http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&feed=atom&action=historyArch Pain Causes Symptoms And Treatments - Historial de revisiones2024-03-29T05:43:10ZHistorial de revisiones para esta página en el wikiMediaWiki 1.24.1http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=12643&oldid=prevChristen38G en 04:12 12 jun 20172017-06-12T04:12:46Z<p></p>
<a href="http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=12643&oldid=11780">Mostrar los cambios</a>Christen38Ghttp://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=11780&oldid=prevEveretteCurry69 en 22:30 11 jun 20172017-06-11T22:30:36Z<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Revisión anterior</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revisión de 22:30 11 jun 2017</td>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><del class="diffchange diffchange-inline">One </del>of <del class="diffchange diffchange-inline">those often-painful soft tissue that attaches to </del>[http://<del class="diffchange diffchange-inline">foregoingnanny502</del>.<del class="diffchange diffchange-inline">Snack</del>.<del class="diffchange diffchange-inline">ws</del>/<del class="diffchange diffchange-inline">contracted</del>-toe-<del class="diffchange diffchange-inline">surgery.html </del>heel spurs] <del class="diffchange diffchange-inline">at the bottom of the foot is called "</del>plantar <del class="diffchange diffchange-inline">fascia". Fascia, located throughout the body, is </del>a <del class="diffchange diffchange-inline">fibrous connective tissue similar to a ligament. You can see fascia when you handle meat. It is the white</del>, <del class="diffchange diffchange-inline">connective tissue separating layers of meat or attaching to bones. The "plantar" fascia in our bodies is that fascia which is seen on the bottom </del>(or <del class="diffchange diffchange-inline">plantar portion</del>) <del class="diffchange diffchange-inline">of the foot</del>, <del class="diffchange diffchange-inline">extending from the heel bone to the ball of the foot. Compared to other fascia around the body, plantar fascia is very thick </del>and <del class="diffchange diffchange-inline">very strong. It has to be strong because of the tremendous amount of force it must endure when you walk</del>, <del class="diffchange diffchange-inline">run or jump</del>. <del class="diffchange diffchange-inline">But while the plantar fascia is a strong structure, it </del>can <del class="diffchange diffchange-inline">still get injured</del>, <del class="diffchange diffchange-inline">most commonly when it is stretched beyond its normal length over long periods of time. When plantar fascia is injured</del>, <del class="diffchange diffchange-inline">the condition is called "plantar fasciitis", which is usualy pronounced either "plan-tar fash-I-tis" or "plan-tar-fash-ee-I-tis." (Adding "-itis" to the end of a word means that structure is inflamed.) It is sometimes known more simply as 'fasciitis'. Plantar fasciitis is the most common type of arch pain</del>.<br><br><br>Causes<br><del class="diffchange diffchange-inline">Also known as pes planus, this </del>is <del class="diffchange diffchange-inline">when the arch </del>of the <del class="diffchange diffchange-inline">foot collapses completely dropping the whole sole </del>of the <del class="diffchange diffchange-inline">foot down </del>to the <del class="diffchange diffchange-inline">ground</del>. <del class="diffchange diffchange-inline">Flat feet are a common cause </del>of <del class="diffchange diffchange-inline">foot arch </del>pain<del class="diffchange diffchange-inline">. Babies are born with flat feet and as they grow, the foot arches should gradually form, but </del>in <del class="diffchange diffchange-inline">approximately 30% of </del>the <del class="diffchange diffchange-inline">population, </del>they <del class="diffchange diffchange-inline">never do. They can also develop later in life, due to illness, pregnancy, injury, excessive stress on the feet or as part </del>of <del class="diffchange diffchange-inline">the aging process</del>. <del class="diffchange diffchange-inline">Many people who have flat feet don?t complain </del>of <del class="diffchange diffchange-inline">any accompanying symptoms, but some develop foot </del>arch pain<del class="diffchange diffchange-inline">, </del>or <del class="diffchange diffchange-inline">problems further up the leg such as knee pain or back pain. They may find their </del>feet <del class="diffchange diffchange-inline">tire quickly when they are standing or walking, and that it is difficult to rise up onto their tiptoes</del>. <del class="diffchange diffchange-inline">Someone who is experiencing pain on </del>the <del class="diffchange diffchange-inline">bottom </del>of the foot <del class="diffchange diffchange-inline">or elsewhere due to their </del>flat <del class="diffchange diffchange-inline">feet can benefit from exercises and orthotics (specially designed insoles to correct </del>the foot <del class="diffchange diffchange-inline">position) as well as walking barefoot rather than in shoes</del>. <del class="diffchange diffchange-inline">A quick test </del>to <del class="diffchange diffchange-inline">see if you have flat </del>feet <del class="diffchange diffchange-inline">is to put your foot </del>in a <del class="diffchange diffchange-inline">tray </del>of <del class="diffchange diffchange-inline">water </del>and <del class="diffchange diffchange-inline">then place it </del>on <del class="diffchange diffchange-inline">a smooth level surface e</del>.<del class="diffchange diffchange-inline">g. thick paper. Have a look at your footprint</del>, the <del class="diffchange diffchange-inline">more of the sole of the foot </del>that <del class="diffchange diffchange-inline">you can see, </del>the <del class="diffchange diffchange-inline">flatter your foot</del>.<br><br>Symptoms<br><del class="diffchange diffchange-inline">Common </del>symptoms <del class="diffchange diffchange-inline">of plantar fasciitis include pain in </del>the <del class="diffchange diffchange-inline">morning </del>when <del class="diffchange diffchange-inline">you first get out </del>of <del class="diffchange diffchange-inline">bed, pain and stiffness when you start to walk after sitting </del>for <del class="diffchange diffchange-inline">a while</del>, <del class="diffchange diffchange-inline">increasing arch or heel </del>pain <del class="diffchange diffchange-inline">toward the end of the day, tired feet </del>at the <del class="diffchange diffchange-inline">end </del>of the <del class="diffchange diffchange-inline">day</del>. <del class="diffchange diffchange-inline">Other causes of arch and heel </del>pain <del class="diffchange diffchange-inline">include arthritis, infection, fractures </del>and <del class="diffchange diffchange-inline">sprains, and even certain systemic diseases</del>. <del class="diffchange diffchange-inline">Since there are multiple possible causes, you should see your podiatrist for </del>a <del class="diffchange diffchange-inline">thorough evaluation if you </del>are <del class="diffchange diffchange-inline">experiencing arch </del>or <del class="diffchange diffchange-inline">heel pain that does not respond quickly to early treatment</del>.<br><br>Diagnosis<br>The <del class="diffchange diffchange-inline">diagnosis of high arch (cavus) </del>foot <del class="diffchange diffchange-inline">deformity </del>or <del class="diffchange diffchange-inline">Charcot Marie Tooth disease can be made by an orthopedic surgeon in the office</del>. <del class="diffchange diffchange-inline">Evaluation includes a thorough history and </del>physical examination <del class="diffchange diffchange-inline">as well as imaging studies such as </del>X-rays. <del class="diffchange diffchange-inline">The orthopedic surgeon will look at the overall shape, flexibility, and strength of </del>a <del class="diffchange diffchange-inline">patient?s foot </del>and <del class="diffchange diffchange-inline">ankle </del>to <del class="diffchange diffchange-inline">help determine the best treatment. Nerve tests may occasionally need to be performed to help confirm the diagnosis</del>.