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July 06 2017

Uphaus1977

How You Can Handle Pes Planus

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Adult Acquired Flat Feet

Flat feet can develop as an adult ("adult acquired flatfoot") due to injury, illness, unusual or prolonged stress to the foot, faulty biomechanics,[5] or as part of the normal aging process. Flat feet can also occur in pregnant women as a result of temporary changes, due to increased elastin (elasticity) during pregnancy. However, if developed by adulthood, flat feet generally remain flat permanently.

Causes

Some people develop fallen arches because they tend to pronate, or roll inwards on the ankles, says the Instep Foot Clinic. Other people may simply have under-developed muscles in their arches. Your arches help your feet bear weight and are supported in this job by muscles and tendons in your feet and ankles. So, while fallen arches aren?t usually serious, they can cause pain in your feet, ankles, knees and/or hips due to your reduced weight-bearing ability. In these cases, treatment may be required. Orthotics that sit in your shoes and support your arches are a common solution, as are exercises to strengthen and stretch your feet and leg muscles.

Symptoms

Some people have fallen arches, and they aren?t even aware of it, fallen arches are sometimes asymptomatic and do not always cause pain. However, for others, the following symptoms may be present. Foot pain, particularly in the arches or heels, leg or back pain, feet feel tired quickly, swelling in the feet and difficulty moving the feet.

Diagnosis

Flat feet are easy to identify while standing or walking. When someone with flat feet stands, their inner foot or arch flattens and their foot may roll over to the inner side. This is known as overpronation. To see whether your foot overpronates, stand on tiptoes or push your big toe back as far as possible. If the arch of your foot doesn't appear, your foot is likely to overpronate when you walk or run. It can be difficult to tell whether a child has flat feet because their arches may not fully develop until they're 10 years of age.

best arch support insoles for plantar fasciitis

Non Surgical Treatment

If your condition is bothersome, try elevating your feet and using ice on the arches to reduce swelling. Your podiatrist can recommend several orthotic aids and inserts to strengthen the tendons of your foot. He can also demonstrate stretching exercises or refer you to physical therapy to get those tendons back into shape. If the symptoms of fallen arches are painful and troubling, he may recommend a steroid injection to relieve inflammation and pain. And in some instances, he may determine that surgery is necessary.

Surgical Treatment

Flat Feet

This is rare and usually only offered if patients have significant abnormalities in their bones or muscles. Treatments include joint fusion, reshaping the bones in the foot, and occasionally moving around tendons in the foot to help balance out the stresses (called tendon transfer).

Prevention

Wear Supportive Footwear. Spend the money it takes to get proper fitting and quality footwear with good arch supports. Most sufferers of fallen arches and plantar fasciitis are born with high arches that sag as they get older. Good footwear can prevent this from becoming a problem. Flat feet, however, can become just as problematic. So, really we should all be wearing good footwear to avoid this potentially painful condition. Take It Easy. If your heel starts to hurt, take a rest. If the pain doesn?t go away after several days of resting, it may be time to see a podiatrist. Orthotics. Special insoles to support the arch of the foot can provide some much needed help. You can buy these at your local drugstore (not recommended), or you can have them specially made and custom fit for your feet. It can take awhile to get just the right one for your foot, but sometimes it can be just what you needed. Weight Control. Yes, maintaining a sensible diet with your ideal weight can be beneficial in many ways. It makes sense to think that the more weight your arches are supporting, the more easily they will fall and become painful.

June 28 2017

Uphaus1977

Understand Heel Painfulness

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Foot Pain

Heel pain may develop when you pound your feet on hard surfaces playing sports or wear shoes that irritate sensitive tissues. A sore heel will usually get better on its own if you give it enough rest. Unfortunately, many people try to ignore the early signs of heel pain and keep on doing the activities that caused it and this can lead to chronic pain. Conditions that cause heel pain generally fall into two main categories: pain beneath the heel and pain behind the heel. Pain beneath the Heel. If it hurts under your heel, you may have one or more conditions that cause inflammation of the tissues on the bottom of your foot. Stone bruise. By stepping on a hard object, you can bruise the fat pad on the bottom side of your heel. It may or may not look discoloured. With rest, the pain subsides gradually.

Causes

In the majority of cases, heel pain has a mechanical cause. It may also be caused by arthritis, infection, an autoimmune problem trauma, a neurological problem, or some other systemic condition (condition that affects the whole body).

Symptoms

Plantar fasciitis is a condition of irritation to the plantar fascia, the thick ligament on the bottom of your foot. It classically causes pain and stiffness on the bottom of your heel and feels worse in the morning with the first steps out of bed and also in the beginning of an activity after a period of rest. For instance, after driving a car, people feel pain when they first get out, or runners will feel discomfort for the first few minutes of their run. This occurs because the plantar fascia is not well supplied by blood, which makes this condition slow in healing, and a certain amount of activity is needed to get the area to warm up. Plantar fasciitis can occur for various reasons: use of improper, non-supportive shoes; over-training in sports; lack of flexibility; weight gain; prolonged standing; and, interestingly, prolonged bed rest.

Diagnosis

The diagnosis of plantar fasciitis is generally made during the history and physical examination. There are several conditions that can cause heel pain, and plantar fasciitis must be distinguished from these conditions. Pain can be referred to the heel and foot from other areas of the body such as the low back, hip, knee, and/or ankle. Special tests to challenge these areas are performed to help confirm the problem is truly coming from the plantar fascia. An X-ray may be ordered to rule out a stress fracture of the heel bone and to see if a bone spur is present that is large enough to cause problems. Other helpful imaging studies include bone scans, MRI, and ultrasound. Ultrasonographic exam may be favored as it is quick, less expensive, and does not expose you to radiation. Laboratory investigation may be necessary in some cases to rule out a systemic illness causing the heel pain, such as rheumatoid arthritis, Reiter's syndrome, or ankylosing spondylitis. These are diseases that affect the entire body but may show up at first as pain in the heel.

Non Surgical Treatment

Treatment of heel pain generally occurs in stages. At the earliest sign of heel pain, aggressive calf muscle stretching should be started. Additionally, taking an oral anti-inflammatory medication and over-the- counter arch supports or heel cushions may be beneficial. The next phase of treatment might consist of continued calf muscle stretching exercises, cortisone injections and orthopedic taping of the foot to support the arch. If this treatment fails, or if there is reoccurrence of the heel pain, then functional foot orthotics might be considered. A functional orthotic is a device that is prescribed and fitted by your foot doctor, which fits in normal shoes like an arch support. Unlike an arch support, however the orthotic corrects abnormal pronation of the subtalar joint. Thus orthotics address the cause of the heel pain - abnormal pronation of the foot. Pump bump, treatment is similar to the treatment of bursitis and heel spurs. In rare cases, the bony growth at the heel may need to be removed surgically. Heel bruises can be treated by applying an ice pack for the first few minutes after injury. Achilles tendonitis, this condition is treated conservatively with rest, NSAIDs and physical therapy. If a sprain, fracture or other injury has caused the trapped nerve, this underlying problem must be treated first. In rare cases, surgery may be done to release the trapped nerve.

Surgical Treatment

Extracorporeal shockwave therapy (EST) is a fairly new type of non-invasive treatment. Non-invasive means it does not involve making cuts into your body. EST involves using a device to deliver high-energy soundwaves into your heel. The soundwaves can sometimes cause pain, so a local anaesthetic may be used to numb your heel. It is claimed that EST works in two ways. It is thought to have a "numbing" effect on the nerves that transmit pain signals to your brain, help stimulate and speed up the healing process. However, these claims have not yet been definitively proven. The National Institute for Health and Care Excellence (NICE) has issued guidance about the use of EST for treating plantar fasciitis. NICE states there are no concerns over the safety of EST, but there are uncertainties about how effective the procedure is for treating heel pain. Some studies have reported that EST is more effective than surgery and other non-surgical treatments, while other studies found the procedure to be no better than a placebo (sham treatment).

Why do the heels of my feet hurt?

Prevention

Pain At The Heel

You can reduce the risk of heel pain in many ways, including. Wear shoes that fit you properly with a firm fastening, such as laces. Choose shoes with shock-absorbent soles and supportive heels. Repair or throw out any shoes that have worn heels. Always warm up and cool down when exercising or playing sport, include plenty of slow, sustained stretches. If necessary, your podiatrist will show you how to tape or strap your feet to help support the muscles and ligaments. Shoe inserts (orthoses) professionally fitted by your podiatrist can help support your feet in the long term.
Uphaus1977

Apparent Leg Length Discrepancy Following Hip Replacement

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If one of your child's legs is longer than the other leg, he or she has a common problem known as leg length discrepancy. A typical difference in leg length can be anywhere from one centimeter, which usually does not cause any problems, to more than six centimeters. The greater the discrepancy, the more your child must compensate his or her normal posture and walking pattern in day to day life, which can lead to a variety of symptoms, such as functional scoliosis, hip, knee and ankle problems.Leg Length Discrepancy

Causes

Some children are born with absence or underdeveloped bones in the lower limbs e.g., congenital hemimelia. Others have a condition called hemihypertrophy that causes one side of the body to grow faster than the other. Sometimes, increased blood flow to one limb (as in a hemangioma or blood vessel tumor) stimulates growth to the limb. In other cases, injury or infection involving the epiphyseal plate (growth plate) of the femur or tibia inhibits or stops altogether the growth of the bone. Fractures healing in an overlapped position, even if the epiphyseal plate is not involved, can also cause limb length discrepancy. Neuromuscular problems like polio can also cause profound discrepancies, but thankfully, uncommon. Lastly, Wilms? tumor of the kidney in a child can cause hypertrophy of the lower limb on the same side. It is therefore important in a young child with hemihypertrophy to have an abdominal ultrasound exam done to rule out Wilms? tumor. It is important to distinguish true leg length discrepancy from apparent leg length discrepancy. Apparent discrepancy is due to an instability of the hip, that allows the proximal femur to migrate proximally, or due to an adduction or abduction contracture of the hip that causes pelvic obliquity, so that one hip is higher than the other. When the patient stands, it gives the impression of leg length discrepancy, when the problem is actually in the hip.

