Week 9 - Foot, Ankle & Lower Leg

Question 1

Morton’s Neuroma?

Answer 1

Nerve sheath irritation and fibrosis b/w 3rd/ 4th MT heads

MOI = fallen MT arch, narrow toe-box, sports requiring

Question 2

Morton’s Neuroma treatment?

Answer 2

Tear drop pad
Change shoes
Bone scan to rule out stress #
Surgery

Question 3

Morton’s Neuroma Prevention?

Answer 3

Proper footwear/ orthodics w/ MT arch support
Cross training to avoid excessive weight bearing on balls of feet

Question 4

Bunions (Hallux Valgus)?

Answer 4

MOI = forefoot virus puts pressure on 1st MT head
Small toe box, high heels

S&S
- great toe angled toward second toe
- Swelling of 1st MTP joint
- Redness on medial side, callus

Treatment
- better shoes
orthodic
- doughnut pad
- Taping or toe wedge
- Bunionectomy (surgery) - 2 month recovery - very painful

Prevention
- Good shoes
- Correct biomechanical risk factors

Question 5

Exercise Rehab

Question 6

Restoring full ROM for foot/ ankle?

Answer 6

joint mobilization for toes and ankles
calf stretches

Flexibility –> many conditions can be addressed through calf flexibility

Question 6

Restore msc strength, endurance, power?

Answer 6

Towel crunches, toe extensions, grip/ spread toes, toe raises
Theraband for ankles
eccentric training

Question 7

Reastablish neuromsc control and balance

Answer 7

Balancing
Bare foot
hopping

Question 8

Injury Prevention

Answer 8

Appropriate footwear
Orthotics
Taping/ pads