foot/ankle

Question 1

patient demographics for plantar fasciitis

Answer 1

age: 40-60
women
obesity/pregnancy
long distance running, dancing
prolonged standing on hard surfaces
flat footed or excessively high arches

Question 2

s/s of plantar fasciitis

Answer 2

gradual onset, unilateral or bilateral, stabbing or burning sensation on plantar surface often more in the heel
“first steps of the day”, pain can be diminished with walking

Question 3

plantar fasciitis treatment

Answer 3

adjustments, soft tissue work
cortisone injection, NSAIDs, shock wave therapy, surgery

Question 4

s/s of morton’s neuroma

Answer 4

pain on plantar surface most often between 3rd and 4th digits, usually less pain barefoot, sometimes a mass can be palpated; sharp, numb, tingling, burning, dull ache

Question 5

morton’s neuroma diagnosis

Answer 5

history, observation of hammer toes, flat feet, bunions; passive extension of metatarsalphalangeal joints aggravates discomfort while plantar flexion decreases discomfort

Question 6

ortho tests for morton’s neuroma

Answer 6

morton test, strunskys sign

Question 7

examination of morton’s neuroma

Answer 7

palpate between metatarsals, check ROM, morton’s test, x-ray

Question 8

what ligaments may be affected with an inversion ankle sprain?

Answer 8

anterior talofibular
calcaneofibular
posterior talofibular

Question 9

what ligaments may be affected with an eversion ankle sprain?

Answer 9

deltoid ligament

Question 10

what is a syndesmotic ankle sprain?

Answer 10

high ankle sprain

Question 11

grade 1 ankle sprain

Answer 11

minimal tenderness and swelling, minimal impairment; microscopic tearing of collagen fibers

Question 12

grade 2 ankle sprain

Answer 12

moderate tenderness and swelling, decreased ROM, possible instability, moderate impairment, partial tearing

Question 13

grade 3 ankle sprain

Answer 13

significant swelling and tenderness, instability, severe impairment; complete tear or rupture of ligament

Question 14

treatment of ankle sprain

Answer 14

depends on severity, encourage movement of ankle and weight bearing, therapeutic exercises, laser, shock wave, ems, tape, RICE

Question 15

adjusting for ankle sprain

Answer 15

inversion or eversion?
adjust opposite direction of sprain, use caution with adjusting manually during acute phase, use activator or instrument to adjust early on