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18 terms

OPP - The Foot

STUDY
PLAY
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
NSAIDs
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
Sesamoiditis
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
Plantarfasciitis
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