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Where is your achilles heel?

Treatment For Cavus Foot Pain

سه شنبه 27 تير 1396
8:50
Jack Munn
Overview
Children with cavus foot have arches that are much higher than usual. Often, their heels point inward, and all of their toes are flexed. Children with cavus foot have trouble finding shoes that fit. The tops and middles of their feet become sore. They may have pain, and develop thick calluses under the ball and at the outer edges of their feet. Because their high arches make their ankles roll outward slightly, children with cavus foot may feel like their ankles are about to give out. Sometimes they sprain their ankles over and over again.

Causes
Pes Cavus is typically a result of a fixed plantar flexion of the foot. Plantar Flexion is the movement of the ankle, pointing the toes away from the shin (think pressing a gas pedal in your car). However, a fixed plantar flexion does not guarantee that a person has pes cavus.High Instep

Symptoms
The symptoms of a high arch foot will vary depending on the severity of the arch height, the availability of joint motion in the foot to help lower the arch and the activity levels or occupational demands placed on the high arched feet. Most people with high arches will have no pain or any other symptoms. Symptoms may vary from a mild problem with shoe fitting to significant disability.

Diagnosis
Examination of the muscle groups and muscle strength is important. Furthermore, pain along the peroneal tendons may be a sign of a peroneal tendon tear. This may result in a cavus foot much like a posterior tibial tendon dysfunction may result in flatfoot. Instability of the lateral ankle may also lead to a cavus foot position as the talus deviates into a varus position due to the laxity of the lateral ankle ligaments.

Non Surgical Treatment
Non-surgical treatment of cavus foot may include one or more of the following options. Orthotic devices. Custom orthotic devices that fit into the shoe Can you get taller with yoga? be beneficial because they provide stability and cushioning to the foot. Shoe modifications. High-topped shoes support the ankle, and shoes with heels a little wider on the bottom add stability. Bracing. The surgeon may recommend a brace to help keep the foot and ankle stable. Bracing is also useful in managing foot drop.

Surgical Treatment
Ideally, surgeons should first repair the source of the traumatic event such as the ankle instability or peroneal tear in order to stabilize the laxity about the ankle and subsequently judge the level of deformity in the foot. For example, a varus talus position caused by ankle instability will often make the cavus foot position look worse prior to repair of the lateral collaterals than after repair of the collaterals. After repositioning and stabilizing the talus, one can better judge the varus of the heel and first metatarsal position.Supinated Foot [ بازدید : 6 ]

What Are The Symptoms Of Hallux Valgus?

سه شنبه 27 تير 1396
0:40
Jack Munn
Overview
Bunions Callous
A bunion is a firm, fluid-filled pad overlying the inside of the joint at the base of the big toe (metatarsophalangeal joint). The pad (bursa), which may get larger and stick out, can become inflamed and painful. Bunions may run in families, but many result from wearing tight shoes. Nine out of 10 bunions are developed by women. Nine out of 10 women wear shoes that are too small. Tight shoes also can cause other disabling foot problems like corns, calluses and hammertoes.

Causes
The underlying cause is a deformity of the joint at the base of the big toe. The deformity is called hallux valgus. In this deformity the joint develops a prominent sideways angle. Due to this deformity the bones of the big toe are pushed towards the smaller toes. The skin over the angled joint then tends to rub on the inside of shoes. This may cause thickening and inflammation of the overlying skin and tissues next to the affected joint. In most cases it is not clear why a hallux valgus deformity develops. There may be some hereditary (genetic) tendency to have a weakness of this joint. In some cases it is associated with a joint problem such as osteoarthritis or rheumatoid arthritis. However, whatever the underlying cause, wearing tight or badly fitting shoes tends to make the problem worse. Wearing such shoes puts extra pressure on the big toe joint and causes friction on the overlying skin.
SymptomsWith Bunions, a person will have inflammation, swelling, and soreness on the side surface of the big toe. Corns most commonly are tender cone-shaped patches of dry skin on the top or side of the toes. Calluses will appear on high-pressure points of the foot as thick hardened patches of skin.

Diagnosis
Your doctor will be able to diagnose a bunion by asking about your symptoms and examining your feet. You may also have blood tests to rule out any other medical conditions, such as rheumatoid arthritis or gout, although this is rare. Your doctor may refer you to a podiatrist or chiropodist (healthcare professionals who specialise in conditions that affect the feet).

Non Surgical Treatment
Treatment options vary depending on the severity of your bunion and the amount of pain it causes you. Early treatment is best to decrease your risk of developing joint deformities. Conservative treatment Nonsurgical treatments that may relieve the pain and pressure of a bunion include changing shoes. Wear roomy, comfortable shoes that provide plenty of space for your toes. Padding and taping. Your Podiatrist can help you tape and pad your foot in a normal position. This can reduce stress on the bunion and alleviate your pain.(Obviously pending on footwear selection). Medications. Acetaminophen (Tylenol, others) can control the pain of a bunion. Your doctor may suggest nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin, others) or naproxen (Aleve), for relieving pain and reducing inflammation. Cortisone injections also can be helpful. But keep in mind that medications do not alleviate the actual cause of the pain. Physical therapy. The heating effect of ultrasound therapy or whirlpool baths can provide relief from the pain and inflammation of a bunion. Orthotics can help control abnormal movement of your foot, reducing your symptoms and preventing your bunion from getting worse. Over-the-counter arch supports can provide relief for some people, though others may require prescription orthotics.
Bunions Hard Skin

Surgical Treatment
Bunion surgery is occasionally required when the bunion deformity What is leg length discrepancy? too advanced for conservative treatment to work. Your surgeon will usually cut an angular section from the bone to correct the alignment. In some cases, multiple toes may need to be straighten.

Prevention
The best protection against developing bunions is to protect and care for your feet every day. Avoid tight and narrow-fitting shoes. Limit your use of high heels. Wear comfortable shoes with adequate space between your longest toe and the end of the shoe. Getting treatment for very flat or very high-arched feet (if you are experiencing symptoms) will give your feet the proper support and help maintain stability and balance. [ بازدید : 6 ]
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