate than the wedge will be ineffective or uncomfortable. For the first few days of use, the Cluffy Wedge may be noticeable. This is normal and after a few days of use the Cluffy Wedge is often not felt in the shoe gear. This is what you can normally expect when applying any new products in the shoe.

 

How is the Cluffy Wedge different than a first ray cutout or a Reverse Mortons Extension, Kinetic Wedge or first ray cutout? 

 

The Cluffy Wedge will promote first MTPJ motion and subsequently weight bearing of the first metatarsal.  The other methods will float the first metatarsal head and transfer weight to the lesser metatarsal heads.

Plantarflexion of the first metatarsal is necessary to initiate supination of the foot in late midstance and active propulsion.  The CW promotes this motion and does not allow the metatarsal to float. The lack of stability promoted by the RME will decrease stability of the medial arm of the tripod of foot support and promote pronation when the foot should be supinating.

 

How is the Cluffy Wedge different than a Mortons Extension?

 

A Mortons ‘extension pushes the first metatarsal head upward and inherently decreases motion of the first MTPJ.  The Cluffy Wedge goes under the hallux to allow the first MTPJ to move and the first metatarsal to plantarflex

 

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.  A forefoot post 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.

 

I don’t see many patients with Hallux Limitus or Hallux Rigidus?

 

The Cluffy Wedge is not specifically indicated for Hallux Limitus or Rigidus. When there is arthritis in the joint it may not be wise to promote additional motion in the joint. There are, however, good results with hallux rigidus in some cases, as the wedge brings the first MTPJ to its end range of motion and prevents additional motion from occurring. When motion occurs this results in a jamming of the first MTPJ in dorsiflexion. When this jamming is eliminated, pain
 often subsides.

The real application of this is in functional hallux limitus (FnHL), which will be present in the vast majority of the patients you treat. About 80-90 % of your patients will have this condition according to research we are currently conducting.  Check all of our learning tools to see how to check for FnHL.

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