Antonia Strattman

Your On-line Feet Troubles Source

What Can You Do About Fallen Arches?

Overview

Adult Acquired Flat Feet

Because young children are unlikely to suspect or identify flat feet on their own, it is a good idea for parents or other adult caregivers to check on this themselves. Besides visual inspection, parents should notice whether a child begins to walk oddly or clumsily, for example on the outer edges of the feet, or to limp, during long walks, and to ask the child whether he or she feels foot pain or fatigue during such walks. Children who complain about calf muscle pains or any other pains around the foot area, may be developing or have flat feet. Pain or discomfort may also develop in the knee joints. A recent randomized controlled trial found no evidence for the efficacy of treatment of flat feet in children either for expensive prescribed orthoses (shoe inserts) or less expensive over-the-counter orthoses.

Causes

Flat feet can be caused by injury, aging, and weight gain. They can cause pain in the feet and may lead to pain in other parts of the body such as the ankles, knees, or hips. For this reason, it behooves us to treat fallen arches. The question becomes how to do so.

Symptoms

People will have a very heavily dropped arch and it won?t affect them at all and people will have it slightly dropped and it could cause fierce problems. It could cause things like plantar fasciitis, it could cause heel spurs, desperate ball-of-the-foot pressure, or pressure on the big toe known as the hallux which causes discomfort in the foot. It will create problems upwards to the knees, hips and the back once you?re out of line.

Diagnosis

Determining whether you have fallen arches may be as easy as looking at the shape of the middle bottom of your foot. Is there any kind of arch there? If you cannot find any kind of arch, you may have a flat foot. There are, however, other ways to decide in case you're still not sure. Another way to figure out if you have flat feet is to look at a few pairs of your shoes. Where do you see the most wear on the heels? If you notice significant wear in the heel and the ball of the foot extending to the big toe, this means you are overpronating. Overpronators roll their feet too far inward and commonly have fallen arches. To figure out if you have flat feet, you can also do an easy test. Get the bottoms of your feet wet and then step on to a piece of paper carefully. Step off the paper and take a look at the print your foot made. If your print looks like the entire bottom of a foot, your feet are flat. People with an arch will be missing part of the foot on their print since the arch is elevated off of the paper. Regular visits to your podiatrist are highly recommended.

What causes flat foot deformity?

Non Surgical Treatment

If you have fallen arches, but you are not experiencing any symptoms, then you probably do not need to seek treatment. If you are experiencing discomfort due to fallen arches, there are several treatment options. These treatment options include elevating the feet and applying ice to ease discomfort and reduce swelling, rest, exercises to stretch the feet, physical therapy, medication, such as anti-inflammatories, steroid injections and orthotic devices or customised arch supportsto wear in the shoes. If you have fallen arches and periodically experience pain related to that condition, it is a good idea to get orthotic devicesor custom arch supports, to wear in your shoes. The other treatment options, like medication and ice, will help to ease pain from fallen arches after you have already begun to experience pain. However, orthotic devices or(custom arch supports)can help to prevent pain from occurring at all. This preventative measure helps many people with fallen arches to avoid pain and prevent worsening of their condition. In severe cases of fallen arches, surgery may be required to correct the problem. You can also help to prevent pain and exacerbation of fallen arches by reducing your risk factors. If you are overweight, try to lose weight. Even a small weight loss can reduce the pressure on your feet significantly. If you are diabetic, manage your blood sugar as best as possible. Losing weight often also improves the condition of diabetics. You should also avoid high-impact activities, like running on the road, tennis, and sports that involve jumping. Try a gentler form of exercise, like swimming, instead. If you have fallen arches, orthotic devices or(custom arch supports)are an important component of your treatment and can help to prevent pain.

Surgical Treatment

Flat Foot

Surgical procedures for flat feet vary depending on the root cause of the condition. Surgical correction to control pronation may include bone implants or Achilles tendon lengthening. Tendon transfer, which is a procedure to re-attach a tendon to another area of bone, may also be used to reduce pronation and improve foot function.

