The Cluffy Wedge is an interesting orthotic modification that has been used in various incarnations over the years. The aim of the Cluffy wedge is to hold the hallux in slightly dorsiflexed position. This has the effect of helping with things like functional hallux limitus and a delayed onset to the windlass mechanism. Various types of padding and orthotic modifications can be used to treat the same thing, but the Cluffy Wedge is a trademarked device to commercialise this effect. It was described as the Cluffy Wedge by Dr James Clough in a publication in JAPMA as a treatment for functional hallux limitus. It is also be made available at the retail level and there are a number of You Tube videos on the Cluffy wedge.
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