OUTSTANDING FOOT AND ANKLE TREATMENT
Osteochondritis is a painful disease of the joint where the cartilage or bone in a joint is inflamed. It is a condition that can affect many of the bones and joints of the foot. Osteochondritis of the talus affects the supero-Iateral and supero-medial corners of …
The posterior tibial tendon adducts and supinates the forefoot and inverts the sub-talar joint. Dysfunction of the tendon can be classified into three stages. Stage 1 represents tendonitis. Treatment initially consists of a short period of immobilisation followed by physiotherapy and orthotics. If symptoms persist …
The peroneal tendons are positioned on the lateral (outer) side of the ankle. There are usually three tendons the longus, the brevis and the tertius. Some people have a 4th peroneal tendon, the quartius. This can be risk factor for subluxation or dislocation. Injuries to …
The rheumatoid foot is a whole subject in itself. Ninety per cent of patients with rheumatoid arthritis will have involvement of their feet. This usually affects the metatarso-phalangeal joints of both feet symmetrically. Patients develop hallux valgus deformities with gradual subluxation and dislocation of the …
Excessively high arches can be neuromuscular in origin which causes an imbalance between two pairs of muscles or structural in origin following trauma or underlying deformity. Pes Cavus is used to describe an excessively high medial longitudinal arch. The cavus deformity of the mid foot …
Pes planus is a term used to describe flattening of the medial longitudinal arch. In the child pes planus can be broadly divided into 2 groups – physiological and non-physiological. All infants have flat feet and in the majority an arch will develop by the age of 6 …
Syndactyly can be divided into two types zygosyndactyly and polysyndactyly. Zygosyndactyly consists of complete or incomplete webbing between the toes usually the second or third. It is rarely symptomatic and rarely requires treatment. In polysyndactyly there is often duplication of the fifth toe with webbing between it and …
A mallet toe is a flexion deformity of the distal inter phalangeal joint of a toe. The deformity can be fixed or mobile. In the first instance consideration should be given to conservative treatment with padding, taping and orthotics. In the mobile deformity if conservative measures have …
Metatarsalgia is a term used to describe pain in the forefoot around the metatarsal heads. This can be mechanical or neuritic in nature. Mechanical metatarsalgia can be localised as seen in conditions such as second metatarsal over length or instability of the second metatarso-phalangeal joint. Symptoms can also be …
Hallux rigidus is a term used to describe a painful stiff great toe as a result of osteoarthritis. Osteoarthritis of the great toe can be graded depending on the severity of the symptoms suffered by the patient, the restriction in movement, and the radiological findings. …