What modification should be made to an AFO if there is redness at the navicular on the right side?

When a patient experiences redness at the navicular area, it often indicates pressure or friction that could lead to skin breakdown or discomfort. The correct modification in this situation is to add a soft tissue (ST) pad and additional padding just superior to the medial malleolus. This approach helps to distribute forces more evenly, reducing localized pressure on sensitive areas such as the navicular.

Adding a soft tissue pad directly addresses the pressure point by providing a cushioning effect that protects the skin. Placement of padding just superior to the medial malleolus aids in alleviating any lateral or medial forces that might be contributing to the issue, thus further reducing the chance of irritation and allowing for a more comfortable fit of the orthosis. This strategy is effective in prevention and management of skin issues in orthotic patients, ensuring comfort and proper alignment during mobility.

While rigid footplates and straps can provide additional support or stability, they do not directly address the specific problem of pressure at the navicular and may even exacerbate discomfort in that region. Adjusting the ankle joint to a more neutral position may help in some cases, but it also does not directly alleviate the localized pressure causing redness. Hence, the focus on soft tissue padding is the most pertinent modification to enhance patient comfort and