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Somatic Dysfunctions of the cuboid in runners

Medial edge glides toward plantar surface; rotates laterally around an AP axis

Somatic Dysfunction of the navicular in runners

lateral edge glides toward plantar surface; rotates medially around an AP axis

Somatic dysfunctions of cuneiforms in runners

most commonly second glides directly towards plantar surface

Over-pronation (aka flat feet)

Arch collapses (Pes Planus)
Talus drops inferior and medially
causes extreme stress on plantar fascia.

Morton's neuroma

Chronic compression/damage to nerve fibers -- fibrosis
between 2-3rd and 3-4th metatarsals
excessive foot pronation and tight footwear
digital dosriflexion may cause pain during propulsive phase of walking/running
"Walking on a marble"

Treatment for Morton's neuroma

wider toe box
metatarsal pads
cortisone injection
excision of the thickened nerve

Morton's Toe

First toe is shorter than second
leads to excessive pressure on the second metatarsal head resulting in painful calus

Tx. of morton's toe

orthotic with 1st toe in extension to redistribute body weight to the 1st toe

Hallux valgus

10:1 F to M, why ? because of heels and tight shoes
Hypermobility of the first metatarsocuneiform


Common among ballet dancers, runners and baseball catchers
pain is focused under the great toe on the ball of the foot
difficulty and pain in bending and straightening the great toe

Treatment of sesamoiditis

manipulation of sesamoids and first MPJ
anti-inflammatories and metatarsal head pad


Often the pain will be most intense first thin in the morning or after prolonged period of rest
excessive stretching of the plantar fascia usually due to overpronation or tight achilles tendon

Heel spurs treatment

determining what is causing the excessive stretching of the plantar fascia

hallux rigidus

degerative type arthritic condition that affects the MTP
limited and painful first toe mobility

Claw toes

MTP extended
DIP and PIP flexed
Tx. towel pulls and marble pickup

hammer toes

contracted PIP

mallet toe

contracted DIP

Two most common foot problems experienced in pregnant women are

edema and overpronation

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