After Care

Patients may go home the day of surgery or they may require an overnight hospital stay. The leg will be placed in a splint or cast and should be kept elevated for the first two weeks. At that point, sutures are removed. A new cast or a removable boot is then placed. It is important that patients do not put any weight on the corrected foot for six to eight weeks following the operation. Patients may begin bearing weight at eight weeks and usually progress to full weightbearing by 10 to 12 weeks. For some patients, weightbearing requires additional time. After 12 weeks, patients commonly can transition to wearing a shoe. Inserts and ankle braces are often used. Physical therapy may be recommended. There are complications that relate to surgery in general. These include the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots. Complications following flatfoot surgery may include wound breakdown or nonunion (incomplete healing of the bones). These complications often can be prevented with proper wound care and rehabilitation. Occasionally, patients may notice some discomfort due to prominent hardware. Removal of hardware can be done at a later time if this is an issue. The overall complication rates for flatfoot surgery are low.
Remove all ads

All You Want To Understand About

Overview

Painful Heel

Heel pain is a very common foot complaint and may involve injury to the bone, fat pad, ligaments, tendons or muscles. Heel pain can also be referred by a pinched nerve in your lower back. It is important to have your heel pain thoroughly assessed to ensure an accurate diagnosis and subsequent treatment. Anyone can suffer from heel pain, but certain groups seem to be at increased risk, including middle aged men and women, active people eg running sports, people who are very overweight, children aged between 8 and 13 years, pregnant women, people who stand for long periods of time.

Causes

he most common cause of heel pain is over pronation, this is when your foot rotates in too much as you walk. You really need to treat the underlying cause of the heel pain as soon as possible to prevent any further damage to the plantar fascia. Excessive load on the foot from obesity is a major cause of plantar fasciitis. Which is why this condition is common in middle aged and over weight adults. A sudden increase in weight, such as pregnancy can also lead to plantar fascitis. A sudden increase in walking or a sporting activity can also be a contributing factor. A classic example of when this condition can develop is when a post man has returned to work after a period away from the job. Tight plantar fascia (this is often caused by tight calf muscles). Excessive flattening of the arch on weight bearing i.e. flat feet. People with flat feet are more at risk of developing this condition. Biomechanical problems (walking abnormalities) is a major cause of plantar fasciitis. Different types of arthritis can also lead to this condition, such as osteoarthritis and rheumatoid arthritis.

Symptoms

Symptoms include a dull ache which is felt most of the time with episodes of a sharp pain in the centre of the heel or on the inside margin of the heel. Often the pain is worse on first rising in the morning and after rest and is aggravated by prolonged weight bearing & thin soled shoes.

Diagnosis

Your doctor will listen to your complaints about your heel and examine you to see what is causing the pain, and whether anything else has started it off. If the cause of your pain seems obvious, your doctor may be happy to start treatment straight away. However, some tests may be helpful in ruling out other problems. Blood tests may be done for arthritis. An Xray will show any arthritis in the ankle or subtalar joint, as well as any fracture or cyst in the calcaneum. (It will also show a spur if you have one, but as we know this is not the cause of the pain.) Occasionally a scan may be used to help spot arthritis or a stress fracture.

Non Surgical Treatment

Calf stretch, silicone Heel cups, ice, night splint, physical therapy. Sometimes custom orthotics are beneficial in long standing cases. Steroid injections have been used and although they temporarily relieve the pain, the pain usually returns within a short period of time. Plantar fasciitis tends to go away in 90% of all people in time. It can take 12-18 months for all the pain to resolve. If the pain continues after adequate treatment, high frequency shock wave therapy (OssaTron) has been found to be beneficial, unfortunately most insurance companies do not cover this procedure.