<br><br>Non Surgical Treatment<br><del class="diffchange diffchange-inline">Initial treatment of </del>the <del class="diffchange diffchange-inline">tear will focus </del>on <del class="diffchange diffchange-inline">symptom relief. This may involve </del>the <del class="diffchange diffchange-inline">use of </del>anti-inflammatory medications<del class="diffchange diffchange-inline">, strapping of the toe, off-loading padding, altered footwear and activity modification</del>. <del class="diffchange diffchange-inline">Following this treatment </del>will <del class="diffchange diffchange-inline">focus on the underlying causes </del>of the <del class="diffchange diffchange-inline">problem, such as flat feet, bunions and hammer toes</del>. <del class="diffchange diffchange-inline">Your podiatrist will perform a thorough biomechanical assessment </del>to <del class="diffchange diffchange-inline">determine the best course of action to offload the forefoot </del>and <del class="diffchange diffchange-inline">decrease </del>the <del class="diffchange diffchange-inline">mechanical stress on the area</del>. <del class="diffchange diffchange-inline">This injury usually occurs gradually </del>and <del class="diffchange diffchange-inline">is best treated in </del>the <del class="diffchange diffchange-inline">early stages. Often a customised soft full length orthotic and footwear modifications can </del>prevent <del class="diffchange diffchange-inline">the problem </del>from <del class="diffchange diffchange-inline">progressing. Occasionally surgery needs to be performed, either frank repair of the plantar plate or in chronic cases a resection osteotomy may be suggested</del>.<br><br><br>Surgical Treatment<br>If you have pain that has not been responsive to other treatments, there is a new non-surgical treatment that was recently approved by the FDA. ESWT (extracorporeal shockwave therapy) uses strong electrohydraulic acoustic (sound) energy that triggers the body?s natural repair mechanism. This treatment method is safe, effective and requires a very short recovery period compared to older surgical techniques.<br><br><br>Prevention<br><del class="diffchange diffchange-inline">Maintain </del>a <del class="diffchange diffchange-inline">healthy </del>weight, <del class="diffchange diffchange-inline">Use insoles </del>to support your <del class="diffchange diffchange-inline">arches</del>, <del class="diffchange diffchange-inline">Limit how often </del>you <del class="diffchange diffchange-inline">wear high heels</del>, <del class="diffchange diffchange-inline">Use proper shoes</del>, <del class="diffchange diffchange-inline">especially when exercising </del>to <del class="diffchange diffchange-inline">evenly distribute </del>weight through your foot.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><ins class="diffchange diffchange-inline">Plantar fasciitis is a common and often persistent kind </ins>of <ins class="diffchange diffchange-inline">repetitive strain injury afflicting runners, walkers and hikers, and nearly anyone who stands for a living, cashiers, for instance. It causes mainly foot arch pain and/or heel pain. Morning foot pain is a signature symptom. Plantar fasciitis is not the same thing as </ins>[http://<ins class="diffchange diffchange-inline">tristanpanameno</ins>.<ins class="diffchange diffchange-inline">wordpress</ins>.<ins class="diffchange diffchange-inline">com</ins>/<ins class="diffchange diffchange-inline">2015/06/25/hammer</ins>-toe-<ins class="diffchange diffchange-inline">caused-by-plantar-fasciitis </ins>heel spurs] <ins class="diffchange diffchange-inline">and flat feet, but they are related and often confused. Most people recover from </ins>plantar <ins class="diffchange diffchange-inline">fasciitis with </ins>a <ins class="diffchange diffchange-inline">little rest</ins>, <ins class="diffchange diffchange-inline">arch support </ins>(<ins class="diffchange diffchange-inline">regular shoe inserts </ins>or <ins class="diffchange diffchange-inline">just comfy shoes</ins>), and <ins class="diffchange diffchange-inline">stretching</ins>, <ins class="diffchange diffchange-inline">but not everyone</ins>. <ins class="diffchange diffchange-inline">Severe cases </ins>can <ins class="diffchange diffchange-inline">stop you in your tracks</ins>, <ins class="diffchange diffchange-inline">undermine your fitness and general health</ins>, <ins class="diffchange diffchange-inline">and drag on for years</ins>.<br><br><br>Causes<br><ins class="diffchange diffchange-inline">The most common cause of arch pain </ins>is <ins class="diffchange diffchange-inline">plantar fasciitis. Plantar fasciitis is inflammation </ins>of the <ins class="diffchange diffchange-inline">fibrous band </ins>of <ins class="diffchange diffchange-inline">tissue that connects </ins>the <ins class="diffchange diffchange-inline">heel </ins>to the <ins class="diffchange diffchange-inline">toes</ins>. <ins class="diffchange diffchange-inline">Sufferers </ins>of <ins class="diffchange diffchange-inline">plantar fasciitis typically feel </ins>pain <ins class="diffchange diffchange-inline">early </ins>in the <ins class="diffchange diffchange-inline">morning when </ins>they <ins class="diffchange diffchange-inline">first get out </ins>of <ins class="diffchange diffchange-inline">bed</ins>. <ins class="diffchange diffchange-inline">Another common cause </ins>of arch pain <ins class="diffchange diffchange-inline">is fallen arches </ins>or <ins class="diffchange diffchange-inline">flat </ins>feet. <ins class="diffchange diffchange-inline">Fallen arches result in </ins>the <ins class="diffchange diffchange-inline">sole </ins>of the foot <ins class="diffchange diffchange-inline">becoming </ins>flat <ins class="diffchange diffchange-inline">so that the entire sole of </ins>the foot <ins class="diffchange diffchange-inline">touches the ground</ins>. <ins class="diffchange diffchange-inline">Fallen arches can lead </ins>to <ins class="diffchange diffchange-inline">pain in the ankles, knees, </ins>feet<ins class="diffchange diffchange-inline">, and even </ins>in <ins class="diffchange diffchange-inline">the legs. While fallen arches are often inherited, for some it develops as </ins>a <ins class="diffchange diffchange-inline">result </ins>of <ins class="diffchange diffchange-inline">wear </ins>and <ins class="diffchange diffchange-inline">tear </ins>on <ins class="diffchange diffchange-inline">your feet</ins>. <ins class="diffchange diffchange-inline">Wearing shoes without proper metatarsal support</ins>, <ins class="diffchange diffchange-inline">or arch support, can overstretch </ins>the <ins class="diffchange diffchange-inline">tendon </ins>that <ins class="diffchange diffchange-inline">supports </ins>the <ins class="diffchange diffchange-inline">arch causing the arch to flatten out</ins>.<br><br>Symptoms<br><ins class="diffchange diffchange-inline">Many people have no </ins>symptoms<ins class="diffchange diffchange-inline">, and </ins>the <ins class="diffchange diffchange-inline">condition is discovered only by chance </ins>when <ins class="diffchange diffchange-inline">an X-ray </ins>of <ins class="diffchange diffchange-inline">the foot is obtained </ins>for <ins class="diffchange diffchange-inline">some other problem. When symptoms occur</ins>, <ins class="diffchange diffchange-inline">there is usually foot </ins>pain <ins class="diffchange diffchange-inline">that begins </ins>at the <ins class="diffchange diffchange-inline">outside rear </ins>of the <ins class="diffchange diffchange-inline">foot</ins>. <ins class="diffchange diffchange-inline">The </ins>pain <ins class="diffchange diffchange-inline">tends to spread upward to the outer ankle </ins>and <ins class="diffchange diffchange-inline">to the outside portion of the lower leg</ins>. <ins class="diffchange diffchange-inline">Symptoms usually start during </ins>a <ins class="diffchange diffchange-inline">child's teenage years and </ins>are <ins class="diffchange diffchange-inline">aggravated by playing sports </ins>or <ins class="diffchange diffchange-inline">walking on uneven ground. In some cases, the condition is discovered when a child is evaluated for unusually frequent ankle sprains</ins>.