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April 16 2015

jhopson88

Does Posterior Tibial Tendon Dysfunction (PTTD) Always Need To Have Surgical Teatment ?

Overview
Noticed that your foot is getting flatter and more painful? Do you have difficulty walking or performing exercise activity without leg and arch pain? Have you heard the term "fallen arches"? All of these things refer to a condition known as posterior tibial tendon dysfunction. This is an inflammation and overuse syndrome of one of the long tendons that pass from the leg around the inside of the ankle and attaches to the inside arch of the foot. The posterior tibial tendon?s job is to help support the arch and allow for more efficient gait. Acquired flat feet

Causes
Adult flatfoot typically occurs very gradually. If often develops in an obese person who already has somewhat flat feet. As the person ages, the tendons and ligaments that support the foot begin to lose their strength and elasticity.

Symptoms
Symptoms shift around a bit, depending on what stage of PTTD you?re in. For instance, you?re likely to start off with tendonitis, or inflammation of the posterior tibial tendon. This will make the area around the inside of your ankle and possibly into your arch swollen, reddened, warm to the touch, and painful. Inflammation may actually last throughout the stages of PTTD. The ankle will also begin to roll towards the inside of the foot (pronate), your heel may tilt, and you may experience some pain in your leg (e.g. shin splints). As the condition progresses, the toes and foot begin to turn outward, so that when you look at your foot from the back (or have a friend look for you, because-hey-that can be kind of a difficult maneuver to pull off) more toes than usual will be visible on the outside (i.e. the side with the pinky toe). At this stage, the foot?s still going to be flexible, although it will likely have flattened somewhat due to the lack of support from the posterior tibial tendon. You may also find it difficult to stand on your toes. Finally, you may reach a stage in which your feet are inflexibly flat. At this point, you may experience pain below your ankle on the outside of your foot, and you might even develop arthritis in the ankle.

Diagnosis
The diagnosis of posterior tibial tendon dysfunction and AAFD is usually made from a combination of symptoms, physical exam and x-ray imaging. The location of pain, shape of the foot, flexibility of the hindfoot joints and gait all may help your physician make the diagnosis and also assess how advanced the problem is.

Non surgical Treatment
Initial treatment consists of supporting the medial longitudinal arch (running the length of the foot) to relieve strain on the medial soft tissues. The most effective way to relieve pain on the tendon is to use a boot or brace, and once tenderness and pain has resolved, an orthotic device. A boot, brace, or orthotic has not been shown to correct or even prevent the progression of deformity. Orthotics can alleviate symptoms and may slow the progression of deformity, particularly if mild. The deformity may progress despite orthotics. Flat feet

Surgical Treatment
If initial conservative therapy of posterior tibial tendon insufficiency fails, surgical treatment is considered. Operative treatment of stage 1 disease involves release of the tendon sheath, tenosynovectomy, debridement of the tendon with excision of flap tears, and repair of longitudinal tears. A short-leg walking cast is worn for 3 weeks postoperatively. Teasdall and Johnson reported complete relief of pain in 74% of 14 patients undergoing this treatment regimen for stage 1 disease. Surgical debridement of tenosynovitis in early stages is believed to possibly prevent progression of disease to later stages of dysfunction.

June 10 2014

jhopson88

Foot Care

Are you one of those people who are said to be flat footed? Having a flat foot is a condition where the foot does not have a normal arch. You may find it affects just one or both feet The arch is the gap between the inner side of the foot and the ground when standing up. There are many people who have very low arches and some who have no arches and are termed flat-footed. Flat-footedness may be hereditary so check your family history. It may also be the result of abnormal walking conditions caused by incorrect development of the foot In this day and age, there seem to be dog supplies with all sorts of uses, corresponding to every need your pet has. The dog is not only taken care of but is also pampered. You, as the modern pet owner, want the best for your pet. So, your list of dog supplies should include a variety of items, tools, and food supplies. The meals you provide for your pooch are more important than you might realize. If he does not receive the right vitamins and nutrients, his health and vitality can quickly plummet. Once that happens, his body will become far more susceptible to diseases, viruses, and other problems. Rheumatoid arthritis is a disease of the joints where they get inflamed and causes sudden pain in the area. This is common to people who are aged 30 and up. This disease of the joint is associated with several rheumatoid arthritis symptoms that helps us determine when we are affected with it. read more For podiatry treatment in London, you must visit a podiatrist who holds a degree in podiatry from a recognized school. While podiatrists with a bachelor's degree in the subject and sufficient clinical training can undertake all types of non-invasive treatment, to perform invasive foot surgery, a podiatrist should complete post graduation education and training.foot hard skin peeler When first diagnosed with type 2 diabetes , Garcia's hemoglobin A1C levels (a measure of blood sugar levels for the previous two to three months) were 16 percent. Someone without diabetes generally has levels below 6 percent. His last A1C was 5.6 percent. And, his triglycerides were down to normal, at 133. Garcia said he's still very careful about what he eats. He tries to stay away from meat and processed foods. A typical day's diet begins with a protein drink and a banana, followed by a salad for lunch and a Portobello mushroom quesadilla for dinner. If you have been battling the burn and itch of athlete's foot for two weeks or more without any resolution, then even if you have had athlete's foot before, you simply must see your health care provider. You doctor will be able to tell if you have something more than just your garden variety athlete's foot going on. Proper athlete's foot treatment can help you to regain control of your feet again. Adequate and appropriate treatment can stop the itching and burning and can put a smile back on your face! Horses are wonderful and impressive animals and one can write poetry about the grace and elegance with which they appear to glide over the wide fields. However, horses are women on makeup. A makeup may make a woman look stunning but without it, she will not find her previous beauty. As odd a comparison as that may be, horses also need us to be their "makeup". Diabetes is not just a human disease. It is also prevalent in canines. In general, the most afflicted with diabetes are older dogs and certain breeds such as Poodles, Old English Sheepdogs, Golden Retrievers, Daschunds, Miniature Pinscher, Schnauzer and Beagles. To get rid of corns, firstly you need to stop it of developing further, for that you need to find its cause. If it had happened due to poorly fitting shoes, it better to change it with good fitting with cushioned one. But this alone will not do; now you need to take some extra precautions for existing corns, like reducing pressure and friction on the hard skin which can be done by giving it extra cushion and wearing good pair of soft shocks. It will not only make you comfortable but also prevents the corns to develop more and get harder.
Tags: Foot Hard Skin

