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May 31 2015

karren46

Overpronation Of The Foot

Overview

Overpronation is when the foot rolls in excessively, or at a time when it should not, for instance late in the stance phase of gait. In this case much weight is transferred to the inner or medial side of the foot, and as the runner moves forward the load is borne by the inner edge rather than the ball of the foot. This destabilises the foot, which will attempt to regain stability by compensating for the inward movement. In a kind of chain reaction, this in turn affects the biomechanical efficiency of the leg, especially the knee and hip.Over Pronation

Causes

Over-pronation occurs when the foot collapses too far inward stressing the plantar fascia (the area underneath the arch of the foot.) Normally, one pronates every time he or she walks, but excessive pronation is called over-pronation. When this occurs it can cause pain in the feet, knees, hips, low back and even the shoulder. Decreasing over-pronation, which is very prominent in runners, will help add endurance, speed and efficiency to your run and ultimately place less stress on your body.

Symptoms

Not all foot injuries affecting runners are necessarily down to a particular running gait; it is rarely that simple to diagnose how a foot problem developed . Simply being an overpronator does not mean that a foot injury has been caused by the running gait and it could be due to a number of factors. However mild to severe overpronators tend to be at a higher risk of developing musculoskeletal problems due to the increased stresses and strains which are placed on the body when the foot does not move in an optimum manner. The following injuries are frequently due to overpronation of the feet. Tarsal tunnel syndrome. Shin splints. Anterior compartment syndrome. Plantar fasciitis. Achilles tendonitis. Bunions. Sesamoiditis. Stress fractures. Back and hip pain. Ankle pain.

Diagnosis

Bunions, calluses and crooked toes may indicate alignment problems. So, it is important to ascertain the condition of a client's toes. Check the big toe to determine if the first joint of the toe is swollen, has a callus or bunion, and/or looks as though it abducts (i.e., hallux valgus) rather than pointing straight ahead. Also, look to see if the lesser toes seem to "curl up" (i.e., the person has hammer or claw toes). This may be indicative of damage to, or inflexibility of the plantar fascia caused by excessive flattening of the foot.Foot Pronation

Non Surgical Treatment

There are exercises that you can do to help deal with the effects and treat the cause. Obviously you can opt for an insert into your shoe either by way of your sports shop or go see a podiatrist. Like anything in your body that is not working correctly; you will have to manage your condition. Don't put off dealing with the problem as it will manifest associated issues along the alignment and as far up as your neck. If it's mild pronantion, I suggest running barefoot. If you can't do this then don't wear shoes at all at home or in the office as much as possible. Give your calf muscles a huge stretch everyday as these with the ligaments from the foot up to the muscle get tight and are linked to your pain. Loosen your calf muscles as much as possible. Great exercise is to sit barefoot with a marble on the floor in front of you. Grab the marble with your toes and try to hold it tight in the middle of the base of your foot. Ping pong balls and even golf balls work. Do this each night and combined with calf stretches you'll start to correct the muscle alignment gradually in the foot. Put more attention into massaging your feet, standing with a good posture, stretching your feet, ankles and calf muscles. Lastly, if you are fat this will not help at all. You must lose weight swimming, cycling and eradicating sugar and fat from your diet. The added strain on the foot by being a fat body compounds the problems and inhibits corrective results that you are after.

Prevention

Custom-made orthotics will reduce the twisting of the leg muscles as they enter the foot, by maintaining a normal alignment of the bones and joints of the foot. If the bones and joints are aligned properly, by reducing the pronation, the muscles can run straight to their attachments in the foot, without twisting to get to these bones. This action of custom-made orthotics will reduce Achilles Tendonitis shin splints; ankle, knee, hip, and lower back pain; and leg cramps. This action will also allow the leg muscles to work more efficiently, thus allowing you to walk and run with less effort.

April 14 2015

karren46

What Causes Adult Aquired FlatFoot ?