<br><br>Diagnosis<br>The <ins class="diffchange diffchange-inline">doctor will examine your feet for </ins>foot <ins class="diffchange diffchange-inline">flexibility and range of motion and feel for any tenderness </ins>or <ins class="diffchange diffchange-inline">bony abnormalities</ins>. <ins class="diffchange diffchange-inline">Depending on the results of this </ins>physical examination<ins class="diffchange diffchange-inline">, foot </ins>X-rays <ins class="diffchange diffchange-inline">may be recommended</ins>. <ins class="diffchange diffchange-inline">X-rays are always performed in </ins>a <ins class="diffchange diffchange-inline">young child with rigid flatfeet </ins>and <ins class="diffchange diffchange-inline">in an adult with acquired flatfeet due </ins>to <ins class="diffchange diffchange-inline">trauma</ins>.<br><br>Non Surgical Treatment<br><ins class="diffchange diffchange-inline">Arch pain can be treated with orthotics, inserts that have proper arch support to relieve </ins>the <ins class="diffchange diffchange-inline">strain </ins>on the <ins class="diffchange diffchange-inline">plantar fascia, mild stretching and </ins>anti-inflammatory medications. <ins class="diffchange diffchange-inline">Orthotics </ins>will <ins class="diffchange diffchange-inline">relieve most </ins>of the <ins class="diffchange diffchange-inline">strain put onto the plantar fascia by supporting the band from underneath when pressure is applied</ins>. <ins class="diffchange diffchange-inline">Tape can also be used in conjunction with orthotics </ins>to <ins class="diffchange diffchange-inline">restrict movement </ins>and <ins class="diffchange diffchange-inline">support </ins>the <ins class="diffchange diffchange-inline">plantar fascia</ins>. <ins class="diffchange diffchange-inline">Stretching should be used along with orthotics </ins>and <ins class="diffchange diffchange-inline">continued long after </ins>the <ins class="diffchange diffchange-inline">symptoms of arch pain are gone to </ins>prevent <ins class="diffchange diffchange-inline">it </ins>from <ins class="diffchange diffchange-inline">occurring again</ins>.<br><br><br>Surgical Treatment<br>If you have pain that has not been responsive to other treatments, there is a new non-surgical treatment that was recently approved by the FDA. ESWT (extracorporeal shockwave therapy) uses strong electrohydraulic acoustic (sound) energy that triggers the body?s natural repair mechanism. This treatment method is safe, effective and requires a very short recovery period compared to older surgical techniques.<br><br><br>Prevention<br><ins class="diffchange diffchange-inline">There are several things you can do to prevent pain on the bottom of the foot. Here are some tips to help you avoid this condition. Do simple stretches each day (See Plantar Fasciitis Exercises for </ins>a <ins class="diffchange diffchange-inline">list of all exercises). Wear good shoes that fit properly and are appropriate for the activity you are participating in. Lose excess </ins>weight <ins class="diffchange diffchange-inline">if possible. Build your stamina slowly</ins>, <ins class="diffchange diffchange-inline">especially with new exercises. Rest and elevate your feet, whenever possible, keeping them at least twelve inches above your heart. Always follow your doctor?s instructions for treatment. Each day do a different activity. For example: one day ride your bike, and swim the next day.<br><br>Stretching Exercises<br>Achilles stretch. Stand with the ball of one foot on a stair. Reach for the step below with your heel until you feel a stretch in the arch of your foot. Hold this position for 15 </ins>to <ins class="diffchange diffchange-inline">30 seconds and then relax. Repeat 3 times. Balance and reach exercises. Stand next to a chair with your injured leg farther from the chair. The chair will provide </ins>support <ins class="diffchange diffchange-inline">if you need it. Stand on the foot of </ins>your <ins class="diffchange diffchange-inline">injured leg and bend your knee slightly. Try to raise the arch of this foot while keeping your big toe on the floor. Keep your foot in this position. With the hand that is farther away from the chair</ins>, <ins class="diffchange diffchange-inline">reach forward in front of </ins>you <ins class="diffchange diffchange-inline">by bending at the waist. Avoid bending your knee any more as you do this. Repeat this 15 times. To make the exercise more challenging</ins>, <ins class="diffchange diffchange-inline">reach farther in front of you. Do 2 sets of 15. While keeping your arch raised</ins>, <ins class="diffchange diffchange-inline">reach the hand that is farther away from the chair across your body toward the chair. The farther you reach, the more challenging the exercise. Do 2 sets of 15. Towel pickup. With your heel on the ground, pick up a towel with your toes. Release. Repeat 10 </ins>to <ins class="diffchange diffchange-inline">20 times. When this gets easy, add more resistance by placing a book or small </ins>weight <ins class="diffchange diffchange-inline">on the towel. Resisted ankle plantar flexion. Sit with your injured leg stretched out in front of you. Loop the tubing around the ball of your foot. Hold the ends of the tubing with both hands. Gently press the ball of your foot down and point your toes, stretching the tubing. Return to the starting position. Do 2 sets of 15. Resisted ankle dorsiflexion. Tie a knot in one end of the elastic tubing and shut the knot in a door. Tie a loop in the other end of the tubing and put the foot on your injured side </ins>through <ins class="diffchange diffchange-inline">the loop so that the tubing goes around the top of the foot. Sit facing the door with your injured leg straight out in front of you. Move away from the door until there is tension in the tubing. Keeping your leg straight, pull the top of </ins>your foot <ins class="diffchange diffchange-inline">toward your body, stretching the tubing. Slowly return to the starting position. Do 2 sets of 15. Heel raise. Stand behind a chair or counter with both feet flat on the floor. Using the chair or counter as a support, rise up onto your toes and hold for 5 seconds. Then slowly lower yourself down without holding onto the support. (It's OK to keep holding onto the support if you need to.) When this exercise becomes less painful, try doing this exercise while you are standing on the injured leg only. Repeat 15 times. Do 2 sets of 15. Rest 30 seconds between sets</ins>.</div></td></tr>