Symptoms

As patients develop LLD, they will naturally and even unknowingly attempt to compensate for the difference between their two legs by either bending the longer leg excessively or standing on the toes of the short leg. When walking, they are forced to step down on one side and thrust upwards on the other side, which leads to a gait pattern with an abnormal up and down motion. For many patients, especially adolescents, the appearance of their gait may be more personally troublesome than any symptoms that arise or any true functional deficiency. Over time, standing on one's toes can create a contracture at the ankle, in which the calf muscle becomes abnormally contracted, a condition that can help an LLD patient with walking, but may later require surgical repair. If substantial enough, LLD left untreated can contribute to other serious orthopaedic problems, such as degenerative arthritis, scoliosis, or lower back pain. However, with proper treatment, children with leg length discrepancy generally do quite well, without lingering functional or cosmetic deficiencies.

Diagnosis

A qualified musculoskeletal expert will first take a medical history and conduct a physical exam. Other tests may include X-rays, MRI, or CT scan to diagnose the root cause.

Non Surgical Treatment

Treatment of leg length inequality involves many different approaches, which vary among osteopaths, physiotherapist and chiropractor and whether the LLD is functional or structural. Thus is a combination of myofascial release (massage) & stretching of shortened muscles. Manipulation or mobilization of the spine, sacro-iliac joint (SIJ), hip, knee, foot. Orthotics, shoe lifts can be used to treat discrepancies from two to six cm (usually up to 1 cm can be inserted in the shoe. For larger leg length inequalities, the shoe must be built up. This needs to be done for every shoe worn, thus limiting the type of shoe that the patient can wear). Surgery (epiphysiodesis, epiphyseal stapling,bone resection).

LLD Shoe Inserts

how to grow taller at 16

Surgical Treatment

Surgeries for LLD are designed to do one of three general things ? shorten the long leg, stop or slow the growth of the longer or more rapidly growing leg, or lengthen the short leg. Stopping the growth of the longer leg is the most commonly utilized of the three approaches and involves an operation known as an epiphysiodesis , in which the growth plate of either the lower femur or upper tibia is visualized in the operating room using fluoroscopy (a type of real-time radiographic imaging) and ablated , which involves drilling into the region several times, such that the tissue is no longer capable of bone growth. Because the epiphyseal growth capabilities cannot be restored following the surgery, proper timing is crucial. Usually the operation is planned for the last 2 to 3 years of growth and has excellent results, with children leaving the hospital within a few days with good mobility. However, it is only appropriate for LLD of under 5cm.

June 02 2017

Uphaus1977

Addressing Mortons Neuroma

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intermetatarsal neuromaMorton?s Neuroma is a common foot condition characterized by pain and swelling in the ball of the foot, between the third and fourth toes. It?s caused by bones in your feet squeezing a nerve. Symptoms include a sharp, burning pain and possibly separation between the affected toes.

Causes

Wearing shoes that are too tight can make the pain of Morton's neuroma worse. This is because the toe bones are more likely to press on the affected nerve if your shoes are too tight. High-heeled shoes, particularly those over 5cm (2 inches), or shoes with a pointed or tight toe area, can also compress your toes and make the pain worse. This is why women tend to be affected by Morton's neuroma more than men.

Foot conditions.

Symptoms

Symptoms typically include pain, often with pins and needles on one side of a toe and the adjacent side of the next toe. Pain is made worse by forefoot weight bearing and can also be reproduced by squeezing the forefoot to further compress the nerve. Pressing in between the third and forth metatarsals for example with a pen can also trigger symptoms.

Diagnosis

In some cases your doctor will be able to feel the Morton's as a swelling in the middle of your foot. However they may also suggest an X-ray or a blood test - this is normally to rule our other causes of the pain such as arthritis. The most accurate way to diagnose Morton?s itself is with magnetic resonance imaging (MRI) or ultrasound.

Non Surgical Treatment

Treatment for Morton's neuroma may depend on several factors, including the severity of symptoms and how long they have been present. The earlier on the condition is diagnosed, the less likely surgery is required. Doctors will usually recommend self-help measures first. These may include resting the foot, massaging the foot and affected toes. Using an ice pack on the affected area (skin should not be directly exposed to ice, the ice should be in a container or wrapped in something) Changing footwear, wearing wide-toed shoes, or flat (non high-heeled) shoes. Trying arch supports (orthotic devices). A type of padding that supports the arch of the foot, removing pressure from the nerve. The doctor may recommend a custom-made, individually designed shoe-insert, molded to fit the contours of the patient's foot. There are several OTC (over the counter, non-prescription) metatarsal pads or bars available which can be placed over the neuroma. Taking over-the-counter, non-prescription painkilling medications. Modifying activities, avoiding activities which put repetitive pressure on the neuroma until the condition improves. Bodyweight management,if the patient is obese the doctor may advise him/her to lose weight. A significant number of obese patients with foot problems, such as flat feet, who successfully lose weight experience considerable improvement of symptoms.interdigital neuroma

Surgical Treatment

Operative treatment of Morton?s neuroma should be entertained only after failure of nonoperative management. Standard operative treatment involves identifying the nerve and cutting (resecting) it proximal to the point where it is irritate/injured. This is usually done through an incision on the top (dorsal) aspect of the foot, although in rare instances, an incision on the sole (plantar) aspect of the foot maybe used. An incision on the sole of the foot works very well, unless an excessive scar forms in which case it can be problematic. Some physicians will attempt to treat Morton?s neuroma by releasing the intermetatarsal ligament and freeing the nerve of local scar tissue. This may also be beneficial.

April 16 2015

Uphaus1977

Causes Of Acquired Flat Foot

Overview
Adult-acquired flatfoot (AAF) is the term used to describe the progressive deformity of the foot and ankle that, in its later stages, results in collapsed and badly deformed feet. Although the condition has been described and written about since the 1980s, AAF is not a widely used acronym within the O&P community-even though orthotists and pedorthists easily recognize the signs of the condition because they treat them on an almost daily basis. AAF is caused by a loss of the dynamic and static support structures of the medial longitudinal arch, resulting in an incrementally worsening planovalgus deformity associated with posterior tibial (PT) tendinitis. Over the past 30 years, researchers have attempted to understand and explain the gradual yet significant deterioration that can occur in foot structure, which ultimately leads to painful and debilitating conditions-a progression that is currently classified into four stages. What begins as a predisposition to flatfoot can progress to a collapsed arch, and then to the more severe posterior tibial tendon dysfunction (PTTD). Left untreated, the PT tendon can rupture, and the patient may then require a rigid AFO or an arthrodesis fixation surgery to stabilize the foot in order to remain capable of walking pain free. Acquired flat feet

Causes
Posterior tibial tendon dysfunction is the most common cause of acquired adult flatfoot. Sometimes this can be a result of specific trauma, but usually the tendon becomes injured from wear and tear over time. This is more prevalent in individuals with an inherited flat foot but excessive weight, age, and level of activity are also contributing factors.

Symptoms
Not everyone with adult flatfoot has problems with pain. Those who do usually experience it around the ankle or in the heel. The pain is usually worse with activity, like walking or standing for extended periods. Sometimes, if the condition develops from arthritis in the foot, bony spurs along the top and side of the foot develop and make wearing shoes more painful. Diabetic patients need to watch for swelling or large lumps in the feet, as they may not notice any pain. They are also at higher risk for developing significant deformities from their flatfoot.

Diagnosis
Your podiatrist is very familiar with tendons that have just about had enough, and will likely be able to diagnose this condition by performing a physical exam of your foot. He or she will probably examine the area visually and by feel, will inquire about your medical history (including past pain or injuries), and may also observe your feet as you walk. You may also be asked to attempt standing on your toes. This may be done by having you lift your ?good? foot (the one without the complaining tendon) off the ground, standing only on your problem foot. (You may be instructed to place your hands against the wall to help with balance.) Then, your podiatrist will ask you to try to go up on your toes on the bad foot. If you have difficulty doing so, it may indicate a problem with your posterior tibial tendon. Some imaging technology may be used to diagnose this condition, although it?s more likely the doctor will rely primarily on a physical exam. However, he or she may order scans such as an MRI or CT scan to look at your foot?s interior, and X-rays might also be helpful in a diagnosis.

Non surgical Treatment
Non-surgical treatment includes rest and reducing your activity until the pain improves. Orthotics or bracing help support the tendon to reduce its pull along the arch, thus reducing pain. In moderate to severe cases, a below knee cast or walking boot may be needed to allow the tendon to rest completely and heal. Physical therapy is an integral part of the non-surgical treatment regimen to reduce inflammation and pain. Anti-inflammatory medication is often used as well. Many times evaluation of your current shoes is necessary to ensure you are wearing appropriate shoe gear to prevent re-injury. Flat feet

Surgical Treatment
If conservative treatment fails to provide relief of pain and disability then surgery is considered. Numerous factors determine whether a patient is a surgical candidate. They include age, obesity, diabetes, vascular status, and the ability to be compliant with post-operative care. Surgery usually requires a prolonged period of nonweightbearing immobilization. Total recovery ranges from 3 months to one year. Clinical, x-ray, and MRI examination are all used to select the appropriate surgical procedure.

March 29 2015

Uphaus1977

Heel Painfulness The Main Causes, Signs And Treatment Alternatives

Overview

Pain Of The Heel

The most common form of Heel Pain, is pain on the bottom of the heel. It tends to occur for no apparent reason and is often worse when first placing weight on the foot. Patients often complain of pain the first thing in the morning or after getting up to stand after sitting. The pain can be a sharp, searing pain or present as a tearing feeling in the bottom of the heel. As the condition progresses there may be a throbbing pain after getting off your feet or there may be soreness that radiates up the back of the leg. Pain may also radiate into the arch of the foot.

Causes

Common causes of heel pain include Achilles tendinitis, Achilles tendon rupture, Bone tumor, Bursitis, Fibromyalgia, Fracture, Gout, Heel pad wear and tear, Heel spur, Osteomyelitis, Peripheral neuropathy, Pinched nerve, Plantar fasciitis, Rheumatoid arthritis, Stress fractures, Tarsal tunnel syndrome, Tendinitis. Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

Symptoms

The symptoms of plantar fasciitis are pain on the bottom of the heel, pain in the arch of the foot, pain that is usually worse upon arising, pain that increases over a period of months. People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they?ve been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people the pain subsides but returns after spending long periods of time on their feet.

