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Mortons Neuroma as a Common Condition

The Morton’s or intermetatarsal neuroma is an impingement of the nerve, usually between the 3rd and 4th metatarsal heads. It's because of a fibrosis around the nerve tissue, but it does get termed a ‘neuroma’ even though it is not actually a neuroma. It's more common in females in their forties to sixties, suggesting that more restrictive footwear could possibly be part of the issue.

The primary signs are shooting pains into the toes that progressively gets worse, however it is not always a shooting kind of pain to start with. Signs may differ from one person to another with some just experiencing a tingling of the forefoot, and many simply a slight tingling to burning type pains. Later on there is often an severe pain which can be present much of the time. It usually is between the 3rd and 4th metatarsal heads, but can occur in between any of them. Compressing the ball of the foot from the sides might produce the discomfort and often a click may be felt with the finger of the other hand while compressing the ball of the foot. This is whats called a Mulder’s click.

The cause is suspected to be an impingement on the nerve tissue by the adjacent metatarsal head, setting up a ‘pinched nerve’; the most obvious being using footwear that happen to be too tight round the ball of the feet. Being overweight is also a common finding in people that have a Mortons Neuroma .

 

 

 

Family Health and Chiropractic Care

Obesity is a global epidemic affecting people of all ages. Being overweight or obese has been linked to cardiovascular disease, diabetes and some forms of cancer, and children who are overweight are more likely to be overweight or obese adults. While eating a diet that is low in fat and high in whole-grain fiber, vegetables and lean proteins is important, exercise remains one of the key factors in maintaining a healthy weight. However, many adults and children simply do not get enough exercise during the day. An active lifestyle is often hampered by the prevalence of digital devices or sedentary jobs that encourage more screen time than fitness time and even annoying aches and pains can hinder exercises. But there are ways for the entire family to get fit.

Exercising together is not just a great way for families to get healthy, but also a great opportunity to spend time together. Family chiropractic maintenance care can also be a way to not only stay healthy, decrease pain but also teach good posture habits and improve mobility. The following are a handful of ways families can work together to incorporate more exercise into their daily lives. Weekend hikes, daily walks around the neighborhood, bike rides to the park, competitive games in the park and even family sporting teams can help connect and keep the family healthy.  You can find out more about this subject by asking your favorite Chandler chiropractic clinic.

Great Workout And Motivation Tips

My biggest problem with working out is consistency and motivation.  I seem to have a few months of hard core workouts then fall off for a few months.  It’s always hard to start up again once you’ve stopped but exercise is important for the body, mind and soul.  You have to push yourself everyday and make sure you are carving out time to get exercise in daily.  Here are some wonderful tips I’ve incorporated that have really helped me stay consistent and motivated.  

    Getting up early and working out in the morning has made such a difference in my energy levels throughout the day.  It is VERY hard for me to get up extra early to get in a workout but once I started doing it everyday it got easier.  When you workout in the morning not only do you have more energy, but you are waking up your body that has been sedentary most of the night.  I would recommend a more intense work out in the morning and a quick stretch and relaxation session before bed to help you sleep.  

    Having a workout buddy is also great for motivation and someone else to hold you accountable for your workout goals.  I know if I have a friend joining me for a class I am more likely to show up then when I am going to a class solo.  I also love that I can add friends to my fitbit app and have motivation trying to reach my 10,000 daily steps.  Signing up for a fitness challenge is also a great way to set yourself some goals and have accountability.  Many fitness challenges have weekly check-ins and help to push and reach your limits.  Recently I purchased a “goal” outfit, this is an outfit that I don’t quite fit into yet but can if I lose a few more pounds.  It’s a great way to motivate yourself but hanging it in your room where you can see it as a daily reminder.  

When you workout you are bound to have some aches and pains.  Sometimes I can even stress certain areas of my body that are weak like my shoulders and wrists.  Getting adjusted with my local San Deigo Chiropractor is a great way to ensure my body stays in proper alignment and helps to prevent injury.  Many San Diego Chiropractors also offer physical therapy and massage at the office to help with stretching and loosening tight muscles and promote good blood circulation.  Remember to not be so hard on yourself if you miss a day or two, jump right back in and keep going your body, mind and soul will thank you!   

 

Posterior Tibial Tendon Dysfunction has to be Treated Early

The biomechanics and functionality of the mid-foot of the feet are crucial to normal walking and running gait and biomechanics. The stability of the mid-foot of the foot is maintained by a number of factors, including the alignment of the bones, the ligaments, the muscles as well as the plantar fascia. One of several major muscles in the functional support of the mid-foot of the feet are the posterior tibial muscle. It is a strong muscle that is in the leg. The tendon of this muscle passes on the inside of the ankle joint and attaches below the bones that comprise the mid-part of the arch of the foot, so this particular muscle is really necessary for supporting the mid-foot. In many people, the posterior tibial muscle seems to lose it ability to stabilize the foot, causing a disorder referred to as Posterior Tibial Tendon Dysfunction.

