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How Can You Find Relief?

Common Foot and Ankle Conditions:. How Can You Find Relief?. Your Feet and Ankles are Workhorses. They bear a lot of weight They perform various movements. Common Conditions That Cause Foot/Ankle Pain. Plantar Fasciitis Achilles Tendonitis Tarsal Tunnel Syndrome Flatfeet.

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How Can You Find Relief?

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  1. Common Foot and Ankle Conditions: How Can You Find Relief?

  2. Your Feet and Ankles are Workhorses • They bear a lot of weight • They perform various movements

  3. Common Conditions That Cause Foot/Ankle Pain • Plantar Fasciitis • Achilles Tendonitis • Tarsal Tunnel Syndrome • Flatfeet • Bunions • Hammertoe • Arthritis • Hallux Limitus/ Rigidus

  4. Plantar Fasciitis

  5. Plantar Fasciitis • Most common cause of heel pain in adults • Typically due to repetitive or excessive stress on the foot • Gradual onset of pain at bottom of the heel • Worse when taking first steps in the morning or after prolonged sitting leads to inflammation and pain

  6. Treatment of Plantar Fasciitis • Conservative (nonsurgical): • Shoe inserts • Stretching exercises • Appropriate footwear • NSAID, such as ibuprofen • Rest • Ice • Other (physical therapy, injections, etc.) • Surgical: • If conservative treatment doesn’t work

  7. Achilles Tendonitis

  8. Achilles Tendonitis • Inflammation, often caused by repetitive stress on the tendon • Achilles tendons run down back of lower leg • Symptoms: • Aching, stiffness, soreness or tenderness within the tendon

  9. What Contributes to Developing Achilles Tendonitis? • A tight Achilles tendon • Repetitive stress • Sudden injury • Wearing high-heeled shoes or clogs frequently

  10. Treatment of Achilles Tendonitis • To reduce inflammation: • NSAID, such as ibuprofen • Ice • Rest • Heel lifts • To restore function; to remove precipitating factors: • Physical therapy • Stretching exercises • Night splints/ custom bracing

  11. Tarsal TunnelSyndrome

  12. Tarsal Tunnel Syndrome • Compressed nerve in the tarsal tunnel • Tarsal tunnel is a narrow space inside the ankle • Symptoms: • Tingling, burning, or shock-like sensation • Numbness • Pain (including shooting pain) • Symptoms can occur in one spot, or can radiate to heel, arch, toes, calf

  13. Underlying Causes of the Compression • An enlarged structure • Varicose vein, cyst, swollen tendon, bone spur, etc. • An injury • High arches or flatfeet

  14. Treatment of Tarsal Tunnel Syndrome • Conservative (nonsurgical): • Rest, ice • NSAID, such as ibuprofen • Ankle support • Shoe inserts • Corticosteroid injection • Surgical: • Decompress the nerve

  15. Flatfoot

  16. Flatfoot • Congenital: • A structural abnormality leading to abnormal rearfoot alignment, abnormal joint motion and too much pressure on rearfoot • Acquired: • Often involves progressive weakening of supportive rearfoot structures and gradual collapse of the arch

  17. Treatment of Flatfoot • Conservative (nonsurgical): • Orthotics • Bracing • Functional supports • Physical therapy • Surgical: • Reconstruction

  18. Bunions

  19. Bunions • More than just a bump • Reflects changes in the bony structure • Big toe leans toward second toe, misaligning the bones • More than just a bump • Symptoms: • Pain or soreness • Redness and inflammation • Burning or numbness • Difficulty wearing certain shoes

  20. Bunion Treatment • Conservative (nonsurgical): • Changes in shoewear • Padding • Corticosteroid injection • Orthotics • Surgical: • Bunionectomy

  21. Hammertoe

  22. Hammertoe • Abnormal bend in the 2nd, 3rd, 4th or little toe • Symptoms: • Bend in the toe • Pain / irritation when wearing shoes • Corns and calluses • Redness and inflammation • More severe cases: open sores

  23. Hammertoe Treatment • Conservative (nonsurgical): • Padding • Changes in shoewear • Orthotics • Splinting or strapping • Surgical: • Often bunionectomy and hammertoe correction at the same time

  24. Arthritis in the Foot and Ankle

  25. Arthritis in the Foot and Ankle • Most common in the midfoot, big toe or ankle • An inflammation of the joint • Symptoms: • Pain and stiffness • Swelling in or near the joint • Difficulty walking or bending the joint

  26. Ankle Arthritis Treatment • Conservative (nonsurgical): • NSAID, such as ibuprofen • Rigid ankle bracing • Corticosteroid injections • Surgical: • Fusion (arthrodesis) • Total ankle replacement (arthroplasty)

  27. Hallux Limitus/Hallux Rigidus

  28. Hallux Limitus / Hallux Rigidus • Osteoarthritis in the big toe (the hallux) • Hallux limitus • Motion is somewhat limited • Hallux rigidus • Range of motion decreases • End stage: big toe is stiff

  29. Treatment of Hallux Limitus/ Hallux Rigidus • Conservative (nonsurgical): • Changes in shoewear • Orthotics • Anti-inflammatory medication • Corticosteroid injections • Physical therapy • Surgical: • Joint-sparing procedures; fusion; joint implant, etc.

  30. Shoe Selection

  31. Shoe Selection: What You Should Know • Shoe selection depends on your needs • Some conditions may require custom-made shoes or modifications • Shoes should provide stability and rigidity • No specific company is better • Be sure to test each shoe individually

  32. Effective Relief is Available for Your Foot/Ankle Pain • New England Podiatry Associates • 2 locations: • 1244 Boylston St., Suite 101 • Chestnut Hill, MA 02467 • phone: 617-232 1752 • Newton Wellesley Hospital • 2000 Washington St. • Green Building, Suite 470 • Newton, MA 02462 • phone: 617 630 8280

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