Claudia had reconstruction of her right foot and ankle years ago. Her initial post rehabilitation with Jennifer Penrose in 2005 went well. She did great for several years. However, in 2016 she noticed her pain was worsening in her right foot and leg and her pain was beginning to spread to the left foot and leg. Her limping and uneven walking was also starting to cause low back pain. She was becoming more immobile and less functional. She was unable to stand or walk more than 5 minutes at a time.