This condition typically commences with a moderate ache in the midfoot or inside of the ankle joint and the arch of the foot progressively collapses and the rearfoot rolls inwards. This is all because of the muscle being unable to do its job effectively. If therapy is not implemented, then the pain and deformity gets worse. In its end stages it usually is very disabling and painful. It eventually has a substantial affect on total well being and also the ability to walk. It is extremely fatiguing as a lot of energy is necessary to walk with this problem.

Since the long term outcomes of this disorder can be so debilitating, it is very important that it's diagnosed as early as possible and therapy begun. The lengthier the delay the harder it is to manage. During the early stages, the only real satisfactory intervention usually are very firm or rigid foot orthotics. They have to be hard as the forces which are flattening the arch are so high that they need to be resisted. A less rigid orthotic will do nothing. A high top hiking or basketball like footwear or boot is also helpful at stabilising the rearfoot. If this is not sufficient then more complicated ankle supports are the next intervention. If this fails or the therapy is started too late, then surgery is often the only suitable treatment at this late stage.

 

 

 

 

 

Why Toe Walking is Common Problem in Kids

There are various causes of toe walking with approximately 10% getting classed as idiopathic, which means that the cause is not known. Certain neurological disorders for example cerebral palsy or muscular dystrophy that can cause the calf muscle to be tight can cause the toe walking. Musculoskeletal conditions such as club feet that is a deformity or severs disease that causes heel pain or just very tight calf muscles may also result in toe walking. There is also a group of kids who are able to get their heels to the ground, but merely would rather walk on their toes. This later one could be associated with behavioural conditions or linked to disorders like the autism spectrum disorders or developmental delay. After all these kinds of possible underpinning disorders are ruled out, the diagnosis of idiopathic toe walking can be made in those who continue to walk on the toes.

The management of toe walking is aimed at the root condition that is underlying it. In cases in which idiopathic toe walking has been identified, there are a variety of options such a behavioural treatments, calf muscle stretching, vibration therapies, plaster casting as well as Botox injections. If all that does not work out, a surgical lengthening of the Achilles tendon can be done. Many cases do usually come right over time, so moderate cases could just be monitored to let it resolve or later make the diagnosis of a disorder that is underlying the toe walking. All cases need to be taken seriously and further looked into.

 

What is The Hallux Rigidus Condition?

Hallux Rigidus is a condition in when the motion at the big toe or hallux joint of the foot is rigid and is usually connected with osteoarthritis. The big toe joint of the feet are actually quite an important joint in the body as it needs to flex so the leg can progress over the feet when walking. If something hinders the motion at that joint, then forward movement is going to be a lot harder and strain could be added to other joints that have to bend more as that joint just isn't bending properly. This could result in pain in the great toe or hallux joint as well as other joints. In addition, it will cause an excessive wear pattern on the shoes. The most important cause of hallux rigidus is commonly a previous injury to the joint. After a while this sets up a process of abnormal use that leads to further damage and osteoarthritis to the joint. Subsequently the limited motion of the joint is even further restricted and the joint becomes rigid with no motion possible.

The simplest way to manage a hallux rigidus is appropriate therapy for the original trauma with excellent rehabilitation and the use of exercises in order to avoid or slow down the developments of the osteoarthritis. When the joint is painful, then medications and injection therapy into the joint can be used for the pain. The use of a firmer sole footwear is often helpful as this decreases the demand on the joint to bend. Some footwear can also have a rocker added to them, so that you will pivot over the rocker and don't need to use the joint as much. If these conservative measures are not helpful, then the alternative is surgical. There are various options here. The easiest, if indicated, is to simply cut off some bone of the top of the joint to allow to move more.

 

 

 

The Key Part of the Management of Cuboid Syndrome

Cuboid Syndrome is a condition in the foot which is commonly poorly recognised and often underdiagnosed. It is not very common, making up lower than 5% of foot conditions. In this condition the cuboid bone is thought to become partly subluxed because of too much traction from peroneus longus tendon which passes around the bone. When a foot is overpronated it is assumed that the cuboid isn't a stable as a pulley once the peroneus longus muscle fires. Because of this the outside part of the cuboid bone is pulled dorsally and the medial part is pulled plantarly. This is more of an overuse type of injury, although the cuboid can also become subluxed as part of an immediate lateral ankle sprain.

Clinically, there is outside foot pain on weightbearing, usually situated around the calcaneocuboid joint and cuboid-metatarsal joints. This could start as vague lateral foot pain. Pressing the cuboid bone upwards from underneath the foot can produce the symptoms and frequently the range of motion is restricted compared to the other side. There have been no x-ray information connected with cuboid syndrome. There are a number of other disorders that can mimic cuboid syndrome, such as sinus tarsi syndrome, a stress fracture or peroneal tendonitis. It is also considered a common symptom following plantar fascia surgical release for recalcitrant plantar fasciitis.