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).

back of heel cushions

Prevention

Painful Heel

Maintaining flexible and strong muscles in your calves, ankles, and feet can help prevent some types of heel pain. Always stretch and warm-up before exercising. Wear comfortable, properly fitting shoes with good arch support and cushioning. Make sure there is enough room for your toes.
Remove all ads

How Typical Is Leg Length Discrepancy After Hip Replacement

Overview

The majority of people in the world actually have some degree of leg length discrepancy, up to 2cm. One study found that only around 1/4 of people have legs of equal lengths. LLD of greater than 2cm is relatively rare, however, and the greater the discrepancy, the greater the chances of having a clinical problem down the road. A limp generally begins when LLD exceeds 2cm and becomes extremely noticeable above 3cm. When patients with LLD develop an abnormal gait, one of the debilitating clinical features can be fatigue because of the relatively high amount of energy needed to walk in the new, inefficient way. Poliomyelitis, or polio, as it is more commonly known, used to account for around 1/3 of all cases of LLD, but due to the effectiveness of polio vaccines, it now represents a negligible cause of the condition. Functional LLD, described above, usually involves treatment focused on the hip, pelvis, and/or lower back, rather than the leg. If you have been diagnosed with functional LLD or pelvic obliquity, please ask your orthopaedic surgeon for more information about treatment of these conditions.Leg Length Discrepancy

Causes

There are many causes of leg length discrepancy. Structural inequality is due to interference of normal bone growth of the lower extremity, which can occur from trauma or infection in a child. Functional inequality has many causes, including Poliomyelitis or other paralytic deformities can retard bone growth in children. Contracture of the Iliotibial band. Scoliosis or curvature of the spine. Fixed pelvic obliquity. Abduction or flexion contraction of the hip. Flexion contractures or other deformities of the knee. Foot deformities.

Symptoms

Patients with significant lower limb length discrepancies may walk with a limp, have the appearance of a curved spine (non-structural scoliosis), and experience back pain or fatigue. In addition, clothes may not fit right.

Diagnosis

The doctor carefully examines the child. He or she checks to be sure the legs are actually different lengths. This is because problems with the hip (such as a loose joint) or back (scoliosis) can make the child appear to have one shorter leg, even though the legs are the same length. An X-ray of the child?s legs is taken. During the X-ray, a long ruler is put in the image so an accurate measurement of each leg bone can be taken. If an underlying cause of the discrepancy is suspected, tests are done to rule it out.

Non Surgical Treatment

Heel lifts and sole lifts are simple ways Pedorthists can compensate for leg length deficiencies. These small modifications can make a tremendous difference to a person?s comfort, balance and mobility. Although people do not always know if they have LLD if you have any of the symptoms I have mentioned you should consult a Pedorthist as treating your condition early will reduce the development of serious problems later on.

LLD Insoles

how to increase height in 1 week

Surgical Treatment

Shortening techniques can be used after skeletal maturity to achieve leg length equality. Shortening can be done in the proximal femur using a blade plate or hip screw, in the mid-diaphysis of the femur using a closed intramedullary (IM) technique, or in the tibia. Shortening is an accurate technique and involves a much shorter convalescence than lengthening techniques. Quadriceps weakness may occur with femoral shortenings, especially if a mid-diaphyseal shortening of greater than 10% is done. If the femoral shortening is done proximally, no significant weakness should result. Tibial shortening can be done, but there may be a residual bulkiness to the leg, and risks of nonunion and compartment syndrome are higher. If a tibial shortening is done, shortening over an IM nail and prophylactic compartment release are recommended. We limit the use of shortenings to 4 to 5 cm leg length inequality in patients who are skeletally mature.

What Causes Mortons Neuroma

Overview

plantar neuromaA Morton's neuroma, or interdigital neuroma, is a painful condition which involves a nerve on the plantar aspect (bottom) of the foot. Occasionally a neuroma develops following a bruising injury to the sole of the foot, such as might be caused by jumping onto a rock or other objects, but in general, the origin of the condition is unknown.

Causes

Morton's neuroma is an inflammation caused by a buildup of fibrous tissue on the outer coating of nerves. This fibrous buildup is a reaction to the irritation resulting from nearby bones and ligaments rubbing against the nerves. Irritation can be caused by wearing shoes that are too tight, wearing shoes that place the foot in an awkward position, such as high heels, a foot that is mechanically unstable, repetitive trauma to the foot such as from sports activities like tennis, basketball, and running. Trauma to the foot caused by an injury such as a sprain or fracture. It is unusual for more than one Morton's neuroma to occur on one foot at the same time. It is rare for Morton's neuroma to occur on both feet at the same time.