</table>EveretteCurry69http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=11442&oldid=prevLaurenceHastings en 21:11 11 jun 20172017-06-11T21:11:08Z<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">Revisión de 21:11 11 jun 2017</td>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><del class="diffchange diffchange-inline">Arch pain occurs with an inflammation </del>of the plantar <del class="diffchange diffchange-inline">arch or </del>fascia. It is the <del class="diffchange diffchange-inline">thick membrane </del>that <del class="diffchange diffchange-inline">covers and supports all </del>the <del class="diffchange diffchange-inline">muscles of the sole </del>of the foot from the heel bone to the <del class="diffchange diffchange-inline">base </del>of the <del class="diffchange diffchange-inline">toes that </del>is <del class="diffchange diffchange-inline">called </del>plantar <del class="diffchange diffchange-inline">arch</del>. When <del class="diffchange diffchange-inline">this membrane pulls excessively </del>(<del class="diffchange diffchange-inline">constant strain</del>)<del class="diffchange diffchange-inline">, pain developes in </del>the <del class="diffchange diffchange-inline">arch </del>of <del class="diffchange diffchange-inline">the foot or heel</del>.<br><br><br>Causes<br><del class="diffchange diffchange-inline">In most cases</del>, <del class="diffchange diffchange-inline">plantar fasciitis develops without </del>a <del class="diffchange diffchange-inline">specific, identifiable reason</del>. <del class="diffchange diffchange-inline">There </del>are, <del class="diffchange diffchange-inline">however</del>, <del class="diffchange diffchange-inline">many factors that </del>can <del class="diffchange diffchange-inline">make you more prone </del>to the <del class="diffchange diffchange-inline">condition</del>. <del class="diffchange diffchange-inline">Tighter calf muscles </del>that <del class="diffchange diffchange-inline">make </del>it difficult to <del class="diffchange diffchange-inline">flex your foot and bring your toes </del>up <del class="diffchange diffchange-inline">toward your shin. Obesity</del>. <del class="diffchange diffchange-inline">Very high arch. Repetitive impact activity </del>(<del class="diffchange diffchange-inline">running/sports</del>). <del class="diffchange diffchange-inline">New or increased activity.Although many people with plantar fasciitis </del>have <del class="diffchange diffchange-inline">[http://Wrathfulsermon445</del>.<del class="diffchange diffchange-inline">Exteen</del>.<del class="diffchange diffchange-inline">com/20150624/contracted-toe-treatment heel spurs]</del>, <del class="diffchange diffchange-inline">spurs are not </del>the <del class="diffchange diffchange-inline">cause </del>of <del class="diffchange diffchange-inline">plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Because </del>the <del class="diffchange diffchange-inline">spur is not the cause </del>of <del class="diffchange diffchange-inline">plantar fasciitis, </del>the <del class="diffchange diffchange-inline">pain </del>can <del class="diffchange diffchange-inline">be treated without removing </del>the <del class="diffchange diffchange-inline">spur</del>.<br><br>Symptoms<br><del class="diffchange diffchange-inline">Symptoms </del>include pain <del class="diffchange diffchange-inline">which is often described as </del>a <del class="diffchange diffchange-inline">burning </del>pain <del class="diffchange diffchange-inline">radiating into </del>the <del class="diffchange diffchange-inline">arch </del>of the <del class="diffchange diffchange-inline">foot</del>, <del class="diffchange diffchange-inline">heel and sometimes </del>the <del class="diffchange diffchange-inline">toes. Pins and needles or numbness may be felt in the sole </del>of the <del class="diffchange diffchange-inline">foot</del>. <del class="diffchange diffchange-inline">Pain may be worse when running or when standing for long periods </del>of <del class="diffchange diffchange-inline">time </del>and <del class="diffchange diffchange-inline">often worse at night</del>. <del class="diffchange diffchange-inline">The area under the medial malleolus on the inside of the ankle may be tender </del>to <del class="diffchange diffchange-inline">touch</del>.<br><br>Diagnosis<br><del class="diffchange diffchange-inline">A patient is asked to step with full body weight on the symptomatic foot, keeping the unaffected foot off the ground. </del>The <del class="diffchange diffchange-inline">patient is then instructed to "raise up on the tip toes" </del>of <del class="diffchange diffchange-inline">the affected </del>foot<del class="diffchange diffchange-inline">. If the posterior tibial tendon has been attenuated </del>or <del class="diffchange diffchange-inline">ruptured, the patient will </del>be <del class="diffchange diffchange-inline">unable to lift </del>the <del class="diffchange diffchange-inline">heel off the floor </del>and <del class="diffchange diffchange-inline">rise onto the toes. In less severe cases, the patient will be able to rise on the toes, but the heel will not be noted to invert </del>as <del class="diffchange diffchange-inline">it normally does when we rise onto the toes. </del>X-rays <del class="diffchange diffchange-inline">can be helpful but are not diagnostic of </del>the <del class="diffchange diffchange-inline">adult acquired flatfoot. Both feet</del>, <del class="diffchange diffchange-inline">the symptomatic </del>and <del class="diffchange diffchange-inline">asymptomatic - will demonstrate </del>a <del class="diffchange diffchange-inline">flatfoot deformity on x-ray</del>. <del class="diffchange diffchange-inline">Careful observation </del>may <del class="diffchange diffchange-inline">show a greater severity of deformity on </del>the <del class="diffchange diffchange-inline">affected side</del>.<br><br>Non Surgical Treatment<br><del class="diffchange diffchange-inline">High arches that are flexible do not require any </del>treatment. <del class="diffchange diffchange-inline">In cases where there is pain</del>, <del class="diffchange diffchange-inline">shoe modifications such as an arch insert or support insole can help to relieve pain during walking</del>. <del class="diffchange diffchange-inline">Custom orthotic devices can be given that fit into </del>the <del class="diffchange diffchange-inline">shoe </del>and <del class="diffchange diffchange-inline">provide stability and cushioning effect</del>. Your <del class="diffchange diffchange-inline">doctor may recommend </del>a <del class="diffchange diffchange-inline">brace </del>to <del class="diffchange diffchange-inline">help keep </del>the <del class="diffchange diffchange-inline">foot </del>and <del class="diffchange diffchange-inline">ankle stable</del>. <del class="diffchange diffchange-inline">In severe cases, surgery </del>is <del class="diffchange diffchange-inline">performed </del>to <del class="diffchange diffchange-inline">flatten </del>the <del class="diffchange diffchange-inline">foot. Any coexisting nerve disorders are also treated</del>.<br><br><br>Surgical Treatment<br><del class="diffchange diffchange-inline">Tendon transfers: Too much pull of certain muscles and tendons is often the cause of the deformity related with a cavus foot. Moving one of these muscles or tendons may help the foot work better. In addition, patients with a cavus foot may </del>have <del class="diffchange diffchange-inline">weakness in moving the foot up</del>, <del class="diffchange diffchange-inline">which </del>is <del class="diffchange diffchange-inline">sometimes called </del>a <del class="diffchange diffchange-inline">foot drop. In these cases, a tendon from </del>the <del class="diffchange diffchange-inline">back of the ankle may be moved to the top of the foot to help improve strength</del>. <del class="diffchange diffchange-inline">Correcting the deformity of the foot may not be possible with soft tissue procedures alone. In these instances, one or more bone cuts </del>(<del class="diffchange diffchange-inline">osteotomies</del>) <del class="diffchange diffchange-inline">may be needed. Instead of a bone cut, a fusion </del>(<del class="diffchange diffchange-inline">arthrodesis</del>) <del class="diffchange diffchange-inline">procedure may be used. A fusion removes </del>the <del class="diffchange diffchange-inline">joint between two bones so they grow together over time</del>. <del class="diffchange diffchange-inline">During a fusion the bones may be held in place with plates or screws. Calcaneal osteotomy: </del>This <del class="diffchange diffchange-inline">procedure </del>is <del class="diffchange diffchange-inline">performed to bring the heel bone back under the leg. This is needed if correction of the deformity in the front of the foot does not also correct the back of the foot or ankle. A calcaneal osteotomy can be performed several ways </del>and <del class="diffchange diffchange-inline">is often held in place with one or more screws. Sometimes patients have </del>a <del class="diffchange diffchange-inline">deformity that has caused damage </del>to <del class="diffchange diffchange-inline">the joints. In these cases, soft tissue procedures or bone cuts may not be enough, and it may be necessary to eliminate the joint. Clawed toes are a common problem with cavus foot deformity. This can be treated with tendon surgery, fusion or removal of part of the toe bones. Following surgery the toes are often temporarily held in place with pins</del>.