I have just screened a client for the second time.
This time around she revealed more about her case history.
During the screen I found a number of pelvic dyfunctions. It turns out she has had issues such as back and knee pain for a long time and was once 'straightened out' by an osteopath and has also been prescribed orthotics.
Should I have her stop using the orthotics during normalise to see if the problem really lies in the pelvis?
Ideally if the client has not become reliant upon them, take them out to start afresh so to speak. However, if they are averse to this psychologically or if their pain increases if they do, then of course leave them in. It is still possible to normalise with them in, just sometimes more difficult, as you can imagine.
Also if they have just had acute plantar fasciatis for example and they need the orthotics to keep the pain down, then keep them in. if its for an old knee injury for exampe, its less risky to take them out.
Also look at their foot mechanics, the larger the intrinsic biomechanical problems with their feet the more the liklihood that they need to keep them in, the less the problems, the more able you should be to take them out.