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Supinated Foot Pain

IsabellChesser850491 2017.06.11 19:51 조회 수 : 18

stretching exercise - http://mariellaodens.blogas.lt/tema/be-temos. Overview
Pes cavus occurs in up to 15% of the population, of which 60% will develop foot pain (Burns 2005). Common complaints associated with pes cavus include pain under the metatarsal heads and the heel, lateral ankle sprains, and footwear issues. Custom orthoses should be designed to address the pathomechanics of problematic cavus foot based on the evidence in the literature.

Causes
Among the cases of neuromuscular pes cavus, 50% have been attributed to Charcot-Marie-Tooth disease, which is the most common type of inherited neuropathy with an incidence of 1 per 2,500 persons affected. Also known as Hereditary Motor and Sensory Neuropathy (HMSN), it is genetically heterogeneous and usually presents in the first decade of life with delayed motor milestones, distal muscle weakness, clumsiness and frequent falls. By adulthood, Charcot-Marie-Tooth disease can cause painful foot deformities such as pes cavus. Although it is a relatively common disorder affecting the foot and ankle, little is known about the distribution of muscle weakness, severity of orthopaedic deformities, or types of foot pain experienced. There are no cures or effective treatment to halt the progression of any form of Charcot-Marie-Tooth disease.Pes Cavus

Symptoms
Symptoms may vary from a mild problem with shoe fitting to significant disability such as difficulty finding proper fitting footwear because the shoes are not deep enough due to high arch and the clawed toes. Shortened foot length. Foot pain with walking, standing, and running. Metatarsalgia with pain in the forefoot/ ball of the foot (usually 1st and 5th metatarsal heads), with or without calluses/corns. Pain and stiffness of the medial arch or anywhere along the mid-portion of the foot. Morton's neuroma with pain in the ball of the foot and lesser toes. Pain in the heel and sole of the foot from plantar fasciitis. Stress fractures of the metatarsals and other foot bones. Particularly in diabetics and those with compromised circulation, abnormal pressure may result in chromic ulcers of the heel and ball of the foot. Strain and early degenerative joint disease (osteoarthritis) of lower extremity joints. ?Pump bumps" (Haglund's deformity) on the back of the heel. Associated discomfort within and near the ankle joint. Ankle instability with frequent sprains. Tight Achilles tendons. The knees, hips, and lower back may be the primary source of discomfort. Chronic lower extremity pain my lead to inactivity and diminished well-being.

Diagnosis
You will be asked about your symptoms and medical history. A physical exam will be done. You will also be asked about your family medical history. Your foot will be examined closely. Your doctor may move it around to assess range of motion. You may be referred to a specialist. An orthopedist specializes in bones. Podiatrists specialize in feet. The condition may be caused by a nervous system condition. In this case your doctor may refer you to a neurologist. Images may need to be taken of your foot. This can be done with x-rays.

Non Surgical Treatment
Your podiatrist may use some external devices to stabilize your foot, and provide support for your extra-high arches. These devices may include orthotics (which are prescription shoe inserts specially designed for you, braces (worn outside the foot, these will help keep your foot and ankle stable), and special shoes (usually ones with high tops and wide bases to add stability and support). The podiatrist may also treat secondary symptoms, trimming calluses or suggesting the use of pads to reduce pressure on certain areas of your foot.

Surgical Treatment
The surgeon will listen to your problems, examine you carefully and analyse the exact nature of your deformity and the problems it causes. Surgery for cavus foot is often quite major, especially if the deformity is severe or very stiff.High Arch
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