Diagnosis

Depending on the condition, the cause of heel pain is diagnosed using a number of tests, including medical history, physical examination, including examination of joints and muscles of the foot and leg, X-rays.

Non Surgical Treatment

When consulting a doctor about heel pain, a patient can expect to be questioned about their level of pain, how long they?ve been experiencing it, and which activities aggravate or alleviate the condition. The doctor may order x-rays, a physical therapy regimen, or refer the afflicted individual to an orthopedic specialist for further examination. The doctor may attempt to recreate conditions that cause the heel pain to flare up in order to study reaction and cause in the patient, but this will be temporary and the doctor will stop this test at the request of the patient. A patient with heel pain may also be fitted with special inserts for their shoes to help correct arch and heel problems that cause pain. Heel problems can range from the mildly irritating to the nearly devastating, but proper prevention in care will help keep each step pain free. Advanced orthopedics, pain management, and technologically-honed surgical techniques ensure that no patient needs to suffer with the discomfort of heel pain and the restrictions it imposes on an active lifestyle.

Surgical Treatment

Extracorporeal shockwave therapy (EST) is a fairly new type of non-invasive treatment. Non-invasive means it does not involve making cuts into your body. EST involves using a device to deliver high-energy soundwaves into your heel. The soundwaves can sometimes cause pain, so a local anaesthetic may be used to numb your heel. It is claimed that EST works in two ways. It is thought to have a "numbing" effect on the nerves that transmit pain signals to your brain, help stimulate and speed up the healing process. However, these claims have not yet been definitively proven. The National Institute for Health and Care Excellence (NICE) has issued guidance about the use of EST for treating plantar fasciitis. NICE states there are no concerns over the safety of EST, but there are uncertainties about how effective the procedure is for treating heel pain. Some studies have reported that EST is more effective than surgery and other non-surgical treatments, while other studies found the procedure to be no better than a placebo (sham treatment).

Prevention

Heel Discomfort

Make sure you wear appropriate supportive shoes. Don't over-train in sports. Make sure you warm up, cool down and undertake an exercise regime that helps maintain flexibility. Manage your weight, obesity is a factor in causing plantar fasciitis. Avoid walking and running on hard surfaces if you are prone to pain. You should follow the recognized management protocol "RICED" rest, ice, compression, elevation and diagnosis. Rest, keep off the injured ankle as much as possible. Ice, applied for 20 minutes at a time every hour as long as swelling persists. Compression, support the ankle and foot with a firmly (not tightly) wrapped elastic bandage. Elevation, keep foot above heart level to minimize bruising and swelling. Diagnosis. Consult a medical professional (such as a Podiatrist or doctor) especially if you are worried about the injury, or if the pain or swelling gets worse. If the pain or swelling has not gone down significantly within 48 hours, also seek treatment. An accurate diagnosis is essential for proper rehabilitation of moderate to severe injuries.
Tags: Heel Pain

March 04 2015

Uphaus1977

Achilles Tendonitis

Overview

Achilles TendinitisAchilles Tendonitis is an inflammation of the Achilles Tendon. This tendon attaches the muscles in the calf of the leg to the back of our heels. The Achilles Tendon is a long and thick tendon, which moves our foot down, so that the toes point to the ground (plantar flexion). This tendon can become inflamed due to the following causes. Over utilizing it, such as too much running, especially up or down hill. Trauma, such as a kick to the tendon. Shoe or boot pressure, especially at its attachment to the heel, or just above it. There are over 250,000 injuries to the Achilles Tendon annually. In fact, more Than 10% of all running injuries are to the Achilles tendon. Tendonitis may be classified as either acute or chronic. Acute Achilles Tendonitis comes on quickly, usually after a specific activity or event. It is characterized by an overstretching or tearing of some of the small fibers of the tendon, and causes pain or tenderness when walking or running. It can occur at the insertion (near the attachment to the heel bone, or further up the leg, about 4 or 5 inches above the heel. Acute tendonitis can also follow a specific injury, such as a kick to the tendon while playing soccer. Chronic Achilles Tendonitis develops gradually over time. Many times, you can feel an obvious thickening of the tendon that may be tender when squeezed, due to long standing scarring of the tendon. Pain is also present when walking or during other forms of activity, and feels better at rest.

Causes

Tight or fatigued calf muscles, which transfer the burden of running to the Achilles. This can be due to poor stretching, rapidly increasing distance, or over-training excessive hill running or speed work, both of which stress the Achilles more than other types of running. Inflexible running shoes, which, in some cases, may force the Achilles to twist. Runners who overpronate (feet rotate too far inward on impact) are most susceptible to Achilles tendinitis.

Symptoms

Achilles tendonitis is an injury that occurs when your Achilles tendon -- the large band of tissues connecting the muscles in the back of your lower leg to your heel bone -- becomes inflamed or irritated. The signs and symptoms of Achilles tendonitis often develop gradually. You'll feel pain and stiffness in your Achilles, especially when you first get out of bed. The pain lessens as you warm up, and may even disappear as you continue running. Once you stop, the pain returns and may feel even worse. You may also notice a crackling or creaking sound when you touch or move your Achilles tendon.

Diagnosis

A podiatrist can usually make the diagnosis by clinical history and physical examination alone. Pain with touching or stretching the tendon is typical. There may also be a visible swelling to the tendon. The patient frequently has difficulty plantarflexing (pushing down the ball of the foot and toes, like one would press on a gas pedal), particularly against resistance. In most cases X-rays don't show much, as they tend to show bone more than soft tissues. But X-rays may show associated degeneration of the heel bone that is common with Achilles Tendon problems. For example, heel spurs, calcification within the tendon, avulsion fractures, periostitis (a bruising of the outer covering of the bone) may all be seen on X-ray. In cases where we are uncertain as to the extent of the damage to the tendon, though, an MRI scan may be necessary, which images the soft tissues better than X-rays. When the tendon is simply inflamed and not severely damaged, the problem may or may not be visible on MRI. It depends upon the severity of the condition.

Nonsurgical Treatment

Physical therapy is the first and most useful defense for achilles tendonitis because of the two presentations outlined above. Treatments for the two types are quite different in approach. Midsubstance tendinitis responds well to stretching, whereas insertional tendnitis tends to be aggravated more by it. Depend on your trusted physical therapist to differentiate between the two and follow their guidelines on exercises and running modifications. Running gait patterns that show excessive ?sinking postures? tend to point to the source of achilles tendon problems. Altering your gait in the midstance phase of the cycle can reduce the load on the tendon dramatically and thereby reduce pain. Rely on your running physical therapist for proper guidance on altering your gait the right way. Stride Strong?s Portland Running Clinic gait analysis can identify and fix potential issues before pain sets in. Icing at the onset of acute achilles pain (i.e. when the injury is fresh and new) would help control the inflammation. Your next step should be to call our number for an appointment.

Achilles Tendonitis

Surgical Treatment

In most surgeries, damaged tissue is cleaned out before surgeons make the necessary repairs. However, a new minimally-invasive surgery to repair a torn Achilles tendon actually uses the damaged tissue to help repair the tear. The percutaneous Achilles repair system, or PARS technique, enables surgeons to better repair a torn Achilles tendon through a smaller incision. This procedure was recently performed at Houston Methodist Hospital to treat an NFL cornerback, getting him back on field for this season.

Prevention

Maintaining strength and flexibility in the muscles of the calf will help reduce the risk of tendinitis. Overusing a weak or tight Achilles tendon makes you more likely to develop tendinitis.

February 05 2015

Uphaus1977

Signs Or Symptoms And Treatment For Diabetic Feet

A study published in the "British Journal of Nutrition" in April 2011 began with researchers feeding garlic - along with ginger and other spices - to diabetic rats, and they discovered it warded off blood glucose spikes. Researchers theorize garlic may also reduce the risk of cardiovascular problems common in diabetes. The staff of the DFMC is commited to providing you with the most comprehensive podiatric medical and surgical services available in your community with special emphasis on diabetic foot management, wound care and limb salvage. It's very surprising to see an increase in the number of diabetic men every year.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back PainPlantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Whether the injury is in the brain, the spinal cord or peripheral nervous system, if the areas that pertain to the foot are affected, then numbness, weakness and paralysis can occur. Foot numbness can be present in disorders such as peripheral arterial disease, hypothyroidism and alcoholism. Nerve damage resulting in foot numbness can also be caused by drugs, toxins, prolonged exposure to cold and pressure from a poorly fitted cast, splint, brace or crutches. Chronic kidney disease, autoimmune disorders, low levels of vitamin B-12 or other dietary deficiencies, human immunodeficiency virus and liver infections are also associated with peripheral neuropathy and foot numbness. Foot numbness is dangerous because you might injure your foot and not know it. In diabetes this is especially hazardous because slow healing can allow small injuries to develop into gangrene, which can lead to amputation. As a result, the skin becomes itchy.

There is in this case, a problem for the diabetic in telling the difference between sharp pain and a more dull pain. Consequently major cuts and wounds often go undetected and diabetic foot ulcers can become problematic. However without effective feedback from the nerves in your foot ot toe, then that adjustment is not adequately made.

Avoid exposing treated skin to sunlight, sunlamps, tanning beds, or a hot tub. Do not use other medicated skin products, including muscle pain creams or lotions, on areas where you have applied capsaicin, unless your doctor has told you to. Wash the skin and get medical attention right away if you have severe burning, pain, swelling, or blistering of the skin where you applied this medication. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Dr. Yavuz, Assistant Professor of Physical Therapy at UNT Health Science Center, is studying the forces that contribute to diabetic foot wounds, also known as ulcers, with the goal of designing devices that protect against them. He's putting his Doctorate in Engineering to work as part of an interprofessional approach to addressing complex medical problems.

Check shoes before they are put on the feet to make sure there are no rocks or objects inside of the shoes. Diabetics who have a loss of feeling in the feet may not be able to feel objects inside shoes, even when they are causing harm to the feet. You may have serious foot problems, but feel no pain.

