Physical Therapy Tips

Cyclo-oxygenase-2 (COX-2) inhibitors, drugs which specifically target the COX-2 isoenzyme, were developed as an alternative to traditional NSAIDs due to their potential for less gastrointestinal toxicity. However, as an increase in cardiovascular disease was seen with certain agents, rofecoxib was withdrawn from the worldwide market in September 2004. The other COX-2 inhibitors and traditional NSAIDs are currently under close scrutiny for the emergence of data suggesting similar effects.2 Intra-articular corticosteroid injections, following joint aspiration, are frequently used with excellent response and minimal side effects. Sepsis must be excluded prior to injection, with urgent Gram stain and culture of synovial fluid if infection is considered a possibility.

As you age, your body changes in many ways, sometimes for the worse. One of the less desirable changes your body may undergo is the development of bone spurs. Bone spurs are not in themselves painful, so you may not know you have one. However, if it compresses your nerves and bones it can cause many symptoms. Knowing these symptoms can help you determine if you have a bone spur and if medical attention is necessary. Spondylolisthesis is a spinal condition characterized by the abnormal slippage of one lower-back vertebra in relation to another. The prognosis (outlook) for the disorder varies with the severity and progression of the slippage present.

A flat foot is the most common foot deformity known. This condition can occur in one or both of your feet. Flat feet is known as pes planus , and simply refers to a loss of the arch on the bottom of the foot. If persistent throbbing pain is present in the arch region, especially during activity, you may be feeling the signs of a weakening arch. The mainstream treatment for flat feet or weak arches is orthotics. Orthotics is artificial arch supports inserted into footwear. These inserts can either be over the counter or made from a custom mold or measurement of your foot.

Flexible flat feet generally do not require any treatment at all. Special shoes, shoe inserts and exercises do not lead to flat foot correction. For children younger than eight, physicians tend to recommend observation only. Doctors may recommend orthotics (shoe inserts) for middle- or high school-aged children with pain which seems to be due to flat feet. Orthotics provide support to the arch of the foot and decrease the amount of pronation (ankles rolling inward). Pes planus (also called flat foot ) is a deformity of the foot where the longitudinal arch of the foot is abnormally flattened. Pathologypes planus symptoms

Sinus tarsi syndrome is often a clinical finding observed in people affected by trauma to the foot or poor foot biomechanics. The best way to lower the incidence of this condition is to seek medical assistance for proper treatment of ankle sprains or other injuries. Correction or treatment of structural foot abnormalities will go a long way in lowering the risk of this foot problem. This group has devices that offer relief to minor pains and foot injuries. They are usually used to correct problems in children. The devices include night bars and splints. They offer support and promote adjustments for minor abnormalities.

Related to plantarfasciitis is a heel pain or spur. The longitudinal ligament hasit’s origin on the plantar anterior surface of the calcaneum(heel) bone. When the ligament is stretched too far, it pulls onthis attachment area. It can become inflamed and sore. If theproblem persist, the body may try to heal it by reinforcing theattachment area by adding bone. This is just as the body heals afractured bone. A hormone is secreted that is drawn to theinflammation site. Chemically this hormone draws calcium out ofthe blood stream and deposits it in layers over time to theinjured area. If the process continues long enough a spur of bonemay be laid down.

Other terms for over-pronation are ‘fallen arches’, ‘dropped arches’ or ‘collapsed arches’. The term ‘flat feet’ is also often used. However, a true ‘flat foot’ is very rare. In fact, less than 5% of the population have completely flat feet ( Pes Planus ) with no arch present whatsoever. Most of us (90%) have a normal to low arch and only 5% have a high arch. People with a high arch ( Pes Cavus) are also called ‘over-supinators’. This means that the foot stays rigid at all times and lacks its natural shock-absorbing mechanism.

Osteonecrosis (death of subchondral bone of unknown cause) of the femur may present with sudden severe medial compartment knee pain that is constant (day and night). Bone scan shows increased uptake in the femoral condyle. Nerve injuries causing medial joint pain include trauma to the saphenous nerve or injury during knee surgery, especially arthroscopy. Pain can be reproduced with Tinel sign. One case report documents distal tibial pain from entrapment of the saphenous nerve caused by pes anserine bursitis. Medial knee pain associated with back pain also could represent an L3-L4 radiculopathy. Electrodiagnostic testing such as electromyography (EMG) and nerve conduction velocity tests may be useful.pes planus

Lateral subtalar dislocation — With proper treatment, most people recover without severe long-term complications or disability. In some cases, there is continuing stiffness in the area of the foot arch, but this does not necessarily cause pain or difficulty in walking. The risk of long-term problems is lowest in people who have at least three weeks of aggressive physical therapy after their casts are removed. Additional Info Pain is the most obvious symptom from these conditions but a doctor may be able to give a full diagnosis and advice on effective treatments. The doctor should also be able to eliminate other problems and identify the root cause after examination.

The ABC’s Of Foot Pain

Three studies (see citations below in military section) of military recruits have shown no evidence of later increased injury, or foot problems, due to flat feet, in a population of people who reach military service age without prior foot problems. However, these studies cannot be used to judge possible future damage from this condition when diagnosed at younger ages. They also cannot be applied to persons whose flat feet are associated with foot symptoms, or certain symptoms in other parts of the body (such as the leg or back) possibly referable to the foot. Flat feet in children edit

After a week or two of minimizing time on your own feet, stretching the tissues (observe below) and reducing inflammation, you should be able to get out and walk comfortably by the end of each day, provided you wear a heel cushion in supportive, soft-soled shoes. Breathable socks – which keep your feet as dry as you possibly can – also play an important role in running, notes Scola who individually prefers wearing breathable socks with cushioned heels to stop calluses. Active foot rolling. The patient tries to draw an ” with his/her big toe in sitting position. For the right foot clockwise; for the left foot anti-clockwise.pes planus radiology

The Human Foot by Dr. Dudley J. Morton, book that Dr. Burton S. Schuler of Panama City Fl Based his work on As Dr. Morton wrote in his 1935 book The Human Foot, “Laxity of the plantar ligaments of this segment affects both the longitudinal arch, by impairing the stability of the foot as a base of support, and the fore part of the foot, by causing an improper distribution of weight upon the metatarsal bones. In other words if you do have hypermobility at the first metatarsal bone, you will have improper weight bearing, and in turn, will lose the stability needed in supporting the arch.

People with flat feet often experience a variety of symptoms which affect the way they walk, the way their body feels and the way they wear out their shoes. They may not realize that what is causing their problem is the change in the anatomy of either one or both of their feet, leading to inflammation at the bottom of the feet and heel pain. What are Flat Feet? Painful flat feet in children may be caused by a condition called tarsal coalition. In tarsal coalition, two or more of the bones in the foot fuse together. This limits motion and often leads to a flat foot.

The Department of Foot and Ankle Surgery at Kaiser Permanente Santa Rosa will often recommend initiation of non-surgical treatment measures in a child that a) has symptomatic (painful) pes plano valgus or b) in cases where symptoms may be minor or absent, but the foot alignment abnormality is significant. Surgery is not commonly recommended and often reserved for children over age 5 or adolescents that have continuing symptoms (pains), despite a non-surgical care program. Modify activities. Decrease the time spent in activities that put added stress on the feet (PE, sports, play). Convert impact exercise to non-impact exercise – stationary cycling, swimming, and pool running are acceptable alternatives.