M5 Foot & Ankle Flashcards
____ involves miccroscopic tearing of the plantar fascia of the foot
Plantar fasciitis
T/F: The pain of plantar fasciitis is most often experienced when taking the first steps after waking, or after prolonged sitting.
True
What type of bone finding is often associated with plantar fasciitis?
Heel spur
Pay special attention to what tarsals when adjusting for plantar fasciitis?
Navicular and 1st MTP
What soft tissue technique has been shown to be very helpful for patients with plantar fasciitis?
Graston
Hereditary motor and sensory neuropathy is more commonly known as? (An autosomal dominant disease of the muscles and nerves in which certain muscles weaken, while others retain their strength - usually in lower extremity, but could be in upper)
Charcot-Marie-Tooth Disease
Name two common muscles affected by CMT disease in the lower extremity:
- Fibularis brevis
2. Tibialis anterior
Common findings of this condition: high arch (cavus planus), first metatarsal bone can become very prominent, toes can curl (claw toes/hammer toes)
Charcot-Marie-Tooth disease
The ____ test is where you place the patient’s heel and lateral border of the foot on a small raised surface while weight bearing. The 1st, 2nd, and 3rd metatarsals are allowed to hang freely. The Achilles’ tendon is straight in this case, and when you remove the raised surface, the Achilles deviates laterally again.
Coleman Block
____ is a thickening of nerve tissue that develops between the 3rd and 4th metatarsals
Morton’s neuroma
Is Morton’s neuroma more common in men or women?
Women
This is sometimes described as, “I feel like I’m walking on a pebble”
Morton’s Neuroma
T/F: Morton’s Neuroma is most often considered permanent nerve damage.
TRUE
Name two orthopedic tests that can be done to help diagnose Morton’s neuroma:
- Morton’s test (squeeze the foot from the sides to put pressure on the metatarsals)
- Strunsky’s Sign (Dr suddenly flexes the toes - looking for pain I believe)
