Musculo-Skeletal Problems

Achilles Tendinitis:
Inflammation of the tendon that runs from your calf muscle to the heel bone.

Symptoms: Constant pain with swelling over the tendon, heat and redness may also be present.
Cause: Tight calf muscles, direct trauma, overuse and improperly fitted shoes.
Treatment: Reduce activities, take an anti-inflammatory medication, massage the area with ice.
Prevention: Stretch regularly and wear proper fitting shoe gear.


Bunion:
A growth of bone behind and on the inside of the big toe joint.

Symptoms: Pain with walking or standing on the side or in the big toe joint.
Cause: The alignment of your foot bones, the way your foot functions and poor fitting shoes.
Treatment: A wider shoe to accommodate the bump and an orthotic to help control your foot function. When these measures do not relieve the pain, surgery may be necessary.
Prevention: In a poorly aligned foot, properly fitting supportive shoe gear is extremely beneficial.


Haglund Deformity "Pump Bumps":
A bony bump in the back of the heel.

Symptoms: Pain in the back of the heal when wearing shoes.
Cause: Foot types that cause a change in the alignment of the heel bone and cause irritation in the back.
Treatment: Padding either in your shoe or placed around the bump. If this does not work, see a medical specialist. You may need additional care to reduce the inflammation. In severe cases, surgery is needed to shave off the bump.
Prevention: Shoes that match your foot type and do not have a firm heel counter.


Hammertoes: A contraction of bending of your lesser toes.

Symptoms: The contracted toe causes friction in shoe gear and becomes painful.
Cause: Poor foot function causes the toe to buckle. Over time, the bent toe gets fixed in this position.
Treatment: Early treatment to prevent the toe from being fixed in this position. An orthotic device (shoe insert) is helpful to correct the biomechanical problem.
Prevention: Shoe gear with a wide toe box and good support.


Heel Spur / Plantar Fascitis: Inflammation of the fascia that runs from the heel bone to the base of the toes.

Symptoms: Pain in the sole of the foot that becomes localized to the inside of the bottom of your heel. It will hurt when you first start walking in the morning or after you have been sitting for a period of time. The pain lessens as you use the foot.
Cause: Abnormal foot function that leads to excessive foot motion and strains the fascia.
Treatment: Supportive shoe gear that controls the excessive motion. An orthotic may be necessary to help with the control. Also, Injection Therapy can be used to control acute inflammation.
Prevention: A stretching program that stretches both the plantar fascia and the calf muscles, and the above mentioned shoes.


Metatarsalgia: Pain in the ball of your foot.

Symptoms: The feeling that you are walking on a pebble or generalized pain across the whole ball of your foot.
Cause: A metatarsal bone that is lower than the others or atrophy of the fat pad.
Treatment: Padding that reduces pressure to the injured area.
Prevention: Wear well cushioned shoes with a soft midsole.


Neuroma: A pinched or irritated nerve in-between two metatarsal heads.

Symptoms: Tingling or numbness at the ball of the foot just behind your toes. Squeezing the ball of your foot from the sides will be painful.
Cause: Poor foot function pinching the involved nerve.
Treatment: A metatarsal pad to relieve pressure to the area, an orthotic to control the poor function. Cortisone injections and as a last resort surgery may be necessary.
Prevention: Supportive shoe that controls your foot.


Sesamoid Pain: Pain involving the small bones located behind and under the big toe joint.

Symptoms: A sharp pain in the ball of your foot when walking or trying to raise up on your toes.
Cause: Foot types that do not absorb shock well or the bone may be fractured.
Treatment: Shoes with a softer midsole to help absorb the shock. If the bone is fractured, immobilization will be necessary.
Prevention: Shoe gear with good foot cushioning and a soft midsole.


Tailor's Bunion: A growth of bone behind and on the outside of the little toe joint.

Symptoms: Pain with walking or standing on the side or in the little toe joint.
Cause: Wide feet, the way your foot functions, and poor fitting shoes.
Treatment: A wider shoe to accommodate the bump and an orthotic to help control your foot function. When these measures do not relieve the pain, surgery may be necessary.
Prevention: If not poorly aligned foot bones, properly fitting supportive shoe gear is extremely beneficial.


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30 Industrial Drive, Middletown, NY 10941 Phone: (845) 692-3338 (MY2-FEET) Fax: (845) 692-5549

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