Symptoms

There may be pain at the end of the push-off phase when walking or running, and this pain is generally worse when the client is wearing shoes as opposed to being barefoot. Clients may also report a relief of symptoms by massaging the foot, which may spread the metatarsal heads and mobilize the entrapped nerve.

Diagnosis

The physician will make the diagnosis of Morton's neuroma based upon the patient's symptoms as described above in an interview, or history, and a physical examination. The physical examination will reveal exceptional tenderness in the involved interspace when the nerve area is pressed on the bottom of the foot. As the interspace is palpated, and pressure is applied from the top to the bottom of the foot, a click can sometimes be felt which reproduces the patient's pain. This is known as a Mulder's sign. Because of inconsistent results, imaging studies such as MRI or ultrasound scanning are not useful diagnostic tools for Morton's neuroma. Thus the physician must rely exclusively on the patient's history and physical examination in order to make a diagnosis.

Non Surgical Treatment

Treatments may include rehabilitation measures to reduce nerve Irritation. Switching to low-heeled, wide-toed shoes with good arch support. Wearing padding in the shoes and/or between the toes. Wearing shoe inserts to correct a mechanical abnormality of the foot. Having ultrasound, electrical stimulation, whirlpool, and massage done on the foot. The foot may be injected with corticosteroids mixed with a local anesthetic in order to reduce pain. Relief may be only temporary, however, if the mechanical irritation is not also corrected. Injections with other types of medications such as alcohol, phenol, or vitamin B12 are sometimes used.Morton

Surgical Treatment

When early treatments fail and the neuroma progresses past the threshold for such options, podiatric surgery may become necessary. The procedure, which removes the inflamed and enlarged nerve, can usually be conducted on an outpatient basis, with a recovery time that is often just a few weeks. Your podiatric physician will thoroughly describe the surgical procedures to be used and the results you can expect. Any pain following surgery is easily managed with medications prescribed by your podiatrist.
Remove all ads

How Shoe Lifts Treat Leg Length Difference

There are not one but two unique variations of leg length discrepancies, congenital and acquired. Congenital indicates that you are born with it. One leg is anatomically shorter than the other. Through developmental stages of aging, the brain picks up on the step pattern and identifies some difference. Our bodies usually adapts by dipping one shoulder over to the "short" side. A difference of less than a quarter inch isn't grossly irregular, require Shoe Lifts to compensate and normally does not have a profound effect over a lifetime.

Shoe Lifts

Leg length inequality goes largely undiscovered on a daily basis, however this problem is easily solved, and can eradicate quite a few instances of lumbar pain.

Therapy for leg length inequality typically consists of Shoe Lifts. Many are economical, typically priced at under twenty dollars, in comparison to a custom orthotic of $200 or maybe more. When the amount of leg length inequality begins to exceed half an inch, a whole sole lift is generally the better choice than a heel lift. This prevents the foot from being unnecessarily stressed in an abnormal position.

Back pain is the most prevalent health problem affecting people today. Over 80 million men and women are afflicted by back pain at some point in their life. It is a problem that costs companies vast amounts of money every year on account of time lost and output. Fresh and better treatment solutions are constantly sought after in the hope of minimizing the economical influence this issue causes.

Leg Length Discrepancy  <a href="http://amputeee53.sosblogs.com/The-first-blog-b1/Top-Of-Feet-Problem-b1-p10.htm">Shoe Lifts</a>

People from all corners of the world suffer the pain of foot ache as a result of leg length discrepancy. In these types of situations Shoe Lifts are usually of very helpful. The lifts are capable of reducing any pain and discomfort in the feet. Shoe Lifts are recommended by numerous qualified orthopaedic practitioners".