<br><br><br>Prevention<br><del class="diffchange diffchange-inline">Stretch and strengthen important muscles in your feet</del>, <del class="diffchange diffchange-inline">ankles and legs in order </del>to <del class="diffchange diffchange-inline">guard against future strain. Make sure to acquire suitable arch supports and inserts if necessary</del>, <del class="diffchange diffchange-inline">and that your </del>shoes <del class="diffchange diffchange-inline">are shock absorbent and in good condition. Wearing tattered shoes provides no protection</del>, <del class="diffchange diffchange-inline">and runners should replace their footwear before exceeding 500 miles of usage. Athletes new </del>to <del class="diffchange diffchange-inline">arch supports should gradually build their training routine, allowing their feet to become accustomed to a new stance</del>.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><ins class="diffchange diffchange-inline">One </ins>of <ins class="diffchange diffchange-inline">those often-painful soft tissue that attaches to [http://foregoingnanny502.Snack.ws/contracted-toe-surgery.html heel spurs] at </ins>the <ins class="diffchange diffchange-inline">bottom of the foot is called "</ins>plantar fascia<ins class="diffchange diffchange-inline">". Fascia, located throughout the body, is a fibrous connective tissue similar to a ligament. You can see fascia when you handle meat</ins>. It is the <ins class="diffchange diffchange-inline">white, connective tissue separating layers of meat or attaching to bones. The "plantar" fascia in our bodies is </ins>that <ins class="diffchange diffchange-inline">fascia which is seen on </ins>the <ins class="diffchange diffchange-inline">bottom (or plantar portion) </ins>of the foot<ins class="diffchange diffchange-inline">, extending </ins>from the heel bone to the <ins class="diffchange diffchange-inline">ball </ins>of the <ins class="diffchange diffchange-inline">foot. Compared to other fascia around the body, plantar fascia </ins>is <ins class="diffchange diffchange-inline">very thick and very strong. It has to be strong because of the tremendous amount of force it must endure when you walk, run or jump. But while the </ins>plantar <ins class="diffchange diffchange-inline">fascia is a strong structure, it can still get injured, most commonly when it is stretched beyond its normal length over long periods of time</ins>. When <ins class="diffchange diffchange-inline">plantar fascia is injured, the condition is called "plantar fasciitis", which is usualy pronounced either "plan-tar fash-I-tis" or "plan-tar-fash-ee-I-tis." </ins>(<ins class="diffchange diffchange-inline">Adding "-itis" to the end of a word means that structure is inflamed.</ins>) <ins class="diffchange diffchange-inline">It is sometimes known more simply as 'fasciitis'. Plantar fasciitis is </ins>the <ins class="diffchange diffchange-inline">most common type </ins>of <ins class="diffchange diffchange-inline">arch pain</ins>.<br><br><br>Causes<br><ins class="diffchange diffchange-inline">Also known as pes planus</ins>, <ins class="diffchange diffchange-inline">this is when the arch of the foot collapses completely dropping the whole sole of the foot down to the ground. Flat feet are </ins>a <ins class="diffchange diffchange-inline">common cause of foot arch pain</ins>. <ins class="diffchange diffchange-inline">Babies </ins>are <ins class="diffchange diffchange-inline">born with flat feet and as they grow</ins>, <ins class="diffchange diffchange-inline">the foot arches should gradually form</ins>, <ins class="diffchange diffchange-inline">but in approximately 30% of the population, they never do. They </ins>can <ins class="diffchange diffchange-inline">also develop later in life, due </ins>to <ins class="diffchange diffchange-inline">illness, pregnancy, injury, excessive stress on </ins>the <ins class="diffchange diffchange-inline">feet or as part of the aging process</ins>. <ins class="diffchange diffchange-inline">Many people who have flat feet don?t complain of any accompanying symptoms, but some develop foot arch pain, or problems further up the leg such as knee pain or back pain. They may find their feet tire quickly when they are standing or walking, and </ins>that it <ins class="diffchange diffchange-inline">is </ins>difficult to <ins class="diffchange diffchange-inline">rise </ins>up <ins class="diffchange diffchange-inline">onto their tiptoes</ins>. <ins class="diffchange diffchange-inline">Someone who is experiencing pain on the bottom of the foot or elsewhere due to their flat feet can benefit from exercises and orthotics </ins>(<ins class="diffchange diffchange-inline">specially designed insoles to correct the foot position</ins>) <ins class="diffchange diffchange-inline">as well as walking barefoot rather than in shoes</ins>. <ins class="diffchange diffchange-inline">A quick test to see if you </ins>have <ins class="diffchange diffchange-inline">flat feet is to put your foot in a tray of water and then place it on a smooth level surface e</ins>.<ins class="diffchange diffchange-inline">g</ins>. <ins class="diffchange diffchange-inline">thick paper. Have a look at your footprint</ins>, the <ins class="diffchange diffchange-inline">more </ins>of the <ins class="diffchange diffchange-inline">sole </ins>of the <ins class="diffchange diffchange-inline">foot that you </ins>can <ins class="diffchange diffchange-inline">see, </ins>the <ins class="diffchange diffchange-inline">flatter your foot</ins>.<br><br>Symptoms<br><ins class="diffchange diffchange-inline">Common symptoms of plantar fasciitis </ins>include pain <ins class="diffchange diffchange-inline">in the morning when you first get out of bed, pain and stiffness when you start to walk after sitting for </ins>a <ins class="diffchange diffchange-inline">while, increasing arch or heel </ins>pain <ins class="diffchange diffchange-inline">toward </ins>the <ins class="diffchange diffchange-inline">end </ins>of the <ins class="diffchange diffchange-inline">day</ins>, <ins class="diffchange diffchange-inline">tired feet at </ins>the <ins class="diffchange diffchange-inline">end </ins>of the <ins class="diffchange diffchange-inline">day</ins>. <ins class="diffchange diffchange-inline">Other causes </ins>of <ins class="diffchange diffchange-inline">arch </ins>and <ins class="diffchange diffchange-inline">heel pain include arthritis, infection, fractures and sprains, and even certain systemic diseases</ins>. <ins class="diffchange diffchange-inline">Since there are multiple possible causes, you should see your podiatrist for a thorough evaluation if you are experiencing arch or heel pain that does not respond quickly </ins>to <ins class="diffchange diffchange-inline">early treatment</ins>.<br><br>Diagnosis<br>The <ins class="diffchange diffchange-inline">diagnosis </ins>of <ins class="diffchange diffchange-inline">high arch (cavus) </ins>foot <ins class="diffchange diffchange-inline">deformity </ins>or <ins class="diffchange diffchange-inline">Charcot Marie Tooth disease can </ins>be <ins class="diffchange diffchange-inline">made by an orthopedic surgeon in </ins>the <ins class="diffchange diffchange-inline">office. Evaluation includes a thorough history </ins>and <ins class="diffchange diffchange-inline">physical examination as well as imaging studies such </ins>as X-rays<ins class="diffchange diffchange-inline">. The orthopedic surgeon will look at </ins>the <ins class="diffchange diffchange-inline">overall shape, flexibility</ins>, and <ins class="diffchange diffchange-inline">strength of </ins>a <ins class="diffchange diffchange-inline">patient?s foot and ankle to help determine the best treatment</ins>. <ins class="diffchange diffchange-inline">Nerve tests </ins>may <ins class="diffchange diffchange-inline">occasionally need to be performed to help confirm </ins>the <ins class="diffchange diffchange-inline">diagnosis</ins>.