Feet Flashcards
rheumatoid foot signs
synovitis
proteinases and collagenases
impaired integrity of joint capsules/ligaments
destruction of hyaline cartilage
hallux rigidus
how
treatment
OA of 1st MTP
primary of secondary to oesteochondral injury
fusion, stiff soled shoe, removal of osteophytes, joint replacement
what is hallux valgus
deformity of great toe due to medial deviation of 1st MTT and lateral deviation of toe itself
signs on hallux valgus
painful
bunion caused by rubbing - inflamed burn over 1st MTC head
great and 2nd toe rub = ulcerate, skin breakdown
treatment of hallux valgus
wider and deeper shoes
spacer
surgery
pain with walking felt on instep of food and localised tenderness of that part
worse after exercising
plantar fascitis
tinnels test for baxter nerve
plantar fasciitis
treatment for plantar fasciitis
self limiting over 18-24 months
rest, stretches for foot, gel filled heel pad, steroid injection, physio
what is mortons neuroma
irritated nerves - bifurcation of digital nerve
inflame and become a neuroma
symptoms and signs of mortons neuroma
burning pain and tingling into affected toes
loss of sensation in affected web space
mulder click test
treatment of mortons neuroma
insoles, injections, excise
tibialis posteriori tendon dysctunfion is a common cause of what
who does this occur in and what are the symptoms
flat foot
obese elderly women
pain/swelling posterior to medial malleolus. change in foot shape, diminished walking ability/balance, lateral wall impingement pain
treatment of tibialis posterior dysfunction
physio
insole to support longitudinal arch
no steroid injections
surgery
what is pes cavus
abnormally high arch of foot
tendonitis of achilles
how
syx
treatment
overtraining, drugs - cipro, RA, gout, CTDs
pain in main bit of tendon or at insertion into calcaneous
morning stiffness which eases with heat/walking
rest, physio, heel raise, analgesia, orthotics, surgery - self limiting
