Readings - Foot Pain Flashcards
List some likely effective treatments for plantar fasciopathy
- Low dye taping
- Foot orthosis
- Stretching of Plantar Fascia, Gastroc, Soleus
- Self massage with a gold ball or frozen bottle
- Load reduction
- Proximal strengthening ( Tib post. Hip abductors and ER)
A hands on assessment of a calcaneal stress fracture will likely present as ?
- Localised tenderness over the medial or lateral posterior calcaneus
- Pain reproduced by squeezing the posterior aspect of calcaneus
List 5 common causes of mid foot pain
- Navicular stress fracture
- Midtarsal joint sprain
- Lisfranc joint injury
- Tib Post tendinopathy
- Plantar fasciopathy
List 4 not to be missed causes of mid Foot pain
- Lisfranc joint injury
- Osteoid osteoma
- CRPS
- Referred pain from spine
What sports commonly lead to mid tarsal joint sprains
- Gymnasts
- jumpers
- Footballers
What two ligaments are implicated with mid tarsal joint sprains
- Dorsal Calcaneocuboid ligament
2. Bifurcate ligament
The lisfranc ligament is attached to what two bones ?
Medial cuneiform to 2nd metatarsal
What is the common MOI of an indirect lisfranc injury
Longitudinal force sustained while the foot is in PF and slightly rotated
List 5 clinical presentations of a lisfranc injury
- Mid foot pain
- Difficulty weight bearing especially forefoot WB
- Pain on push off phase
- Pain on calf raises
- Pain with combined eversion + abduction of forefoot with calcaneus held still
List clinical features of Tib Post tendinopathy
- Medial ankle pain or mid foot pain
- Pain on resisted inversion
- Lack of hind foot inversion on heel raise
- Difficulty performing heel raise
List clinical features of FHL tendinopathy
- Pain in toe off or forefoot WB over the posteromedial malleolus
- Pain landing from jumps
- Pix on resisted flexion of big toe
- Px on passive DF of big toe
In what sport is FHL tendinopathy common
Ballet