Overview
Most flat feet are not painful, particularly those flat feet seen in children. In the adult acquired flatfoot, pain occurs because soft tissues (tendons and ligaments) have been torn. The deformity progresses or worsens because once the vital ligaments and posterior tibial tendon are lost, nothing can take their place to hold up the arch of the foot. The painful, progressive adult acquired flatfoot affects women four times as frequently as men. It occurs in middle to older age people with a mean age of 60 years. Most people who develop the condition already have flat feet. A change occurs in one foot where the arch begins to flatten more than before, with pain and swelling developing on the inside of the ankle. Why this event occurs in some people (female more than male) and only in one foot remains poorly understood. Contributing factors increasing the risk of adult acquired flatfoot are diabetes, hypertension, and obesity. Acquired flat foot

Causes
A person with flat feet has greater load placed on the posterior tibial tendon which is the main tendon unit supporting up the arch of the foot. Throughout life, aging leads to decreased strength of muscles, tendons and ligaments. The blood supply diminishes to tendons with aging as arteries narrow. Heavier, obese patients have more weight on the arch and have greater narrowing of arteries due to atherosclerosis. In some people, the posterior tibial tendon finally gives out or tears. This is not a sudden event in most cases. Rather, it is a slow, gradual stretching followed by inflammation and degeneration of the tendon. Once the posterior tibial tendon stretches, the ligaments of the arch stretch and tear. The bones of the arch then move out of position with body weight pressing down from above. The foot rotates inward at the ankle in a movement called pronation. The arch appears collapsed, and the heel bone is tilted to the inside. The deformity can progress until the foot literally dislocates outward from under the ankle joint.

Symptoms
Most people will notice mild to extreme pain in their feet. Below outlines some signs and symptoms of AAFD. Trouble walking or standing for any duration. Pain and swelling on the inside of the ankle. Bump on the bottom of the foot. Ulcer or wound developing on the outer aspects of foot.

Diagnosis
The adult acquired flatfoot, secondary to posterior tibial tendon dysfunction, is diagnosed in a number of ways with no single test proven to be totally reliable. The most accurate diagnosis is made by a skilled clinician utilizing observation and hands on evaluation of the foot and ankle. Observation of the foot in a walking examination is most reliable. The affected foot appears more pronated and deformed compared to the unaffected foot. Muscle testing will show a strength deficit. An easy test to perform in the office is the single foot raise. A patient is asked to step with full body weight on the symptomatic foot, keeping the unaffected foot off the ground. The patient is then instructed to "raise up on the tip toes" of the affected foot. If the posterior tibial tendon has been attenuated or ruptured, the patient will be unable to lift the heel off the floor and rise onto the toes. In less severe cases, the patient will be able to rise on the toes, but the heel will not be noted to invert as it normally does when we rise onto the toes. X-rays can be helpful but are not diagnostic of the adult acquired flatfoot. Both feet - the symptomatic and asymptomatic - will demonstrate a flatfoot deformity on x-ray. Careful observation may show a greater severity of deformity on the affected side.

Non surgical Treatment
Treating PTTD is almost always easier the earlier you catch it. So, the first step in treatment is to see your doctor as soon as you begin experiencing painful symptoms. However, once your condition has been diagnosed, your podiatrist will likely try to give the upset tendon a bit of a break so it?ll calm down and stop being so painful. This can often be accomplished by immobilizing the foot using tape and padding, braces, or casts, depending on what your podiatrist believes will work best for you, and depending on the severity of your condition. You may also be instructed to reduce inflammation by applying ice to the area (usually 40 minutes on and 20 minutes off, with a thin towel between you and the ice). Or, you might take anti-inflammatory medications like ibuprofen (steroidal anti-inflammatory meds are actually likely to make this problem worse, and are not usually recommended in treating PTTD), or use ultrasound therapy. Once the inflammation has gone down a bit, your podiatrist may recommend using orthotics (prescription shoe inserts) to support your damaged arch. Ankle braces can also be helpful. Adult acquired flat feet

