Treatable tissues Flashcards
What are the s/s of plantar fasciitis?
- heel/arch pain that worsens on initial WB
- TTP at calcaneal tubercle
- pain with sustained walking/standing
What can decrease pain with plantar fasciitis?
walking
(pes cavus/planus) What is plantar fasciitis most commonly found with?
pes cavus
Tibialis Tendonitis/dysfunction is most common in (pes cavus/pes planus) feet.
pes planus
What is usually present with tibialis tendonitis/dysfunction?
Navicular drop
valgus stance
forefoot ABD
gait dysfunction/no forefoot propulsion
What is the common orthosis used for tibialis tendonitis?
arizona brace
Where does a person experience pain if they have tibialis tendonitis/dysfunction?
medial deltoid ligament
and/or
spring ligament
For mild to moderate tibialis tendonitis strains, use _____ and ____ for treatment.
orthotics and shoes
For tendon failure/gross deformity with a Dx of tibialis tendonitis, use _____, ___, and/or _____ for treatment.
shoes, bracing, surgery
definition: Forefoot pain with loading/weight-bearing.
metatarsalgia
What are common interventions to treat metatarsalgia?
orthosis
shoes
modalities
Manual therapy
exercist
gait training
skin care education
definition: splayed forefoot
metatarsal/transverse arch collapse
definition: MTP EXT, PIP/DIP FLX
claw toe
definition: MTP EXT, PIP FLX, DIP EXT
hammer toe
definition: DIP FLX
mallet toe
Are toe deformities primary or secondary?
secondary
definition: Forefoot symptoms that include referred sx (numbness, pain, burning, etc.) generally into the toes.
neuromal irritation
(true/false) metatarsalgia and neuromal irritation can occur with or without deformity present
true
Symptoms of neuromal irritation increase with palpation of the ______ and/or when performing the _______.
intermetatarsal space
forefoot squeeze test
(true/false) s/s of neuromal irritation in the foot are relieved in NWB positions
False ( can still remain irritable with NWB)
definition: Classic bunion deformity with valgus drift of the great toe; altered FHL tendon position/function.
hallux abductovalgus deformity
definition: Functionally fused 1st MTPJ due to bony/capsular restriction.
hallux rigidis
definition: hallux restriction in WB related to mechanical alignment/issues
functional hallux limitis
definition: hallux restriction in NWB related to capsular &/or bony abnormality.
structural hallux limitis
definition: the result of exostosis of the 1st met head causing drift of the phalynx.
bunyon
definition: Benign outgrowth of bone; most commonly medial and dorsal on the 1st & 5th met heads.
exostosis
- Exostosis with mobility is often (pain-free/painful).
- Exostosis with rigidity may be (pain-free/painful) if position is functional.
painful, pain-free
definition: Bunions occurring at the 5th toe that is commonly related to shoe fit
bonionettes
How does one treat hallux abductovalgus deformity?
non-custom silicone separator
definition: focal pain/tenderness at the plantar base of the 1st met head with pressure/WB.
sesamoiditis
What treatments can be used for sesamoiditis?
manual therapy
exercise
gait training
shoes
orthotics
definition: crack in the sesamoid bone that is mostly asymptomatic
bi-partite sesamoid
Bi-partite sesamoid is rare in the (tibial/fibular) sesamoid bone
fibular
Most often, achilles tendonitis is idiopathic with a (rapid/gradual) onset… consider mechanial origin as the cause
gradual onset
What treatments are used for achilles tendon dysfunction?
taping
modalities
Manual therapy
exercise
gait training
What can haglund’s deformity be mistaken as?
bursitis or achille’s tendon rupture
–> can cause bursitis due to friction
definition: Neurovascular alteration of the midfoot typically associated with DM.
This is a progressive disorder….deformity occurring during the active process is irreversible
charcot foot
What are the s/s of charcot foot?
- abrupt onset of erthema, edema, and planus foot position
- non painful due to neuropathy
- osseous reformation
- rocker bottom
- plantar wound
definition: bony deformity of the heel
haglund’s deformity