A physical therapist will teach a patient exercises and use specific modalities to help improve symptoms, increase muscle strength and improve control. Therefore, a patient should be Contracted Toe sure to attend all physical therapy sessions in order to gain the maximum benefit for peripheral neuropathy. Peripheral neuropathy denotes damage to nerve endings in our extremities.
Tags: Diabetic Foot

January 17 2015

Uphaus1977

What Is Plantar Fasciitis

Plantar Fascia

Overview

Plantar fasciitis is the most common cause of heel pain. It can be caused by inadequate or inappropriate footwear, weight gain, or a particular exercise or activity. It is common for plantar fasciitis symptoms to affect only one foot at a time. Treatment focuses on reducing pain and inflammation. Chronic (long-term) plantar fasciitis can lead to a build-up of bone (a "spur") at the point where the plantar fascia connects to the heel bone. For this reason plantar fasciitis is sometimes referred to as "heel spur syndrome".



Causes

Your plantar fascia (fay-sha) supports the arch of your foot as you run or walk. It is a thick, inelastic, fibrous band that starts in your heel, runs along the bottom of your foot, and spreads out to your toes. Plantar fasciitis is an inflammation of this fibrous band. If you are female or have a job that requires a lot of walking or standing on hard surfaces you are more at risk for plantar fasciitis. Additional causes include Being overweight, Having flat feet or high arches, Wearing shoes with poor support, Walking or running for exercise, Tight calf muscles that limit how far you can flex your ankles, Running on soft terrain, Increase in activity level, Genetic predisposition.



Symptoms

Heel pain is the most common symptom associated with plantar fasciosis. Your heel pain may be worse in the morning or after you have been sitting or standing for long periods. Pain is most common under your heel bone, but you also may experience pain in your foot arch or on the outside aspect of your foot. Other common signs and symptoms of plantar fasciosis include mild swelling and redness in your affected area, tenderness on the bottom of your heel, impaired ability to ambulate.



Diagnosis

Your doctor will perform a physical exam to check for tenderness in your foot and the exact location of the pain to make sure that it’s not caused by a different foot problem. The doctor may ask you to flex your foot while he or she pushes on the plantar fascia to see if the pain gets worse as you flex and better as you point your toe. Mild redness or swelling will also be noted. Your doctor will evaluate the strength of your muscles and the health of your nerves by checking your reflexes, your muscle tone, your sense of touch and sight, your coordination, and your balance. X-rays or a magnetic resonance imaging (MRI) scan may be ordered to check that nothing else is causing your heel pain, such as a bone fracture.



Non Surgical Treatment

Most health care providers agree that initial treatment for plantar fasciitis should be quite conservative. You'll probably be advised to avoid any exercise that is making your pain worse. Your doctor may also advise one or more of these treatment options. A heel pad. In plantar fasciitis, a heel pad is sometimes used to cushion the painful heel if you spend a great deal of time on your feet on hard surfaces. Also, over-the-counter or custom-made orthotics, which fit inside your shoes, may be constructed to address specific imbalances you may have with foot placement or gait. Stretching: Stretching exercises performed three to five times a day can help elongate the heel cord. Ice: You may be advised to apply ice packs to your heel or to use an ice block to massage the plantar fascia before going to bed each night. Pain relievers: Simple over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are often helpful in decreasing inflammation and pain. If you have stomach trouble from such drugs, your health care provider may prescribe an alternative. A night splint: A night splint is sometimes used to hold your foot at a specific angle, which prevents the plantar fascia from shortening during sleep. Ultrasound: Ultrasound therapy can be performed to decrease inflammation and aid healing. Steroid injections: Anti-inflammatory steroid injections directly into the tissue around your heel may be temporarily helpful. However, if these injections are used too many times, you may suffer other complications, such as shrinking of the fat pad of your heel, which you need for insulation. Loss of the fat pad could actually increase your pain, or could even rupture the plantar fascia in rare cases. Walking cast: In cases of long-term plantar fasciitis unresponsive to usual treatments, your doctor may recommend that you wear a short walking cast for about three weeks. This ensures that your foot is held in a position that allows the plantar fascia to heal in a stretched, rather than shortened, position. Shock wave therapy, Extracorporeal shock wave therapy which may be prescribed prior to considering surgery if your symptoms have persisted for more than six months. This treatment does not involve any actual incisions being made rather it uses a high intensity shock wave to stimulate healing of the plantar fascia.

Painful Heel



Surgical Treatment

In unusual cases, surgical intervention is necessary for relief of pain. These should only be employed after non-surgical efforts have been used without relief. Generally, such surgical procedures may be completed on an outpatient basis in less than one hour, using local anesthesia or minimal sedation administrated by a trained anesthesiologist. In such cases, the surgeon may remove or release the injured and inflamed fascia, after a small incision is made in the heel. A surgical procedure may also be undertaken to remove bone spurs, sometimes as part of the same surgery addressing the damaged tissue. A cast may be used to immobilize the foot following surgery and crutches provided in order to allow greater mobility while keeping weight off the recovering foot during healing. After removal of the cast, several weeks of physical therapy can be used to speed recovery, reduce swelling and restore flexibility.



Prevention

You can help to prevent plantar fasciitis by maintaining a healthy weight, by warming up before participating in sports and by wearing shoes that support the arch and cushion the heel. In people who are prone to episodes of plantar fasciitis, exercises that stretch the heel cord (known as the Achilles tendon) and the plantar fascia may help to prevent plantar fasciitis from returning. Ice massage also can be used on the bottom of the foot after stressful athletic activities. It is possible that strict control of blood sugar will prevent plantar fasciitis in people with diabetes, although this has not been proven.

January 14 2015

Uphaus1977

What Triggers Heel Discomfort To Appear

Plantar Fascitis

Overview

Plantar fasciitis is that pain in the bottom of your foot usually in the heel. That pain hurts especially with the first few steps in the morning as you get out of bed. This strange name comes from: "Plantar" means something that belongs to the foot, "fascia" means a band or ligament or a connective tissue, and "itis" means inflammation. You can see in the picture the plantar fascia band as it runs along the foot. This band connects your heel bone to the toes.



Causes

As a person gets older, the plantar fascia becomes less like a rubber band and more like a rope that doesn't stretch very well. The fat pad on the heel becomes thinner and can't absorb as much of the shock caused by walking. The extra shock damages the plantar fascia and may cause it to swell, tear or bruise. You may notice a bruise or swelling on your heel. Other risk factors for plantar fasciitis include being overweight and obesity. Diabetes. Spending most of the day on your feet. Becoming very active in a short period of time. Being flat-footed or having a high arch.



Symptoms

Plantar fasciitis sufferers feel a sharp stab or deep ache in the middle of the heel or along the arch. Another sign is the morning hobble from the foot trying to heal itself in a contracted position overnight. Taking that first step causes sudden strain on the bottom of the foot. The pain can recur after long spells of sitting, but it tends to fade during a run, once the area is warmed up.



Diagnosis

Plantar fasciitis is usually diagnosed by your physiotherapist or sports doctor based on your symptoms, history and clinical examination. After confirming your plantar fasciitis they will investigate WHY you are likely to be predisposed to plantar fasciitis and develop a treatment plan to decrease your chance of future bouts. X-rays may show calcification within the plantar fascia or at its insertion into the calcaneus, which is known as a calcaneal or heel spur. Ultrasound scans and MRI are used to identify any plantar fasciitis tears, inflammation or calcification. Pathology tests (including screening for HLA B27 antigen) may identify spondyloarthritis, which can cause symptoms similar to plantar fasciitis.



Non Surgical Treatment

Sometimes physical therapy modalities are helpful. The most frequently used modalities include ultrasound (high frequency sound vibrations that create a deep heat and reduce inflammation) and galvanic electrical stimulation ( a carefully applied intermittent muscular stimulation to the heel and calf that helps reduce pain and relax muscle spasm, which is a contributing factor to the pain). This treatment has been found most effective when given twice a week. Repeated taping and padding is sometimes used. The felt pads that will be strapped to your feet will compress after a few days and must be reapplied. While wearing them they should be kept dry, but may be removed the night before your next appointment. Resistant cases of heel pain caused by plantar fasciitis, heel spurs or cases of stress fracture of the calcaneus often need to be placed in a removable below knee cast boot. It is important to be aware of how your foot feels over this time period. If your foot is still uncomfortable without the strapping, but was more comfortable while wearing it, that is an indication that the treatment should help. Remember, what took many months or years to develop can not be eliminated in just a few days.

Foot Pain



Surgical Treatment

When more-conservative measures aren't working, your doctor might recommend steroid shots. Injecting a type of steroid medication into the tender area can provide temporary pain relief. Multiple injections aren't recommended because they can weaken your plantar fascia and possibly cause it to rupture, as well as shrink the fat pad covering your heel bone. Extracorporeal shock wave therapy. In this procedure, sound waves are directed at the area of heel pain to stimulate healing. It's usually used for chronic plantar fasciitis that hasn't responded to more-conservative treatments. This procedure may cause bruises, swelling, pain, numbness or tingling and has not been shown to be consistently effective. Surgery. Few people need surgery to detach the plantar fascia from the heel bone. It's generally an option only when the pain is severe and all else fails. Side effects include a weakening of the arch in your foot.



Prevention

Making sure your ankle, Achilles tendon, and calf muscles are flexible can help prevent plantar fasciitis. Stretch your plantar fascia in the morning before you get out of bed. Doing activities in moderation can also help.

January 10 2015

Uphaus1977

What Can Cause Pain Under The Heel To Surface

Foot Pain

Overview

Plantar fasciitis is one of the most common explanations of heel pain. It is caused by inflammation to the thick band that connects the toes to the heel bone, called the plantar fascia, which runs across the bottom of your foot. The condition is most commonly seen in runners, pregnant women, overweight people, and individuals who wear inadequately supporting shoes. Plantar fasciitis typically affects people between the ages of 40 and 70. Plantar fasciitis commonly causes a stabbing pain in the heel of the foot, which is worse during the first few steps of the day after awakening. As you continue to walk on the affected foot, the pain gradually lessens. Usually, only one foot is affected, but it can occur in both feet simultaneously. To diagnose plantar fasciitis, your doctor will physically examine your foot.



