The Cluffy Wedge has been getting a bit of attention lately. It was original trademarked by Dr James Clough as a mean to dorsiflex the hallux to help functional hallux limitus. It was first written about in JAPMA. The concept is based on preloading the hallux to get it to load earlier in the stance phase. The biggest effect of this is to bring the windlass mechanism on sooner as it hold the hallux in a slightly dorsiflexed position. While the Cluffy Wedge can be purchased as an orthotic add-on or shoe insert, many people just fabricate their own. The Cluffy Wedge is being marketed through a number of different channels. Podiatry TV has a number of videos on the Cluffy Wedge.
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