The PLANTAR PLATE is a thickened area of the bottom of the joint capsule, which is a soft tissue envelope around the toe joint. This area can be over stretched or torn leading to local inflammation and pain.
Typically pain is located on the BALL OF THE FOOT and most commonly in the second toe joint. Pain can be felt when pushing directly into the area or during motion.
- Change in toe position
- Most commonly second toe effected.
- Callous are under affected joint.
- Pain in ball of foot/ numbness in toe.
- Excessive mobility in big toe
- Short Big toe.
- Tight calf muscle
- High heeled shoes.
- Increased forefoot load eg. Running.
- Taping toe to stabilize joint 4-6 weeks.
- Orthoses to distribute loading
- Surgical repair
Tailor’s bunion, or Bunionette, is a condition brought about as a consequence of aggravation of the fifth metatarsal bone at the base of the little toe.
It is for the most part like a bunion (the same sort of sickness influencing the big toe). It is called Tailor’s Bunion because in past centuries, tailors sat leg over leg, and this was thought to cause this physiological condition on the outside part of the foot.
It is normally described by inflammation, pain and redness of the little toe.
Frequently a tailor’s bunion is brought on by a flawed mechanical structure of the foot. The fifth metatarsal bone begins to distend outward, while the little toe moves internal. This change in alignment makes an enlargement on the outside of the foot.
Tailor’s bunion is effectively analyzed on the grounds that the bulge is visually evident. X-rays may be requested to help the specialist figure out the seriousness of the damage .
Some of the non-surgical therapies includes.
- Shoe modifications – Wearing shoes that have a wide toe box, and dodging those with pointed toes or high heels.
- Oral solutions – Nonsteroidal anti-inflammatory medications may help in diminishing the pain and inflammation.
- Injection treatment – Injections of corticosteroid are commonly used to treat the inflammation.
- Cushioning – Bunionette cushions put over the influenced area may help lessen the pain.
- Icing – An ice pack may be applied to reduce pain and inflammation.
Surgery is regularly considered when pain proceeds for a long period of time with no improvement in these non-surgical treatments.
Corns in-between the toes happen when contiguous toes rub together. These corns are more predominant where the feet are crushed into pointed or tight shoes.
Since the skin in-between the toes is moderately thin and sensitive, corns that grow there can possibly bring about significant discomfort. Furthermore, since interdigital skin is delicate, it is not extraordinary for corns to show necrotic breakdown/ulceration in the layers beneath the corn, and on events an infection may develop therefore magnifying the level of discomfort.
Following the evacuation of the corn by a Podiatrist, keeping in mind the end goal to keep the corn from continually reappearing, it is key for the patient to endeavor to diminish the pressure over the affected region. Along with avoiding unbefitting footwear, the everyday wearing of an interdigital gel toe separator is the best method for achieving this.
In the event that the corn is removed at regular intervals (every 4-8 weeks) and an agreement is established concerning avoiding tight footwear, and especially if patients are diligent in wearing the gel interdigital separators, then there are few corns in-between the toes that can’t be cured within a couple of appointments.
There are many and varied fractures that occur in the lower limb. Podiatrists are well trained in the assessment and management of lower limb fractures.
Apart from acute fractures such as a broken tibia (shin bone), Podiatrists are often involved in the management of STRESS FRACTURES.
STRESS FRACTURES occur in bone where high and abnormal levels of force create a series of MICRO FRACTURES. Excessive activity, poor foot mechanics, obesity and acute injuries and some of the more common causes.
Over a period of time these MICRO FRACTURES lead to a more chronic bone injury culminating into a STRESS FRACTURE.
Symptoms of STRESS FRACTURES are localized pain, deep aching radiating from the bone and increased pain with activity. In early stages the pain may be vague and as such should be diagnosed immediately.
Common areas of the foot where stress fractures can occur are:
- Metatarsal stress fractures: pain will occur around the middle/front of the foot and is the most common site
- Navicular Stress fracture: pain will occur around the inner/middle area of the foot (the navicular bone)
- Calcaneal stress fracture: pain will be experienced deep into the heel bone
Common Symptoms of stress fractures
- Vague or dull aching in early stages
- Pain increasing with activity
- Night pain in advanced cases
Our expert podiatrists are highly skilled at diagnosing and managing STRESS FRACTURES IN THE FOOT for optimal recovery and return to activity.
Some common TREATMENTS for STRESS FRACTURES IN THE FOOT include activity modification, rest, protection in a cast or camwalker, orthoses and bone healing stimulation techniques.
As the CORRECT DIAGNOSIS is imperative consult one of our podiatrists before continuing with activity.