Causes

A number of factors can contribute to plantar fasciitis. While men can get plantar fasciitis, it is more common in women. You're also more likely to have this condition as you age or if you are overweight. Take up a new form of exercise or suddenly increase the intensity of your exercise. Are on your feet for several hours each day. Have other medical conditions such as rheumatoid arthritis or lupus (systemic lupus erythematosus). Tend to wear high-heeled shoes, and then switch abruptly to flat shoes. Wear shoes that are worn out with weak arch supports and thin soles. Have flat feet or an unusually high arch. Have legs of uneven lengths or an abnormal walk or foot position. Have tight achilles tendons, or ‘heel cords’.



Symptoms

Symptoms of plantar fasciitis can occur suddenly or gradually. When they occur suddenly, there is usually intense heel pain on taking the first morning steps, known as first-step pain. This heel pain will often subside as you begin to walk around, but it may return in the late afternoon or evening. When symptoms occur gradually, a more long-lasting form of heel pain will cause you to shorten your stride while running or walking. You also may shift your weight toward the front of the foot, away from the heel.



Diagnosis

A health care professional will ask you whether you have the classic symptoms of first-step pain and about your activities, including whether you recently have intensified your training or changed your exercise pattern. Your doctor often can diagnose plantar fasciitis based on your history and symptoms, together with a physical examination. If the diagnosis is in doubt, your doctor may order a foot X-ray, bone scan or nerve conduction studies to rule out another condition, such as a stress fracture or nerve problem.



Non Surgical Treatment

Plantar fasciitis can be a difficult problem to treat, with no panacea available. Fortunately, most patients with this condition eventually have satisfactory outcomes with nonsurgical treatment. Therefore, management of patient expectations minimizes frustration for both the patient and the provider.

Feet Pain



Surgical Treatment

Surgery should be reserved for patients who have made every effort to fully participate in conservative treatments, but continue to have pain from plantar fasciitis. Patients should fit the following criteria. Symptoms for at least 9 months of treatment. Participation in daily treatments (exercises, stretches, etc.). If you fit these criteria, then surgery may be an option in the treatment of your plantar fasciitis. Unfortunately, surgery for treatment of plantar fasciitis is not as predictable as a surgeon might like. For example, surgeons can reliably predict that patients with severe knee arthritis will do well after knee replacement surgery about 95% of the time. Those are very good results. Unfortunately, the same is not true of patients with plantar fasciitis.

December 07 2014

Uphaus1977

Learn About Feet

Diabetics often suffer foot and leg pain as a result of complications that are associated with the diabetes. The human foot is capable to adjust to irregular ground, in an extensive range of conditions. A detailed foot pain diagnosis is required if you are experiencing regular pain in the feet. Our feet function as a shock absorber and cushion during exercise on up to 1 million pounds of force. Are you on the hunt for ladies wide shoes?

Hand, foot and mouth disease is usually spread from person- to -person through faecal contamination (which can occur when changing a nappy or using the toilet and not properly washing hands afterwards), or spread through respiratory secretions (saliva, sputum, or nasal mucus) of an infected person. There is no clear evidence of risk to unborn babies from hand, foot and mouth disease. However, infected mothers can pass the infection onto newborn babies who rarely can have severe disease. Avoid sharing cups, eating utensils, items of personal hygiene (for example: towels, washers and toothbrushes), and clothing (especially shoes and socks). Children with hand, foot and mouth disease should be excluded from school or childcare facilities until their blisters have dried. Thus it helps loosen the hard and scaly skin.

When this happens, the big toe will either bend up like a claw or slant severely toward the second toe. When a sesamoid bone is fractured in a sudden injury, surgery may be done to remove the broken pieces To remove the sesamoid on the inside edge of the foot, an incision is made along the side of the big toe. The soft tissue is separated, taking care not to damage the nerve that runs along the inside edge of the big toe. The tissues next to the sesamoid are stitched up. Then the soft tissues are laid back in place, and the skin is sewed together. Surgery is similar for the sesamoid closer to the middle of the foot. The only difference is that the surgeon makes the incision either on the bottom of the big toe or in the web space between the big toe and the second toe. The surgeon makes an incision along the inside edge of the main joint of the big toe. You should also pamper your feet.

The Superfeet Green are recommended for footwear used in running/jogging, walking, hiking, alpine skiing and industrial type footwear. The term 'sinus tarsi syndrome' is a clinical finding characterized by lateral hindfoot pain and instability, that might be experienced due to trauma to the foot, especially in case of lateral inversion injuries. Supination, which refers to under-pronation or outward rolling on the foot, is less common when compared to overpronation. The procedure can address a range of problems.

A lot of professionals believe that common physical activity may be the answer to gout. You'll want to have an expert to look at the concerns with your feet. The feet might be experiencing pain for a lot of numerous reasons. The deep tissue massage is ideal for people experiencing chronic muscle pain on their upper and lower back, legs, and shoulders. A deep tissue massage frees our muscles of toxin build-up that is usually the main cause of pain and muscle immobility. Some massage therapists call it pressure therapy” since it involves applying pressure to specific points on the foot. A foot massage is a very relaxing way of addressing problems with your body's internal organs. A trained massage therapist can also put pressure on different meridians or energy lines on the sole and side of the feet to determine the cause of illness. A sports massage is ideal of active individuals that are engaged in sports or intensive work-outs. However, they may be contagious for weeks after symptoms go away.

Footwear can be modified with stretching over the protruded area to further reduce pressure and in extreme cases footwear can be modified with a balloon patch. In this case, the Pedorthist would cut a hole in the upper of the shoe at the bunion area and place a patch over the hole to create more space for the bunion. Orthotics in this case can help to bring the foot into a more neutral position therefore reducing pressure on the joint and resulting pain. It should be noted that orthotics should always be put into proper fitting footwear to achieve the best results. Proper footwear is the first step in the treatment of a neuroma.

Using Listerine for severe foot conditions can be wrong for example, for example, if you have cuts and wounds in case of toenail fungus, cracked heels, warts, corns and calluses, you must go for taking medical assistance to get relief from this painful and severe condition of feet. But some says feet skin gets green spots on feet while using cool mint Listerine. So it can be used confidently as it is reliable home remedy to treat feet problems. Plain cornstarch makes a great foot dusting powder.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

June 10 2014

Uphaus1977

West Palm Beach Podiatrists Treat Common Foot Condition Flat Foot

This never fails. Lying on the floor, keep your knees bent but together, with your feet flat on the floor. Hold one handle of the ThighMaster firmly between your thighs, and holding the other before your face, making sure that the yellow cap is pointing upward. Now, lifting your shoulders a few inches off the ground, bring your upper body toward your lap. Make sure to keep your lower back pressed into the floor and hold your tummy in. Remember to exhale as you raise yourself and to inhale each time you lie back. Besides wearing an Orthotic, wearing supportive shoes with plenty of "motion control" would also help. These special shoes incorporate 'motion control' by placing arch support and firm heel counters to stabilize the heel and ankle during the walking cycle. Having side posts for extra lateral support also reduce over-pronation. The inner mid-soles protect the ankles and knees from lateral stress, while the inner side of the mid-sole, made of a denser material helps reduce the amount of pronation. A heavy person who over-pronates will need a heavier, more supportive shoe than a light person with the same degree of pronation. Begin the pose by standing in mountain pose. As you exhale step your feet apart so that they are around a metre apart. Place you hands on your hips and turn your right foot 90 degrees to the right so that it is pointing out. At the same time also turn your left foot to the right, about 45 degrees. Make sure the heels of both your feet are lined up and as you exhale turn the right thigh out so the centre of the right knee cap is in line with the right ankle. While flatfeet usually won't cause any problems, if the condition causes your ankles to turn inward, you may have problems in your feet, ankles and knees. Simple corrective devices are available that can help you prevent some of the complications of flatfeet. Your feet are highly specialized structures. Each foot is made up of 26 bones held together by 33 joints and more than 100 muscles, tendons and ligaments. The intricate alignment of these structures results in the formation of your arches. Posterior tibial tendon tear or dysfunction — injury or stress to the posterior tibial tendon may eventually cause it to break down and your arches to fall If the foot does not supinate it cannot form an efficient lever arm. As a result, the calf muscles have to work all that much harder in order to propel the body forward. This causes fatigue and ache in the muscles of the lower legs at the end of the day. In addition if the calf muscles are working harder they become very strong and bulky. This sometimes leads to a condition known as shin splints. The term "shin splints" usually refers to pain along the inside-front part of the lower leg. This causes excess strain, inflammation and pain where the anterior muscles attach to the shin bone.flat feet knee pain Metatarsalgia causes one of metatarsal joints to become painful or inflamed. People often develop a callus under the affected joint. Metatarsalgia can also be caused by arthritis, foot injury (sports, car accidents, repeated stress), hard surfaces (cement or tile floors) and specific footwear (rigid soled work boots). Inappropriate shoes will only aggravate the condition. Wow, what an eye opener! Three-fourths of the population is walking around with foot pain, they think their feet are supposed to hurt, they potentially have other medical conditions, and neglect and lack of awareness for proper care may be the reason they have foot problems in the first place. If you are looking for moderate pronation control, the Rykä Pursuit 2 is a great choice for women. Rykä designs athletic shoes specifically for women. The Pursuit 2 is a running shoe with heel and forefoot cushioning, and impact control. They're very lightweight, and at around $60, they are an affordable choice for anyone. All of the Rykä athletic shoes are super affordable and have received excellent reviews. The typical alternative treatments for foot pain are ice/heat, olive or essential oil rub, massage/reflexology, ultrasound, low level laser therapy, acupuncture and epsom salt baths. Supplements such as MSM, glucosamine sulfate and aloe vera have proven to be helpful for some people. Because of flat feet , your ankle's positions may also get disturbed. Such issues can spell disaster for you. In such a scenario, you can take help from motion control shoes. These shoes help you make sure that your ankle is supported well. These shoes are good for the health of your leg bones. These shoes also have padding and support for the arch which is very helpful for people with fallen arches. Flat feet can also lead to corns or hardened skin under the sole of the foot as a result of the excessive wear on the feet Over-pronation can lead to plantar fascitis, neuromas, heels spurs or bunions. Take a look at infants and toddlers and you will notice that everyone starts out in life with flat feet and no arches. The long medial arch of the foot gradually develops as a child starts to walk, replacing the original large fat pad that cushioned the foot. The alignment of your foot's 26 bones, 33 joints and 100+ tendons, muscles and ligaments provide support for the arch. The arch is like a well-designed bridge, relying on structure rather than just muscular strength. Flat -footedness may be hereditary so check your family history. It may also be the result of abnormal walking conditions caused by incorrect development of the foot At Blue Ridge Orthopaedic and Spine Center we take great care to understand the root cause of a problem, not just its symptoms. This allows us to identify the most suitable treatment to achieve lasting recovery in the shortest possible time. To schedule an appointment with our foot specialists, please call 540.347.9220 or visit us @ www.broava.com If you have normal feet, you can choose from a wide variety of running shoes, including ones made for neutral runners or those with slightly flat-footed or high-arched feet. You don't have to pick running shoes that have a lot of stability or motion control.flat feet pain
Tags: Flat Feet

