unconstitutional viewpoint discrimination. The American Civil Liberties Union later sued North Carolina on behalf of four state residents, complaining the Legislature had "opened a state-created forum for private speech to only one viewpoint in the public debate over abortion, in violation of the plaintiffs' tights under the First and Fourteenth Amendments to the United States Constitution." Judge Fox blocked North Carolina from issuing the "Choose Life" plate in December 2011 and granted the ACLU summary judgment and permanently injunction the next year. In shutting down the state's appeal Tuesday, Judge James Wynn wrote that the Legislature's behavior "constitutes blatant viewpoint discrimination squarely at odds with the First Amendment." The ruling notes that North Carolina never denied that it was engaging in viewpoint discrimination by approving the "Choose Life"muscles play a significant role in the biomechanics of walking and ankle stability,^\[[@R24],[@R25]\]^ including the function of decreasing forefoot plantar peak pressure during gait.^\[[@R25]\]^ In this patient, increased compensatory mechanisms of the hip joint to decrease forefoot plantar peak pressure from forefoot pain may have led to fatigue and weakness of the gluteal muscles, which resulted in aggravation of the right pelvic pain during walking. Conversely, increased compensatory mechanisms of the ankle joint caused by weakness of the hip abductor muscles may have caused the intractable heel pain.^\[[@R25]\]^ Weakness of the hip abductor muscles during walking may result in plantarflexion muscle overuse,^\[[@R24]\]^ which can increase the load on the plantar fascia.^\[[@R22]\]^ Hip abductor muscles contribute to postural stability in the frontal and sagittal planes of the lower extremities,^\[[@R26]\]^