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Ankle Foot and Lower Leg Specific Conditions

Mt sesamoid problems can sesamoid occur 2ndary to

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Unformatted text preview: ilor’s Bunion Less common than hallux valgus Little toe angulates toward 4th toe Similarities Similarities Malalignment Flexor tendons Extensor tendons Bones Bunions and Bunionettes Bunions Signs and Symptoms Tenderness Swelling, enlarged Swelling, joint joint Increased angulation/ Increased deformity deformity Painful ambulation Management Individual to each Correct shoe fit Orthotic to correct Orthotic forefoot varus forefoot Felt sponge over Felt affected joint affected Splint or tape Strengthening Strengthening exercises exercises Surgical repair Bunionectomy Plantar Fasciitis Plantar Common term to describe Common pain in the proximal arch and heel and Plantar fascia affected Aka—plantar aponeurosis Maintains stability of Maintains medial longitudinal arch medial Plantar Fasciitis Plantar Etiology Excess tension on Excess plantar fascia plantar Toe extension Longitudinal arch Longitudinal depression depression Dorsiflexion Actively (during gait) 2x body weight Leg length Leg discrepancy discrepancy Excessive pronation Inflexibility of Inflexibility longitudinal arch longitudinal Tight gastroc/soleus Poor shoes Plantar Fasciitis Plantar Signs and Symptoms Anterior/medial heel Anterior/medial pain pain At or near attachment At on calcaneus on Morning (first step) P! Management Deep heel cup Decreases with mvmt Heel spur Heel development development May require extended May treatment treatment Orthotics Taping to reduce Taping symptoms symptoms...
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