March 26 2014

Uphaus1977

Bunion: BU’s Own Onion | BU Today





?We write about life at BU, the things we notice just from walking around,? says Bunion creator Kevin Flynn (CAS?14). Photo courtesy of The Bunion



Did you hear about the BU freshman who bankrupted his family after discovering he could charge convenience points to his parents? credit card?


?I guess it kind of just got away from me,? says Craig Westlow (CAS?17), whose family is now destitute. ?I kept running out and just adding more and more of ?em. I love my new-found wealth.?


Happily, the story isn?t true. In fact, there is no Westlow family. The scenario was concocted recently by The Bunion, a student-run satire website based on The Onion, the genre?s popular originator. The brainchild of Kevin Flynn, The Bunion zeros in on all that BU holds most dear and sacred?then pounces. Fashion trends, crime sprees, Dean Elmore?nothing is off limits.


?We write about life at BU, the things we notice just from walking around,? says Flynn (CAS?14), a member of the improv group Slow Children at Play. ?We try to make the stories as relatable as possible by focusing on the micro details that everyone can relate to.?


Computer science major Flynn started The Bunion after an infamous April 2012 incident involving a not-to-be-named student publication whose April Fool?s edition focused on a series of sexual assaults and robberies that had recently occurred on campus. The issue caused severe backlash and got national press coverage.


Being a fan of satire like The Onion and The Colbert Report, Flynn says the incident made him realize that many BU students were confused as to what satire was. ?I was frustrated that it was BU?s only representation of satire writing,? he says. ?I thought I could take a crack at it, and so I went for it.?


The name Bunion pays homage both to The Onion and to being a pain in BU?s foot, as illustrated in logo and motto (?We?ll be with you every step you take?). Flynn also emulates The Onion?s style of fabricating all sources and quotes. Now a year and a half old, The Bunion gets 4,000 to 5,000 page views in an average week and has over 1,200 subscribers on Facebook and 1,600 on Tumblr.

Boston University BU, The Bunion, satire journalism paper, The OnionFlynn (right) heads up pitch meetings every Sunday. Photo by Erik Rojas (COM?14)



Some of the site?s more popular items: the ?news? that 14 people drowned in giant puddles on Comm Ave after a recent snowstorm; a story suggesting that President Brown isn?t entirely sure who writes his emails anymore; and one about Dean of Students Kenneth Elmore (SED?87) having to take a job at Boston College after the BU archrival?s latest hockey victory.


Last October, The Bunion published its most popular satire to date, ?Rich Girl in Dining Hall Can?t Even,? which had 20,000 views and resulted in 150 people subscribing to the site in a single day:


Witnesses at 100 Bay State Road confirmed earlier today that affluent Boston University student Lauren Macintosh (COM?14) can?t even.


?Ugh,? said Macintosh, who still just couldn?t, while standing in line for a sandwich. ?Are you kidding? I literally cannot.?


?What can she not even?? asked Rob Passmore, a flustered Bay State employee. ?That?s barely half a sentence!?


Story ideas are generated at pitch meetings held each Sunday in a College of Arts & Sciences classroom. Students come armed with headlines and take turns pitching their best ones. The headlines are entered into a Google Doc, and writers sign up for the ones they?d like to take on. Last week?s headlines included ?Student Makes It Late to SMG Blood Ritual,? ?Tour Group?s First Jaywalk Did Not End Well,? and ?Charles River Will Be Renamed ?Chuck River? on Casual Fridays.?


Articles are edited and sometimes punched up by Flynn before being published. For the 20 or so students who show up every week, pitching gives them a taste of how collaborative comedy can be: writers feed off one another?s ideas and offer suggestions for making a headline funnier.


For April Fool?s Day last year, Daily Free Press staff approached their Bunion counterparts with the idea of collaborating on a special edition. It worked so well that the two publications plan to join forces again this year.


Since Flynn graduates in May, he has asked veteran Bunion writers Jasper Craven (CAS?15, COM?15) and Marc Finn (COM?16) to take over. He hopes The Bunion continues to take the pulse of campus long after he leaves.


?Sometimes we post silly things to get a laugh, but when something happens on campus that is more evocative or controversial, people wonder what we?re going to say about it,? Flynn says. ?It?s important to have that range?to go from silly to thought-provoking and pointed. That?s the whole point of satire.?






March 24 2014

Uphaus1977



March 23 2014

Uphaus1977






March 20 2014

Uphaus1977

Sesamoiditis (Ball of Foot Pain) :: Colorado Foot Institute ::

Sesamoiditis (Ball of Foot Pain) :: Colorado Foot Institute ::

Sesamoiditis (Ball of Foot Pain)
Sesamoids are bones embedded into a tendon. Sesamoids can be found in many joints throughout the body. The sesamoids in the foot look like two little pea-shaped bones that can be found within the ball of the foot, on the underside of the big toe's joint.

These bones act like a pulley for tendons, they aid the big toe with mobility and provide leverage to the big toe while running and walking, especially while "pushing off". The sesamoids also help to act like a weight-bearing surface and alleviate tension to the first metatarsal bone, this absorbs any weight to the ball of the foot while running, walking, and jumping. All of these activities can cause serious pain in ball of foot.

Sesamoid injuries can involve the tendons, bones, and surrounding joint tissue. These injuries injuries are often incurred while participating in activities that require increased pressure on the sesamoids such as running, football, basketball, golf, ballet, and tennis. Additionally, patients with a high foot arch have increased risk of developing sesamoid problems. Wearing high heeled may also contribute to these problems.

March 18 2014

Uphaus1977

Orthopedic Trauma - Common Foot and Ankle Injuries - Midwest Orthopaedics at Rush




Orthopedic Trauma - Common Foot and Ankle Injuries - Midwest Orthopaedics at Rush
Orthopedic Trauma
Common Foot and Ankle Injuries
Broken Ankle
During the past 30 years, doctors have noted an increase in the number and severity of broken ankles, due in part to an active, older population of "baby boomers."In 2003, nearly 1.2 million people visited emergency rooms because of ankle problems. The ankle actually involves two joints, one on top of the other.A broken ankle can involve one or more bones, as well as injuring the surrounding connecting tissues (ligaments).

Anatomy of the ankle

The top ankle joint is composed of three bones:
the shinbone (tibia).the other bone of the lower leg (fibula).the anklebone (talus).
The leg bones form a scooped pocket around the top of the anklebone. This lets the foot bend up and down.

Right below the ankle joint is another joint (subtalar), where the anklebone connects to the heelbone (calcaneus). This joint enables the foot to rock from side to side. Three sets of fibrous tissues connect the bones and provide stability to both joints.The knobby bumps you can feel on either side of your ankle are the very ends of the lower leg bones. The bump on the outside of the ankle (lateral malleolus) is part of the fibula; the smaller bump on the inside of the ankle (medial malleolus) is part of the shinbone.

When a break occurs

Any one of the three bones that make up the ankle joint could break as the result of a fall, an automobile accident or some other trauma to the ankle.

Because a severe sprain can often mask the symptoms of a broken ankle, every injury to the ankle should be examined by a physician. Symptoms of a broken ankle include:
Immediate and severe pain.Swelling.Bruising.Tender to the touch.Inability to put any weight on the injured foot.Deformity, particularly if there is a dislocation as well as a fracture.
A broken ankle may also involve damage to the ligaments. Your physician will order X-rays to find the exact location of the break. Sometimes, a CT (computed tomography) scan or a bone scan will also be needed.

Treatment and rehabilitation

If the fracture is stable (without damage to the ligament or the mortise joint), it can be treated with a leg cast or brace. Initially, a long leg cast may be applied, which can later be replaced by a short walking cast. It takes at least 6 weeks for a broken ankle to heal, and it may be several months before you can return to sports at your previous competitive level.Your physician will probably schedule additional X-rays while the bones heal, to make sure that changes or pressures on the ankle don't cause the bones to shift. If the ligaments are also torn, or if the fracture created a loose fragment of bone that could irritate the joint, surgery may be required to "fix" the bones together so they will heal properly.The surgeon may use a plate, metal or absorbable screws, staples or tension bands to hold the bones in place. Usually, there are few complications, although there is a higher risk among diabetic patients and those who smoke. Afterwards, the surgeon will prescribe a program of rehabilitation and strengthening.Range of motion exercises are important, but keeping weight off the ankle is just as important. A child who breaks an ankle should be checked regularly for up to 2 years to make sure that growth proceeds properly, without deformity or uneven leg length.

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Fracture of the Talus
The talus (TAY-lus) is a small bone that sits between the heelbone (calcaneus) and the two bones of the lower leg (tibia and fibula). It has an odd humped shape, somewhat like a turtle. The bones of the lower leg "ride" on top and around the sides to form the ankle joint.Where the talus meets the bones of the foot, it forms the subtalar joint, which is important for walking on uneven ground. The talus is an important connector between the foot and the leg and body, helping to transfer weight and pressure forces across the ankle joint.

