Thanks
Orthopaedic Surgeon
Hereditary spastic paraparesis is a rare and complex disorder which progresses over time. If you're trying to prevent foot inversion whilst using a mower I presume that any foot deformities you have are flexible. In this case, using a prescribed AFO (ankle foot orthosis) to help control your foot and ankle position is likely to be the best solution.
Once foot and ankle deformities become fixed, surgery is often required. The type of procedure needed can include tendon lengthening or joint releases for contracted soft tissues, tendon transfers to rebalance muscular forces, and bony procedures involving bone cuts (osteotomies) or joint fusions (arthrodesis) to reposition the foot and ankle back to neutral.
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