Foot

Question 1

What are the typical complaints of someone with plantar fasciitis?

Answer 1

plantar, medial heel pain
pain often worse after first steps of the day
aching quality with prolonged standing

Question 2

Who typically gets plantar fasciitis?

Answer 2

middle-aged, somewhat overweight patient
runners

(most common foot problem, can happen to anyone)

Question 3

What is the treatment available for plantar fasciitis?

Answer 3

stretching (esp the calf- gastroc and soleus, achillies) to release strain on plantar fascia
night splint
cushioning with appropriate shoes, activity modification, weight loss, heel cushions or inserts
PT: soft tissue mobilization, U/S, taping
casting to hold in stretched position
PO NSAIDS

Question 4

What is the prognosis for plantar fasciitis?

Answer 4

tends to resolve slowly, often times several months
eventually over 95% will have adequate symptom relief over 6-12 mo
surgery may be indicated if patient also has caves foot

Question 5

What is important to remember about the healing of a 5th metatarsal fracture?

Answer 5

vascularity is best at the mid shaft and at the base, in between is difficult (Jones fracture)

Question 6

What is important to remember about the healing of a 5th metatarsal fracture?

Answer 6

vascularity is best at the mid shaft and at the base, in between is difficult (Jones fracture)

Question 7

Define bunion.

Answer 7

enlargement of the medial aspect of the 1st metatarsal head (hallux valgus)

Question 8

Define bunion.

Answer 8

enlargement of the medial aspect of the 1st metatarsal head (hallux valgus), normal angle is up to 15 deg between 1st and second digits

Question 9

What causes bunions?

Answer 9

heredity
shoes
inflammatory arthritis
connective tissue disorders
post- traumatic