Most injuries to the talus result from motor vehicle accidents, although falls from heights also can injure the talus. These injuries are often associated with injuries to the lower back.An increasing number of talar fractures results from snowboarding, which uses a soft boot that is not rigid enough to prevent ankle injuries.

Signs and symptoms

Most talar fractures are marked by:
Acute pain.An inability to bear weight.Considerable swelling and tenderness.
A fracture that breaks through the skin has an increased risk of infection. Talar fractures that result from snowboarding injuries may be mistaken for ankle sprains because of the tenderness on the outer side of the ankle and severe bruising.

Diagnosis

Your doctor will examine your foot and ankle and ask you to describe how the injury occurred. He or she will order X-rays of your foot and ankle. In some cases, the X-ray will not show the fractures, so a computed tomography (CT) scan may be needed. These diagnostic tests will help pinpoint the location of the fracture.They also will show whether the bones are still aligned (nondisplaced fracture) or have shifted out of place (displaced fracture). Any loose bits of bone that may need to be removed also can be identified.

Your doctor will check the functioning of the nerves to the foot to ensure that there is no damage. He or she also will make sure that an adequate supply of blood is flowing to the toes and that pressure is not building in the muscles of the foot (compartment syndrome).

Treatment

A talar fracture that is left untreated or that doesn't heal properly will create problems for you later. Your foot function will be impaired, you will develop arthritis and chronic pain, and the bone may collapse.

Immediate first aid treatment for a talar fracture is to apply a well-padded splint around the back of the foot and leg from the toe to the upper calf. Elevate the foot above the level of the heart and apply ice for 20 minutes every hour or two until you can see a doctor. Don't put any weight on the foot.

In rare cases, a talar fracture can be treated without surgery if X-rays show that the bones have not moved out of alignment. You will have to wear a cast for at least 6 to 8 weeks and will not be able to put any weight on the foot during that time.Afterwards, your doctor will give you some exercises to help restore the range of motion and strength to your foot and ankle. Most fractures of the talus require surgery to minimize later complications. The orthopedic surgeon will realign the bones and use metal screws to hold the pieces in place.If there are small fragments of bone, they may be removed and bone grafts used to restore the structural integrity of the joint.

After the surgery, your foot will be put in a cast for 6 to 8 weeks and you will not be able to put any weight on the foot for at least 3 months.As the bones begin to heal, your orthopaedist may order X-rays or a magnetic resonance image (MRI) to see whether blood supply to the bone is returning. If the blood supply is disrupted, the bone tissue could die, a condition called avascular necrosis or osteonecrosis. This could cause the bone to collapse.Even if the bones heal properly, you may still experience arthritis in later years. Most of the talus is covered with articular cartilage, which enables bones to move smoothly against each other. If the cartilage is damaged, the bones will rub against each other, resulting in pain and stiffness.Treatments for arthritis include activity modifications, ankle-foot orthoses, joint fusion, bone grafting and ankle replacement.

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Fractures of the Heel
It's not easy to break your heelbone (calcaneus). Because it takes a lot of force, such as that sustained in a motor vehicle accident or a fall from a height, you may also incur other injuries as well, particularly to the back.

Signs and symptoms
Pain.An inability to bear weight.
The pain may be centered on the outer side of the ankle, just below the lower leg bone (fibula). Or, it may be focused in the heel pad, particularly when you try to put weight on the foot. Your foot may become swollen and stiff. See your doctor right away, because if the bone heals improperly, severe problems may result later.

Diagnosing a heel fracture

Your doctor will try to pinpoint the area of pain and tenderness. You will probably need to get several X-rays of the heel and ankle area. A computed tomography (CT) scan may also be helpful. If you are also experiencing back pain, your doctor will recommend X-rays of the lower back as well to see if there is a fracture there.

The nerves that bring sensation and movement to the foot pass close to the heelbone. Your doctor will check their functioning to ensure that there is no damage. He or she will also make sure that an adequate supply of blood is flowing to the toes and that pressure is not building in the muscles of the foot (compartment syndrome).

Treating heel fractures

If the pieces of broken bone have not been pushed out of place by the force of the injury, you may not need surgery:
Your foot will need to be elevated above the level of your heart and wrapped in a bulky, compressive dressing to keep the bones from shifting.Ice packs, applied for 20 minutes every hour or two, can help reduce swelling and pain.Your doctor may apply a splint until the swelling goes down, which can take 1 to 3 weeks. Then the doctor may give you a removable splint and prescribe some exercises to maintain flexibility and movement.
You won't be able to put any weight on your foot until the bone is completely healed, which takes at least 6 to 8 weeks, and perhaps longer.

Surgical treatment

If the bones have shifted out of place (a displaced fracture), you will most likely need surgery. A metal plate and small screws are used to hold the bones in place. A bone graft may be used to aid in the healing of the fractures. The incision will be bandaged and a splint applied until it is healed.Then, you'll get a removable splint so that you can begin exercising the joint. You won't be able to put any weight on your foot for approximately 10 weeks after surgery. When you begin walking, you may need to use a cane and wear a special boot. It may take up to a year for the injury to heal completely.Depending on the type of job you have, you may not be able to return to the same type of work. Because of the amount of force needed to break the heel bone initially, even if your fracture heals properly, your foot may never be the same as it was before the injury. You may continue to experience stiffness and you may need to wear a heel pad, lift, or cup as well as special shoes with extra depth in the toe compartment.

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Lisfranc (Midfoot) Fracture
Have you ever dropped a heavy box on the top of your foot? Or accidentally stepped in a small hole and fallen, twisting your foot? These two common accidents can result in a Lisfranc fracture-dislocation of the midfoot. This fracture gets its name from the French doctor who first described the injury.

Lisfranc injuries occur at the midfoot, where a cluster of small bones form an arch on top of the foot between the ankle and the toes. From this cluster, 5 long bones (metatarsals) extend to the toes. The second metatarsal also extends down into the row of small bones and acts as a stabilizing force.The bones are held in place by connective tissues (ligaments) that stretch both across and down the foot. However, there is no connective tissue holding the first metatarsal to the second metatarsal. A twisting fall can break or shift (dislocate) these bones out of place.

Signs and symptoms

Lisfranc fracture-dislocations are often mistaken for sprains. The top of the foot may be swollen and painful. There may be some bruising. If the injury is severe, you may not be able to put any weight on the foot.Lisfranc injuries are often difficult to see on X-rays. Unrecognized Lisfranc injuries can have serious complications such as joint degeneration and compartment syndrome, a build-up of pressure within muscles that can damage nerve cells and blood vessels.If the standard treatment for a sprain (rest, ice and elevation) doesn't reduce the pain and swelling within a day or two, ask your doctor for a referral to an orthopedic specialist.

Diagnosis

The orthopaedist will examine your foot for signs of injury. He may hold your heel steady and move your foot around in a circle. This motion produces minimal pain with a sprain, but severe pain with a Lisfranc injury. If your initial X-ray did not show an injury, the orthopaedist may request several other views, including comparison views of the uninjured foot and stress or weightbearing X-rays.In some cases, a computed tomography (CT) scan or magnetic resonance image (MRI) may be necessary to confirm the diagnosis.

Treatment

Treatment for a Lisfranc injury depends on the severity of the injury. If the bones have not been forced out of position, you will probably have to wear a cast and refrain from putting weight on the foot for about 6 weeks. When the cast is removed, you may have to wear a rigid arch support. Your orthopaedist will also recommend foot exercises to build strength and help restore full range of motion.

Often, operative treatment is needed to stabilize the bones and hold them in place until healing is complete. Pins, wires or screws may be used. Afterwards, you will have to wear a cast and limit weightbearing on the foot for 6 to 8 weeks. A walking brace may be prescribed when the fixation devices are removed.You may also have to wear an arch support and a rigid soled shoe until all symptoms have disappeared. In some cases, if arthritis develops in these joints, the bones may have to be fused together.

It is important to follow your doctor's orders and refrain from activities until you are given the go-ahead. If you return to activities too quickly, you may easily suffer another injury, resulting in damage to the blood vessels, the development of painful arthritis, and an even longer healing time.

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Stress Fractures of the Foot and Ankle
Stress fractures are a type of overuse injury. These tiny cracks in your bones develop when your muscles become overtired (fatigued) and can no longer absorb the shock of repeated impacts. When this happens, the muscles transfer the stress to the bones, creating a small crack or fracture.

Stress fractures also can occur with normal usage if osteoporosis or some other disease weakens your bones and leaves them vulnerable. These fractures are often called "insufficiency fractures" because there isn't enough bone to withstand the normal stress of daily use.

Most stress fractures occur in the weight-bearing bones of the foot and lower leg. The most commonly affected site is the second or third of the long bones (metatarsals) between the toes and the midfoot. Stress fractures also can occur in the heel, the outer bone of the lower leg (fibula) and the navicular, a bone on the top of the midfoot.

Who's at risk?
Athletes who participate in high-impact sports such as track and field, basketball, gymnastics, ballet or tennis.Adolescents whose bones have not yet fully hardened.Women, particularly female athletes, who have abnormal or absent menstrual cycles that can result in decreasing bone mass.Military recruits who suddenly must shift from a sedentary civilian life to a more active training regime.
Causes of stress fractures

Doing too much too soon is a common cause of stress fractures. Runners who have been confined indoors for most of the winter may want to pick up where they left off at the end of the previous season. Instead of starting slowly, they try to match their previous mileage. The result could be stress fractures in the foot and ankle.

Improper sports equipment, such as shoes that are too worn or stiff, also can contribute to stress fractures. A change of surface, such as going from a grass tennis court to one of clay or from an indoor to an outdoor running track, can increase the risk of stress fractures.Errors in training or technique are another cause of stress fractures. Some conditions, such as flatfoot or bunions, can change the mechanics of your foot and make stress fractures more likely to develop.

Insufficiency stress fractures result when the bone itself is weak. Conditions such as osteoporosis reduce the density and quality of bone matter, thus increasing the risk of fracture. Female athletes who experience irregular or absent menstrual periods may also have decreased bone density and an increased risk of stress fractures.