Surgical Treatment
Flatfoot reconstruction (osteotomy). This is often recommended for flexible flatfoot condition. Flatfoot reconstruction involves cutting and shifting the heel bone into a more neutral position, transferring the tendon used to flex the lesser toes (all but the big toe) to strengthen the posterior tibial tendon, and lengthening the calf muscle. Fusion (also known as triple arthrodesis). Fusion involves fusing, or making stiff, three joints in the back of the foot the subtalar, talonavicular, and calcaneocuboid joints, to realign the foot and give it a more natural shape. Pins or screws hold the area in place until it heals. Fusion is often recommended for a rigid flatfoot deformity or evidence of arthritis. Both of these surgeries can provide excellent pain relief and correction.

June 10 2014

karren46

Calluses And Corns On Toes

Be sure that the shoes you wear do not have any areas in them that create pressure on any part of your feet or toes. This seemed to be what spurred on foot sores for the uncle in my family that frequently dealt with this issue. Take your shoes off for awhile during the day to create a change in the pressure your feet experience. Wear seam free socks at all times to avoid places for sores to begin as well. Rocker Soles that are designed to decrease the pressure to the areas that are most susceptible to pain, like the ball of the foot A) Shoe Width and Length - Shoe width is just as important as its length for the diabetic walker. The correct shoe size is the one that fits the base of your toes which is the widest part of your foot There should also be a 1/2-inch (1.27 cm) to 3/8-inch (0.9525 cm) space between the end of the shoe and your longest toe. The problem of containing an infection in diabetics is huge. Doctors must remove shoes and socks of diabetics and examine their feet. Losing a foot has huge social and economic implications and should be prevented. Preventionpodiatric should be given to all patients especially at risk.Comprehensivescreening programs and treatment programs have been shown to reduce the risk ofamputation.Simple measures such as debridement of callus and the fitting ofappropriate shoes ,often with the help of an orthotist,may be all that isnecessary to prevent one of the most devastating and feared complications ofdiabetes,amputation. If you smoke, stop. Smoking decreases blood flow to your feet. Talk with your doctor or nurse if you need help quitting. Valid in USA only - Check with your local Foot Solutions store to confirm that they are an approved Medicare provider *** Who is Covered Under the Medicare Diabetic Footwear Benefit?diabetic foot ulcer treatment Do not use a heating pad or hot water bottle on your feet. Do not walk barefoot, especially on hot pavement or hot sandy beaches. Remove your shoes and socks during visits to your health care provider so that they can check your feet. Wear shoes at all times to protect your feet from injury. Before you put them on, always check the inside of your shoes for stones, nails, or rough areas that may hurt your feet. Change your broken-in shoes after 5 hours during the day to change the pressure points on your feet. Do not wear flip-flop sandals or stockings with seams. Both can cause pressure points. There are a few causes of blue toe syndrome but the most common is the breakage of a small piece of arterial plaque usually from the abdominal aorta-iliac-femoral arterial system (located in the abdomen and groin area) which then travels down the arterial tree into the small vessels of the foot where it becomes lodged. This is known as an embolism. All tissue distal (in front of) the blockage will then turn a bluish color which represents a lack of oxygen to the tissue. To keep athlete's foot at bay, it is often suggested to sprinkle anti-fungal foot powder between your toes. This is where sweat and moisture can accumulate. As with any medical condition, knowing when to seek professional medical help is crucial to timely interventions. An inflamed corn or callus may just be a limb-saving visit away from your nearest community podiatrist. For further information regarding this current treatment approach contact podiatrist melbourne Forest Hill on 9877 2077 or visit our website melbourne podiatrist to read more about these new exciting treatment options. Diabetes is a disease that can have a lot of complications. This chronic lifestyle disease can increase the risk of heart diseases, kidney disorders, blindness, circulatory problems, and it can even cause foot ulcers that can end up requiring amputation of the lower limbs. Consult with your physician and avail best treatment to get complete relief from diabetes and ulcers. One can also avail cream to treat ulcers; Coresatin Nonsteroidal Cream Supporting Therapy for Diabetic Foot Ulcers is best remedy for diabetic ulcers. About the Author People with diabetes have too much glucose (sugar) in their blood. This affects the blood vessels which results in poor circulation of blood. When the blood does not circulate properly, your feet does not receive the required amount of oxygen and nourishment. Edema often includes the swelling of the feet and hands as well. Fortunately there are many ways that you can prevent and treat edema.
Tags: Diabetic Foot