<br><br>Non Surgical Treatment<br><ins class="diffchange diffchange-inline">Initial </ins>treatment <ins class="diffchange diffchange-inline">of the tear will focus on symptom relief</ins>. <ins class="diffchange diffchange-inline">This may involve the use of anti-inflammatory medications</ins>, <ins class="diffchange diffchange-inline">strapping of the toe, off-loading padding, altered footwear and activity modification</ins>. <ins class="diffchange diffchange-inline">Following this treatment will focus on </ins>the <ins class="diffchange diffchange-inline">underlying causes of the problem, such as flat feet, bunions </ins>and <ins class="diffchange diffchange-inline">hammer toes</ins>. Your <ins class="diffchange diffchange-inline">podiatrist will perform </ins>a <ins class="diffchange diffchange-inline">thorough biomechanical assessment </ins>to <ins class="diffchange diffchange-inline">determine </ins>the <ins class="diffchange diffchange-inline">best course of action to offload the forefoot </ins>and <ins class="diffchange diffchange-inline">decrease the mechanical stress on the area</ins>. <ins class="diffchange diffchange-inline">This injury usually occurs gradually and </ins>is <ins class="diffchange diffchange-inline">best treated in the early stages. Often a customised soft full length orthotic and footwear modifications can prevent the problem from progressing. Occasionally surgery needs </ins>to <ins class="diffchange diffchange-inline">be performed, either frank repair of </ins>the <ins class="diffchange diffchange-inline">plantar plate or in chronic cases a resection osteotomy may be suggested</ins>.<br><br><br>Surgical Treatment<br><ins class="diffchange diffchange-inline">If you </ins>have <ins class="diffchange diffchange-inline">pain that has not been responsive to other treatments</ins>, <ins class="diffchange diffchange-inline">there </ins>is a <ins class="diffchange diffchange-inline">new non-surgical treatment that was recently approved by </ins>the <ins class="diffchange diffchange-inline">FDA</ins>. <ins class="diffchange diffchange-inline">ESWT </ins>(<ins class="diffchange diffchange-inline">extracorporeal shockwave therapy</ins>) <ins class="diffchange diffchange-inline">uses strong electrohydraulic acoustic </ins>(<ins class="diffchange diffchange-inline">sound</ins>) <ins class="diffchange diffchange-inline">energy that triggers </ins>the <ins class="diffchange diffchange-inline">body?s natural repair mechanism</ins>. This <ins class="diffchange diffchange-inline">treatment method </ins>is <ins class="diffchange diffchange-inline">safe, effective </ins>and <ins class="diffchange diffchange-inline">requires </ins>a <ins class="diffchange diffchange-inline">very short recovery period compared </ins>to <ins class="diffchange diffchange-inline">older surgical techniques</ins>.<br><br><br>Prevention<br><ins class="diffchange diffchange-inline">Maintain a healthy weight</ins>, <ins class="diffchange diffchange-inline">Use insoles </ins>to <ins class="diffchange diffchange-inline">support your arches</ins>, <ins class="diffchange diffchange-inline">Limit how often you wear high heels, Use proper </ins>shoes, <ins class="diffchange diffchange-inline">especially when exercising </ins>to <ins class="diffchange diffchange-inline">evenly distribute weight through your foot</ins>.</div></td></tr>
</table>LaurenceHastingshttp://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=11377&oldid=prevGene1016918 en 20:55 11 jun 20172017-06-11T20:55:30Z<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Revisión anterior</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revisión de 20:55 11 jun 2017</td>
</tr><tr><td colspan="2" class="diff-lineno">Línea 1:</td>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><del class="diffchange diffchange-inline">A fallen </del>arch or <del class="diffchange diffchange-inline">flatfoot </del>is <del class="diffchange diffchange-inline">known medically as pes planus. The foot loses </del>the <del class="diffchange diffchange-inline">gently curving arch on </del>the <del class="diffchange diffchange-inline">inner side </del>of the sole<del class="diffchange diffchange-inline">, just in front </del>of the heel<del class="diffchange diffchange-inline">. If this arch is flattened only when standing and returns when </del>the <del class="diffchange diffchange-inline">foot is lifted off </del>the <del class="diffchange diffchange-inline">ground, the condition </del>is called <del class="diffchange diffchange-inline">flexible pes planus or flexible flatfoot</del>. <del class="diffchange diffchange-inline">If </del>the arch <del class="diffchange diffchange-inline">disappears in both </del>foot <del class="diffchange diffchange-inline">positions, standing and elevated, the condition is called rigid pes planus </del>or <del class="diffchange diffchange-inline">rigid flatfoot</del>.<br><br><br>Causes<br>In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition. Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin. Obesity. Very high arch. Repetitive impact activity (running/sports). New or increased activity.Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with <del class="diffchange diffchange-inline">[http://absentfascist7610.Sosblogs.com/ </del>heel spurs<del class="diffchange diffchange-inline">] </del>has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.<br><br>Symptoms<br><del class="diffchange diffchange-inline">The primary symptom </del>is pain or <del class="diffchange diffchange-inline">aching </del>in the <del class="diffchange diffchange-inline">arch area</del>. <del class="diffchange diffchange-inline">This can </del>be <del class="diffchange diffchange-inline">accompanied by inflammation </del>and <del class="diffchange diffchange-inline">tenderness</del>. <del class="diffchange diffchange-inline">If </del>the <del class="diffchange diffchange-inline">pain is caused by </del>the <del class="diffchange diffchange-inline">plantar fascia, it is likely to be considerably more severe in </del>the <del class="diffchange diffchange-inline">mornings due </del>to <del class="diffchange diffchange-inline">the muscles being unused</del>.<br><br>Diagnosis<br>A patient is asked to step with full body weight on the symptomatic foot, keeping the unaffected foot off the ground. The patient is then instructed to "raise up on the tip toes" of the affected foot. If the posterior tibial tendon has been attenuated or ruptured, the patient will be unable to lift the heel off the floor and rise onto the toes. In less severe cases, the patient will be able to rise on the toes, but the heel will not be noted to invert as it normally does when we rise onto the toes. X-rays can be helpful but are not diagnostic of the adult acquired flatfoot. Both feet, the symptomatic and asymptomatic - will demonstrate a flatfoot deformity on x-ray. Careful observation may show a greater severity of deformity on the affected side.