Signs and symptoms
Pain that develops gradually, increases with weight-bearing activity, and diminishes with rest.Swelling on the top of the foot or the outside ankle.Tenderness to touch at the site of the fracture.Possible bruising.
Diagnosing a stress fracture

If you suspect a stress fracture in your foot or ankle, stop the activity and rest the foot. Ignoring the pain can have serious consequences, and the bone may break completely. Apply an ice pack and elevate the foot above the level of your heart. Try not to put weight on the foot until after you see a doctor.

Stress fractures are difficult to see on X-rays until they've actually started to heal. Your orthopaedist may recommend a bone scan, which is more sensitive than an X-ray and can detect stress fractures early.

Treating stress fractures

Treatment will depend on the location of the stress fracture. Most stress fractures will heal if you reduce your level of activity and wear protective footwear for 2 to 4 weeks. Your orthopaedist may recommend that you wear a stiff-soled shoe, a wooden-soled sandal, or a removable short leg fracture brace shoe.Athletes should switch to a sport that puts less stress on the foot and leg. Swimming and bicycle riding are good alternative activities.

Stress fractures in the fifth metatarsal bone (on the outer side of the foot) or in the navicular or talus bones take longer to heal, perhaps as long as 6 to 8 weeks. Your orthopaedist may apply a cast to your foot or recommend that you use crutches until the bone heals.In some cases, you may need surgery so that the orthopaedist can insert a screw in the bone to ensure proper healing.

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Toe and Forefoot Fractures
Nearly one-fourth of all the bones in your body are in your feet, which provide you with both support and movement. A broken (fractured) bone in your forefoot (metatarsals) or in one of your toes (phalanges) is often painful but rarely disabling. Most of the time, these injuries heal without operative treatment.

Types of fractures

Stress fractures frequently occur in the bones of the forefoot that extend from your toes to the middle of your foot. Stress fractures are like tiny cracks in the bone surface. They can occur with sudden increases in training (such as running or walking for longer distances or times), improper training techniques or changes in training surfaces.Most other types of fractures extend through the bone. They may be stable (no shift in bone alignment) or displaced (bone ends no longer line up). These fractures usually result from trauma, such as dropping a heavy object on your foot, or from a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture.

Several types of fractures occur to the forefoot bone on the side of the little toe (fifth metatarsal). Ballet dancers may break this bone during a misstep or fall from a pointe position. An ankle-twisting injury may tear the tendon that attaches to this bone and pull a small piece of the bone away. A more serious injury in the same area is a Jones fracture, which occurs near the base of the bone and disrupts the blood supply to the bone. This injury may take longer to heal or require surgery.

Signs and symptoms

Pain, swelling, and sometimes bruising are the most common signs of a fracture in the foot. If you have a broken toe, you may be able to walk, but this usually aggravates the pain. If the pain, swelling, and discoloration continue for more than 2 or 3 days, or if pain interferes with walking, something could be seriously wrong; see a doctor as soon as possible.If you delay getting treatment, you could develop persistent foot pain and arthritis. You could also change the way you walk (your gait), which could lead to the formation of painful calluses on the bottom of your foot or other injuries.

Diagnosis

The doctor will examine your foot to pinpoint the central area of tenderness and compare the injured foot to the normal foot. You should tell the doctor when the pain started, what you were doing at the time, and if there was any injury to the foot. X-rays will show most fractures, although a bone scan may occasionally be needed to identify stress fractures.Usually, the doctor will be able to realign the bone without surgery, although in severe fractures, pins or screws may be required to hold the bones in place while they heal.

Treatment

See a doctor as soon as possible if you think that you have a broken bone in your foot or toe. Until your appointment, keep weight off the leg and apply ice to reduce swelling. Use an ice pack or wrap the ice in a towel so it does not come into direct contact with the skin. Apply the ice for no more than 20 minutes at a time. Take an analgesic such as aspirin or ibuprofen to help relieve the pain. Wear a wider shoe with a stiff sole.

Rest is the primary treatment for stress fractures in the foot. Stay away from the activity that triggered the injury, or any activity that causes pain at the fracture site, for 3 to 4 weeks. Substitute another activity that puts less pressure on the foot, such as swimming. Gradually, you will be able to return to activity. Your doctor or coach may be able to help you pinpoint the training errors that caused the initial problem so you can avoid a recurrence.

The bone ends of a displaced fracture must be realigned and the bone kept immobile until healing takes place. If you have a broken toe, the doctor will "buddy-tape" the broken toe to an adjacent toe, with a gauze pad between the toes to absorb moisture. You should replace the gauze and tape as often as needed. Remove or replace the tape if swelling increases and the toes feel numb or look pale.If you are diabetic or have peripheral neuropathy (numbness of the toes), do not tape the toes together. You may need to wear a rigid flat-bottom orthopedic shoe for 2 to 3 weeks.

If you have a broken bone in your forefoot, you may have to wear a short-leg walking cast, a brace, or a rigid, flat-bottom shoe. It could take 6 to 8 weeks for the bone to heal, depending on the location and extent of the injury. After a week or so, the doctor may request another set of X-rays to ensure that the bones remain properly aligned. As symptoms subside, you can put some weight on the leg. Stop if the pain returns.

Surgery is rarely required to treat fractures in the toes or forefoot. However, when it is necessary, it has a high degree of success.

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Simon LeeSimon Lee, M.D.
Foot & AnkleJohnny L. LinJohnny L. Lin, M.D.
Foot & Ankle
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March 17 2014

Uphaus1977

Heel Bone Spurs Treatment




Heel Bone Spurs Treatment

Heel Bone Spurs: Heel Bone spurs are located on the bottom of the heel bone. In some situations bone spurs may actually be located on the bottom side portion of the heel bone. Sometimes they aren't exactly shaped like what they are referred to, as a little spur on the bottom of the bone.
There have been situations where you can actually be born with a heel bone spur or heel bone spurs can be developed. Heel spurs may actually grow on the heel bone due to a number of situations, such as impact to the bottom of the heel bone, possibly motion or friction primarily in the area of the heel bone.


heel bone spurs
heel bone spur A heel bone spur is actually a type of bone growth that develops on the outside of the bone. A heel spur may actually have a small hook shape to it and they are generally located, but not always, where the plantar fascia ligament attaches to the bottom of the heel bone. In some situations, the heel spur can be on the inside of the heel bone or on the opposite side, the outside of the heel bone.
The heel spur, because it is part of the bone, actually has no feeling in it. The pain that is generated from the heel spur is due to the soft tissue around the heel spur that gets irritated and inflamed and bruised. This is what creates the heel pain from the spur itself.

If you can properly support the heel bone so that friction and motion are reduced, it will allow the soft tissue around the area of the heel spur to heal, and have a reduction in the inflammation and tenderness.

The goal would be to support the heel bone enough so that the heel spur does not dig into the soft tissue. This is achieved by using a HTP Heel Seat with a deep heel cup and proper shape along with other supporting features around the product and the foot.

It is also very important to support the soft tissue around the foot, keep it cupped, and help to hold it in position so it can add more cushioning capabilities around the tender area of the heel.

It is very important when a heels bone spur exists to not only use HTP Heel Seats with a good deep heel cup, but also equally important is to have a good supportive shoe with a strong heel counter around the back of the shoe to give the foot and Heel Seat added support so that they can function properly as a complete system.


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Treating Heel Bone Spurs:
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Heel Spurs Directory:Heel SpursMorning Heel SpursHeel Spur ExerciseHeel Spur TreatmentHeel Spur CausesHeel Spur OrthoticBone SpursHeel Spur Surgery



March 15 2014

Uphaus1977

Trochanteric Bursitis, Trochanteric Bursitis Treatment

Trochanteric Bursitis, Trochanteric Bursitis Treatment

Trochanteric Bursitis and Gluteus Medius Tears
What are Trochanteric Bursitis and Gluteus Medius Tears?
Talk to the Hip Experts
Call 858-657-8200.
At the side of the hip in the upper thigh, there is a bony prominence called the greater trochanter. Three important structures come together at this point: the trochanteric bursa, the gluteus medius muscle, and the iliotibial band. The trochanteric bursa is a small, fluid-filled sac that pads the prominent bone over the greater trochanter. At times, this bursa can become inflamed, leading to significant pain over the side of the hip. Trochanteric bursitis can occur from direct pressure, after injury, or with overuse but is also linked to tears of the gluteus medius. The gluteus medius is one of the key muscles surrounding the hip. This muscle starts in the buttock and attaches at the greater trochanter, on the side of the hip. Activation of the gluteus medius allows us to lift our leg to the side (abduct). Tendonitis or tears of the gluteus medius can occur after injury or with long-term wear and tear. These tears generally cause pain and weakness on the side of the hip (not the groin). Finally, the iliotibial band is a stiff band of tissue that runs on the outside or lateral part of the leg from hip to knee. This runs over the prominence of the greater trochanter and can become tight in this area.

What symptoms does trochanteric bursitis and gluteus medius tears cause?
Trochanteric bursitis causes pain and irritation over the greater trochanter, the bony prominence on the outer aspect of the hip. This is unlike pain from the hip joint, which generally occurs in the groin area or front of the hip. Most people with pain on the side of the hip simply have irritation of the trochanteric bursa and iliotibial band, but in severe cases, tendonitis or a tear of the gluteus medius may also be present. Gluteus medius tears cause pain at the side of the hip which can extend up to the buttock and result in weakness when lifting the leg to the side.

How are trochanteric bursitis and gluteus medius tears diagnosed?
Your sports medicine physician can often diagnose trochanteric bursitis based on your symptoms and with an examination of the hip muscles. In severe cases, an MRI may be helpful to check for a tear of the gluteus medius muscle or tendon.

How are trochanteric bursitis and gluteus medius tears treated?
Trochanteric bursitis generally responds well to nonsurgical treatment, which focuses on stretching the iliotibial band and decreasing inflammation. Anti-inflammatories or a cortisone injection into the bursa may also be very effective in reducing pain and resolving symptoms. If a significant tear of the gluteus medius is present (this is not common), surgical repair may be required. Your sports medicine physician can help you develop an individualized program based on your specific symptoms.
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