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Ramanathan AK et al. - The Pedar system was used to record in-shoe plantar pressure data. The results confirmed that heel inserts increased pressure under the metatarsal heads and altered the biomechanics of the foot even in asymptomatic subjects. The findings suggested that heel inserts should be used with caution especially in people predisposed to foot problems. The classification of these inserts as an over-the-counter product may need to be reviewed.

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