<br><br>Non Surgical Treatment<br><del class="diffchange diffchange-inline">The right kind of self </del>treatment can help <del class="diffchange diffchange-inline">you knock out Plantar Fasciitis, a common and annoying injury</del>. <del class="diffchange diffchange-inline">Experiencing persistent pain and stiffness in the bottom of the heel or foot? The cause of this either sharp or dull discomfort could </del>be <del class="diffchange diffchange-inline">plantar fasciitis, inflammation of the thick tissue, or fascia, </del>that <del class="diffchange diffchange-inline">runs along </del>the <del class="diffchange diffchange-inline">bottom of the foot</del>. <del class="diffchange diffchange-inline">Common among distance runners with chronically tight hamstrings, back, calves and Achilles tendons, or those who run in shoes without proper arch support, the condition </del>may <del class="diffchange diffchange-inline">also be caused by </del>a <del class="diffchange diffchange-inline">muscular imbalance in the hips or pelvis. This imbalance can cause slight compensations in the stride that place more stress on one leg than the other, according </del>to <del class="diffchange diffchange-inline">San Diego-based running coach Jon Clemens, who has a master?s degree in exercise physiology. While correcting </del>the <del class="diffchange diffchange-inline">imbalance permanently requires a strength program that focuses on balance, calf- </del>and <del class="diffchange diffchange-inline">pelvis-strengthening drills</del>, <del class="diffchange diffchange-inline">said Clemens, treatment </del>to <del class="diffchange diffchange-inline">temporarily relieve </del>the <del class="diffchange diffchange-inline">inflammation can be performed easily at home</del>.<br><br><br>Surgical Treatment<br><del class="diffchange diffchange-inline">In cases where cast immobilization, orthoses </del>and <del class="diffchange diffchange-inline">shoe therapy have failed, surgery </del>is the <del class="diffchange diffchange-inline">next alternative</del>. <del class="diffchange diffchange-inline">The goal </del>of <del class="diffchange diffchange-inline">surgery and non-surgical treatment </del>is <del class="diffchange diffchange-inline">to eliminate pain</del>, <del class="diffchange diffchange-inline">stop progression of </del>the <del class="diffchange diffchange-inline">deformity and improve mobility </del>of the <del class="diffchange diffchange-inline">patient. Opinions vary as </del>to the <del class="diffchange diffchange-inline">best surgical treatment for adult acquired flatfoot. Procedures commonly used </del>to <del class="diffchange diffchange-inline">correct </del>the <del class="diffchange diffchange-inline">condition include tendon debridement</del>, <del class="diffchange diffchange-inline">tendon transfers, osteotomies </del>(<del class="diffchange diffchange-inline">cutting and repositioning </del>of bone) <del class="diffchange diffchange-inline">and </del>joint <del class="diffchange diffchange-inline">fusions</del>.<del class="diffchange diffchange-inline"><br><br><br>Prevention<br>Warm up properly</del>. This <del class="diffchange diffchange-inline">means not only stretching prior </del>to <del class="diffchange diffchange-inline">a given athletic event, but a gradual rather than sudden increase </del>in <del class="diffchange diffchange-inline">volume and intensity over </del>the <del class="diffchange diffchange-inline">course </del>of the <del class="diffchange diffchange-inline">training season</del>. A <del class="diffchange diffchange-inline">frequent cause of plantar fasciitis </del>is <del class="diffchange diffchange-inline">a sudden increase of activity without suitable preparation</del>. <del class="diffchange diffchange-inline">Avoid activities </del>that <del class="diffchange diffchange-inline">cause pain</del>. <del class="diffchange diffchange-inline">Running on steep terrain</del>, <del class="diffchange diffchange-inline">excessively hard or </del>soft <del class="diffchange diffchange-inline">ground</del>, <del class="diffchange diffchange-inline">etc can cause unnatural biomechanical strain </del>to the foot<del class="diffchange diffchange-inline">, resulting in pain</del>. This <del class="diffchange diffchange-inline">is generally a sign of stress leading to injury and should </del>be <del class="diffchange diffchange-inline">curtailed </del>or <del class="diffchange diffchange-inline">discontinued. Shoes, arch support. Athletic demands placed on the feet, particularly during running events, are extreme. Injury results when supportive structures in the foot have been taxed beyond their recovery capacity. Full support </del>of <del class="diffchange diffchange-inline">the feet in well-fitting footwear reduces the likelihood </del>of <del class="diffchange diffchange-inline">injury. Rest and rehabilitation. Probably </del>the <del class="diffchange diffchange-inline">most important curative therapy for cases of plantar fasciitis is thorough rest</del>. <del class="diffchange diffchange-inline">The injured athlete must be prepared to wait out </del>the <del class="diffchange diffchange-inline">necessary healing phase, avoiding temptation to return prematurely to athletic activity</del>.<br><br><del class="diffchange diffchange-inline">Stretching Exercises</del><br><del class="diffchange diffchange-inline">Try these simple stretches to assist with relieving pain </del>in your <del class="diffchange diffchange-inline">arches. (Note: Stretch slowly </del>and <del class="diffchange diffchange-inline">gently</del>. <del class="diffchange diffchange-inline">You should feel a moderate pull on the muscle </del>and <del class="diffchange diffchange-inline">tendon but no pain. If these stretches are painful</del>, <del class="diffchange diffchange-inline">stop </del>and <del class="diffchange diffchange-inline">seek further advice from a health professional). STRETCH ONE. Stand at arm?s length from a wall with one foot in front of the other, forward knee bent. Keeping </del>your <del class="diffchange diffchange-inline">back leg straight </del>and <del class="diffchange diffchange-inline">back heel on the floor, lean into the wall until you feel a stretch </del>in <del class="diffchange diffchange-inline">your calf</del>. <del class="diffchange diffchange-inline">STRETCH TWO. This time, bend your back leg slightly</del>, and <del class="diffchange diffchange-inline">lean into the wall. You </del>should <del class="diffchange diffchange-inline">feel a stretch in the lower part </del>of <del class="diffchange diffchange-inline">your calf</del>. <del class="diffchange diffchange-inline">Hold each stretch for 20 seconds and repeat on each leg</del>, a <del class="diffchange diffchange-inline">few times daily</del>.</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Overview<br><ins class="diffchange diffchange-inline">Arch pain occurs with an inflammation of the plantar </ins>arch or <ins class="diffchange diffchange-inline">fascia. It </ins>is the <ins class="diffchange diffchange-inline">thick membrane that covers and supports all </ins>the <ins class="diffchange diffchange-inline">muscles </ins>of the sole of <ins class="diffchange diffchange-inline">the foot from </ins>the heel <ins class="diffchange diffchange-inline">bone to </ins>the <ins class="diffchange diffchange-inline">base of </ins>the <ins class="diffchange diffchange-inline">toes that </ins>is called <ins class="diffchange diffchange-inline">plantar arch</ins>. <ins class="diffchange diffchange-inline">When this membrane pulls excessively (constant strain), pain developes in </ins>the arch <ins class="diffchange diffchange-inline">of the </ins>foot or <ins class="diffchange diffchange-inline">heel</ins>.<br><br><br>Causes<br>In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition. Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin. Obesity. Very high arch. Repetitive impact activity (running/sports). New or increased activity.Although many people with plantar fasciitis have <ins class="diffchange diffchange-inline">[http://Wrathfulsermon445.Exteen.com/20150624/contracted-toe-treatment </ins>heel spurs<ins class="diffchange diffchange-inline">]</ins>, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with heel spurs has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.