February 17 2014

karren46

Arch, Ball, Heel, And Toe Pain And Discomfort Reasons And Treatments

Calluses and corns are another common cause of foot pain They are actually patches of thickened skin caused by friction or pressure. Calluses appear on the balls of the feet or on the heels while corns will appear on the toes. Calluses are caused by an accumulation of dead skin cells. In severe cases, the callus has a deep seated core called a nucleation. This type of callus is exceptionally painful. Corns are similar to calluses as they are also thickened patches of dead skin cells which have formed as a protective mechanism against pressures on the foot. Corns however are found on the toes.

Metatarsalgia refers to pain felt under the ball of the foot. According to the Merck Manuals, it can be the result of nerve injury, poor circulation or a joint abnormality such as arthritis. The nerves may become irritated from repetitive stress or from the formation of Morton's neuroma, a benign nerve tumor. Nerve injury produces a burning pain in the toes and ball of the foot, followed by loss of sensation. Arthritis can affect any joints in the foot, causing a dull achy pain that is worse upon rising and improves throughout the day. Fracture and Stress Fracture

Most (young) women like to look stylish and wear a shoe with a medium to high heel. The problem with high heels is that your bodyweight is not evenly distributed across the underside of the foot, but rather 80% of your weight pushes down on only one area of the foot, the forefoot area. i.e. the balls of your feet. This is totally unnatural and before long the entire forefoot structure collapses, leading to constant pressure and friction in the ball of the foot. The body reacts and builds up thick layers of callous in this area which in turn leads to a burning sensation under the foot.foot pain heel

Blisters often cause Achilles Pain They form in areas where there has been excessive amounts of pressure and friction. They may be accompanied with redness, swelling, and recurrent pains that keep you from walking normally. Bony growths and prominences may make blisters more likely, and when there is friction and rubbing, the body may even lay down more bone, making the prominence more prominent. This in turn leads to even greater side of foot pain , and is usually a runaway problem '" it just gets worse and worse until it is treated.

There are a variety of symptoms for flat feet, and not everyone will experience all of them. Symptoms might include tired, sore feet (particularly on the bottom); lower back pain; pain in the arch; or tired legs. Your feet probably feel better when you roll your feet toward the outside. To confirm whether you have flat feet, press on the arch at the highest point. If you have weak foot, you will find this fairly painful. Another test is simply to look at your feet. When standing, you pronate; your weight falls toward the inside of your foot, and your arch almost disappears entirely.

With the help of X-Rays the picture of the inner area of the foot take to analyze the foot problem but X-Rays could be harmful for your feet if you are doing it very frequently, once in a while isn't a big issue. X-ray help the doctor check whether any of the foot bone is broken, fractured, or any other joint problem that is causing foot pain If the doctor is unable to understand through X-Ray then MRI machines might use to diagnose the problem, MRI machines have magnets and create images on the computer screen.

If you had been standing all day or had walked around in high heels, then the foot pain that you might be experiencing could be due to overworked foot muscles.The best home remedy for tired and achy feet is to soak them in warm water. Add a tablespoon of Epsom salt and a few drops of peppermint essential oil. The warm water will help in soothing achy feet muscles and it will relax and rejuvenate you. This is one of the best natural remedies for foot pain and is useful for foot pain that is caused due to fatigue.
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