Lower Leg Varum Alignment in Skiing: Relationship to Foot Pain and Suboptimal Performance

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Abstract
In brief: Varum alignment of the lower leg can produce problems that may affect a skier's performance and lead to foot pain. Technological advances in ski boots now make it possible to compensate for tibia vara through cuff adjustments, and in-the-boot orthotic devices with forefoot and rearfoot posting can help to correct the problems caused by an excessive degree of varum alignment of the lower leg. These corrections can help the skier to ride a flat ski during gliding and maintain proper body position while edging during turning. In this article, the authors discuss skiing technique, ways to measure a skier's varum alignment, and methods of compensating when malalignment interferes with proper technique or causes foot pain.

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