 Management of cuboid syndrome starts off with activity changes, to ensure that activity levels are limited to what can be tolerated. Ice can be used to assist with the initial pain relief. Strapping to immobilize the area is also a excellent first line approach, generally this is followed by foot supports to help stabilize the cuboid bone. There is a specific mobilization that is useful in cuboid syndrome to handle the subluxation, though there is some debate around this method as to just what the manipulation is doing.

 

 

 

 

Cluffy Wedge on Foot Orthotics

Feet are a complicated part of the body since there are numerous small bones that are joined together by a lot of ligaments and moved by a lot of muscles. Furthermore we take the bodyweight on the feet and subject it to so many stresses and strains. To make it even worse we place the foot inside the artificial environment of a shoe. It's for this reason that the profession of podiatric medicine exists since there is just so much which will go wrong with the foot and associated structures. Podiatric physicians make use of a lots of different interventions to treat problems of the feet and lower limb.

Foot orthotics are often used to manage the wide array of conditions that may go wrong with the foot. The purpose of foot orthotics are to improve alignment of the feet towards a more corrected normal alignment or to decrease the stress in structures of the foot which might be causing symptoms so that they can improve. The foot supports achieve this via having different design features which are meant to match the foot. A customized foot orthotic will do that. However, over the counter orthotics can do this, generally by chance. They may or might not match the foot of the person with them in contrast to a custom made insert will. There are many different designs that can be varied, like the elevation of the mid-foot ( arch ) and also the level of shock absorption. There are even designs referred to as Kinetic wedge and Cluffy wedge.

At times the more affordable over-the-counter type supports are better and other times the custom ones are more effective. It will all depend upon the type of the problem, the foot type and shape as well as the advice of a good podiatrist in regards to what is the best choice. When you have an issue with your feet and think you need some foot supports, then go to a good podiatrist.

 

 

 

How Do You Treat Overpronation?

Overpronation is a badly used term that is frequently thrown about in running communities in regards to runner’s feet and the selling of running shoes. Pronation is a natural normal motion that the foot goes through when walking and running. Pronation is the feet rolling inwards at the ankle joint and the mid-foot of the feet collapsing. The body must do this to help adapt to shock.Overpronation happens when there is allegedly a lot of pronation. There isn't any consensus among the specialists just how much is too much and even if it is indeed a problem or not. There are plenty of runners who overpronate that don't have problems.

There is a widespread thought that overpronation adds to the risk for injuries in runners and the evidence is that it does, however it's only a small risk factor and many other factors go into runners having an injury. Due to this alleged risk for injury running shoes have been usually manufactured for mild, moderate and severe overpronators. The most rigid motion control running shoes are designed for the most severe overpronators. Those that have no or minimal amounts of it are thought to be far better off in neutral or stability rather than motion control shoes. This model for the prescription of running shoes is not supported by the evidence and some evidence disagrees with it.

Overpronation is only regarded as an issue if the loads associated with it are enough to harm the tissues. In these cases foot orthoses are generally suggested for the short to medium term and then based on the cause of the overpronation, gait retraining and muscle rehabilitation is used in the medium to long term. Where problems also arise around the use of the term, addititionally there is the problem that there is not one cause of overpronation. There are lots of causes and no one size fits all. Foot supports will work in some people long term. Muscle rehab and gait retraining can work in the long term in others. That's the reason you should figure out the main cause to start with and direct the intervention at this.

 

 

 

 

A Mortons or intermetatarsal neuroma

The Mortons or intermetatarsal neuroma is an impingement of the nerve, usually between the 3rd and 4th metatarsal heads. It's because of a fibrosis around the nerve tissue, but it does get termed a ‘neuroma’ even though it is not actually a neuroma. It's more common in females in their forties to sixties, suggesting that more restrictive footwear could possibly be part of the issue.

The primary signs are shooting pains into the toes that progressively gets worse, however it is not always a shooting kind of pain to start with. Signs may differ from one person to another with some just experiencing a tingling of the forefoot, and many simply a slight tingling to burning type pains. Later on there is often an severe pain which can be present much of the time. It usually is between the 3rd and 4th metatarsal heads, but can occur in between any of them. Compressing the ball of the foot from the sides might produce the discomfort and often a click may be felt with the finger of the other hand while compressing the ball of the foot. This is whats called a Mulder’s click.

The cause is suspected to be an impingement on the nerve tissue by the adjacent metatarsal head, setting up a ‘pinched nerve’; the most obvious being using footwear that happen to be too tight round the ball of the feet. Also excessive movement of the metatarsal heads may also be a factor, particularly during sporting exercise. Being overweight is also a common finding in people that have a Morton’s Neuroma.

Traditional treatment generally begins with advice on the correct fitting of shoes and the use of metatarsal pads or domes. The shoes needs to be wide enough to stop the compression of the metatarsal heads and if possible have a lower heel height. If that is not helpful, then a surgical excision of the neuroma is advised. From time to time the Mortons neuroma is helped by injection therapy to try and break down the neuroma and cryosurgery is also sometimes tried.