February 20 2014

jhopson88

Feet Painfulness

Morton's Neuroma presents symptoms of pain and numbness in the toes, and it occurs when the nerve between the third and fourth metatarsal bones are continuously or repeatedly compressed. Occupational hazards and your foot structure can be contributing causes. Once again, footwear is often the culprit. This is a very painful condition, and walking with the pain can aggravate the situation. Removing the shoes and rubbing the affected area may provide temporary relief, but this is not a permanent solution. In most cases, orthotic devices can provide relief. However, in more severe cases, the professional care of a podiatrist is recommended to overcome this problem.

Clawfoot and Abnormally High Arches. Clawfoot, or pes cavus, is a deformity of the foot marked by very high arches and very long toes. Clawfoot is a hereditary condition, but it can also occur when muscles in the foot contract or become unbalanced due to nerve or muscle disorders. An overly high arch (hollow foot), in general, can cause problems. Army studies have found that recruits with the highest arches have the most lower-limb injuries and that flat-footed recruits have the least. Contrary to the general impression, the hollow foot is much more common than the flat foot.

General Guidelines. Nonsurgical treatments for heel pain are effective in 90% of patients. The American Orthopaedic Foot and Ankle Society (AOFAS) suggests trying shoe inserts, medications, and stretching first. One study found that 95% of women who used an insert and did simple exercises that stretched their Achilles tendon and plantar fascia experienced improvement after eight weeks. If these methods fail, then the patient may need prescription heel orthotics and extended physical therapy. Heel surgery to relieve pain may be performed for heel spurs, plantar fasciitis, bursitis, or neuroma. Surgery is not recommended until nonsurgical methods have failed for at least six months and preferably 12 months.footpain

If you're experiencing foot pain in the morning, see your doctor to rule out a stress fracture, particularly if you've recently increased the intensity of your exercise routine. If you've been diagnosed with plantar fasciitis, try conservative treatments such as orthotics and ice before considering measures such as corticosteroid Plantar Fasciitis injections which are sometimes associated with complications. Non-steroidal inflammatory medications can relieve pain and reduce inflammation, but also increase the risk of stomach irritation and bleeding from the digestive tract. As an alternative, try using tart cherries, tumeric, and fish oils to reduce inflammation and pain.

To get at the source of the problem, you have to give your arch some help and support. Try wearing an arch strapping This will add support to your arch. If the strapping does not provide enough relief, pick up some arch supports. You should be able to find them (probably by Dr. Scholls) at a drug store. They raise the arch and shift burden off the heel. By wearing these you also give the fascia a little slack - the arch doesn't have to stretch as far. If the strapping and the arch supports together are not enough, try adding heel pads.

Avoiding foot pain before it begins is the most effective way to prevent expensive surgeries later on. Despite the fact that many people disregard foot pain for weeks, pretending that the pain isn't there or hoping it would just go away are inadequate reactions to the foot pain situation. There are plenty of ways to help your feet stay strong, healthy, and pain-free with only a few changes to your daily routine. Here are a few reasons why metatarsalgia occurs, how to cure foot conditions such as Achilles tendinitis, and how minor changes, for instance using high heel insoles, can help.

An ideal way of relieving tired and achy feet is to massage them. The mild movement of the muscle fibers opens up the flow of blood to the region. Massage also carries healing, oxygen-rich blood into the whole foot. Once muscles are relaxed, nerve endings can begin to decrease how often they are firing and pain relief results. If muscles and nerve endings are particularly irritated by a certain pair of shoes or an activity, swelling will be present. In that case, it is advised to use ice packs or frozen vegetables to decrease inflammation.
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