So that you can support the body in a well balanced manner, feet have a very important job to play. Inspite of that, it can be the most neglected region in the body. Some people have flat-feet which means there is unequal force placed on the feet. This causes other parts of the body such as knees, ankles and backs to be affected too. Shoe Lifts make sure that correct posture and balance are restored.

Shoe Lifts The Podiatrists Choice For Leg Length Imbalances

There are actually two different types of leg length discrepancies, congenital and acquired. Congenital indicates you are born with it. One leg is anatomically shorter compared to the other. As a result of developmental stages of aging, the human brain picks up on the stride pattern and recognizes some variation. Your body usually adapts by dipping one shoulder to the "short" side. A difference of less than a quarter inch isn't very abnormal, demand Shoe Lifts to compensate and usually won't have a serious effect over a lifetime.

Shoe Lift

Leg length inequality goes typically undiscovered on a daily basis, however this condition is very easily fixed, and can reduce many cases of lower back pain.

Therapy for leg length inequality typically consists of Shoe Lifts. These are typically low-priced, regularly costing under twenty dollars, in comparison to a custom orthotic of $200 or even more. Differences over a quarter inch can take their toll on the spine and should probably be compensated for with a heel lift. In some cases, the shortage can be so extreme that it requires a full lift to both the heel and sole of the shoe.

Mid back pain is the most common ailment affecting people today. Around 80 million people experience back pain at some point in their life. It is a problem that costs businesses millions of dollars each year because of time lost and productivity. Fresh and more effective treatment solutions are constantly sought after in the hope of reducing the economic impact this condition causes.

Leg Length Discrepancy Shoe Lift

People from all corners of the world suffer the pain of foot ache as a result of leg length discrepancy. In these types of cases Shoe Lifts are usually of very helpful. The lifts are capable of easing any pain in the feet. Shoe Lifts are recommended by numerous professional orthopaedic practitioners".

To be able to support the body in a balanced manner, feet have got a very important role to play. Inspite of that, it is often the most overlooked area of the human body. Some people have flat-feet which means there may be unequal force placed on the feet. This will cause other areas of the body like knees, ankles and backs to be affected too. Shoe Lifts ensure that proper posture and balance are restored.

Are Shoe Lifts The Best Solution To Leg Length Discrepancy

There are actually two different kinds of leg length discrepancies, congenital and acquired. Congenital means that you are born with it. One leg is anatomically shorter compared to the other. As a result of developmental periods of aging, the human brain senses the walking pattern and recognizes some difference. The human body usually adapts by dipping one shoulder to the "short" side. A difference of under a quarter inch isn't blatantly irregular, require Shoe Lifts to compensate and ordinarily won't have a serious effect over a lifetime.

Shoe Lifts

Leg length inequality goes typically undiagnosed on a daily basis, yet this condition is simply remedied, and can eradicate quite a few incidents of back ache.

Therapy for leg length inequality commonly consists of Shoe Lifts. These are typically low-priced, ordinarily costing under twenty dollars, compared to a custom orthotic of $200 and up. When the amount of leg length inequality begins to exceed half an inch, a whole sole lift is generally the better choice than a heel lift. This prevents the foot from being unnecessarily stressed in an abnormal position.

Chronic back pain is easily the most prevalent condition affecting people today. Around 80 million men and women experience back pain at some point in their life. It is a problem which costs businesses huge amounts of money annually on account of lost time and productivity. Innovative and better treatment solutions are constantly sought after in the hope of minimizing the economical impact this issue causes.

Shoe Lift

People from all corners of the earth suffer from foot ache due to leg length discrepancy. In most of these cases Shoe Lifts can be of immense help. The lifts are capable of alleviating any pain and discomfort in the feet. Shoe Lifts are recommended by countless expert orthopaedic practitioners".

To be able to support the body in a balanced manner, your feet have got a critical role to play. Despite that, it is sometimes the most neglected zone in the body. Some people have flat-feet meaning there may be unequal force exerted on the feet. This will cause other body parts such as knees, ankles and backs to be affected too. Shoe Lifts ensure that the right posture and balance are restored.