<br><br>Symptoms<br><ins class="diffchange diffchange-inline">Symptoms include pain which </ins>is <ins class="diffchange diffchange-inline">often described as a burning </ins>pain <ins class="diffchange diffchange-inline">radiating into the arch of the foot, heel and sometimes the toes. Pins and needles </ins>or <ins class="diffchange diffchange-inline">numbness may be felt </ins>in the <ins class="diffchange diffchange-inline">sole of the foot</ins>. <ins class="diffchange diffchange-inline">Pain may </ins>be <ins class="diffchange diffchange-inline">worse when running or when standing for long periods of time </ins>and <ins class="diffchange diffchange-inline">often worse at night</ins>. <ins class="diffchange diffchange-inline">The area under </ins>the <ins class="diffchange diffchange-inline">medial malleolus on </ins>the <ins class="diffchange diffchange-inline">inside of </ins>the <ins class="diffchange diffchange-inline">ankle may be tender </ins>to <ins class="diffchange diffchange-inline">touch</ins>.<br><br>Diagnosis<br>A patient is asked to step with full body weight on the symptomatic foot, keeping the unaffected foot off the ground. The patient is then instructed to "raise up on the tip toes" of the affected foot. If the posterior tibial tendon has been attenuated or ruptured, the patient will be unable to lift the heel off the floor and rise onto the toes. In less severe cases, the patient will be able to rise on the toes, but the heel will not be noted to invert as it normally does when we rise onto the toes. X-rays can be helpful but are not diagnostic of the adult acquired flatfoot. Both feet, the symptomatic and asymptomatic - will demonstrate a flatfoot deformity on x-ray. Careful observation may show a greater severity of deformity on the affected side.<br><br>Non Surgical Treatment<br><ins class="diffchange diffchange-inline">High arches that are flexible do not require any </ins>treatment<ins class="diffchange diffchange-inline">. In cases where there is pain, shoe modifications such as an arch insert or support insole </ins>can help <ins class="diffchange diffchange-inline">to relieve pain during walking</ins>. <ins class="diffchange diffchange-inline">Custom orthotic devices can </ins>be <ins class="diffchange diffchange-inline">given </ins>that <ins class="diffchange diffchange-inline">fit into </ins>the <ins class="diffchange diffchange-inline">shoe and provide stability and cushioning effect</ins>. <ins class="diffchange diffchange-inline">Your doctor </ins>may <ins class="diffchange diffchange-inline">recommend </ins>a <ins class="diffchange diffchange-inline">brace </ins>to <ins class="diffchange diffchange-inline">help keep </ins>the <ins class="diffchange diffchange-inline">foot </ins>and <ins class="diffchange diffchange-inline">ankle stable. In severe cases</ins>, <ins class="diffchange diffchange-inline">surgery is performed </ins>to <ins class="diffchange diffchange-inline">flatten </ins>the <ins class="diffchange diffchange-inline">foot. Any coexisting nerve disorders are also treated</ins>.<br><br><br>Surgical Treatment<br><ins class="diffchange diffchange-inline">Tendon transfers: Too much pull of certain muscles </ins>and <ins class="diffchange diffchange-inline">tendons </ins>is <ins class="diffchange diffchange-inline">often </ins>the <ins class="diffchange diffchange-inline">cause of the deformity related with a cavus foot</ins>. <ins class="diffchange diffchange-inline">Moving one </ins>of <ins class="diffchange diffchange-inline">these muscles or tendons may help the foot work better. In addition, patients with a cavus foot may have weakness in moving the foot up, which </ins>is <ins class="diffchange diffchange-inline">sometimes called a foot drop. In these cases</ins>, <ins class="diffchange diffchange-inline">a tendon from </ins>the <ins class="diffchange diffchange-inline">back </ins>of the <ins class="diffchange diffchange-inline">ankle may be moved </ins>to the <ins class="diffchange diffchange-inline">top of the foot </ins>to <ins class="diffchange diffchange-inline">help improve strength. Correcting </ins>the <ins class="diffchange diffchange-inline">deformity of the foot may not be possible with soft tissue procedures alone. In these instances</ins>, <ins class="diffchange diffchange-inline">one or more bone cuts </ins>(<ins class="diffchange diffchange-inline">osteotomies) may be needed. Instead </ins>of <ins class="diffchange diffchange-inline">a </ins>bone <ins class="diffchange diffchange-inline">cut, a fusion (arthrodesis</ins>) <ins class="diffchange diffchange-inline">procedure may be used. A fusion removes the </ins>joint <ins class="diffchange diffchange-inline">between two bones so they grow together over time</ins>. <ins class="diffchange diffchange-inline">During a fusion the bones may be held in place with plates or screws</ins>. <ins class="diffchange diffchange-inline">Calcaneal osteotomy: </ins>This <ins class="diffchange diffchange-inline">procedure is performed </ins>to <ins class="diffchange diffchange-inline">bring the heel bone back under the leg. This is needed if correction of the deformity </ins>in the <ins class="diffchange diffchange-inline">front </ins>of the <ins class="diffchange diffchange-inline">foot does not also correct the back of the foot or ankle</ins>. A <ins class="diffchange diffchange-inline">calcaneal osteotomy can be performed several ways and </ins>is <ins class="diffchange diffchange-inline">often held in place with one or more screws</ins>. <ins class="diffchange diffchange-inline">Sometimes patients have a deformity </ins>that <ins class="diffchange diffchange-inline">has caused damage to the joints</ins>. <ins class="diffchange diffchange-inline">In these cases</ins>, soft <ins class="diffchange diffchange-inline">tissue procedures or bone cuts may not be enough</ins>, <ins class="diffchange diffchange-inline">and it may be necessary </ins>to <ins class="diffchange diffchange-inline">eliminate </ins>the <ins class="diffchange diffchange-inline">joint. Clawed toes are a common problem with cavus </ins>foot <ins class="diffchange diffchange-inline">deformity</ins>. This <ins class="diffchange diffchange-inline">can </ins>be <ins class="diffchange diffchange-inline">treated with tendon surgery, fusion </ins>or <ins class="diffchange diffchange-inline">removal </ins>of <ins class="diffchange diffchange-inline">part </ins>of the <ins class="diffchange diffchange-inline">toe bones</ins>. <ins class="diffchange diffchange-inline">Following surgery </ins>the <ins class="diffchange diffchange-inline">toes are often temporarily held in place with pins</ins>.<br><br><br><ins class="diffchange diffchange-inline">Prevention<br>Stretch and strengthen important muscles </ins>in your <ins class="diffchange diffchange-inline">feet, ankles </ins>and <ins class="diffchange diffchange-inline">legs in order to guard against future strain</ins>. <ins class="diffchange diffchange-inline">Make sure to acquire suitable arch supports </ins>and <ins class="diffchange diffchange-inline">inserts if necessary</ins>, and <ins class="diffchange diffchange-inline">that </ins>your <ins class="diffchange diffchange-inline">shoes are shock absorbent </ins>and in <ins class="diffchange diffchange-inline">good condition</ins>. <ins class="diffchange diffchange-inline">Wearing tattered shoes provides no protection</ins>, and <ins class="diffchange diffchange-inline">runners </ins>should <ins class="diffchange diffchange-inline">replace their footwear before exceeding 500 miles </ins>of <ins class="diffchange diffchange-inline">usage</ins>. <ins class="diffchange diffchange-inline">Athletes new to arch supports should gradually build their training routine</ins>, <ins class="diffchange diffchange-inline">allowing their feet to become accustomed to </ins>a <ins class="diffchange diffchange-inline">new stance</ins>.</div></td></tr>
</table>Gene1016918http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Arch_Pain_Causes_Symptoms_And_Treatments&diff=10986&oldid=prevArethaChilton29: Página creada con «Overview<br>A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If...»2017-06-11T19:14:43Z<p>Página creada con «Overview<br>A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If...»</p>
<p><b>Página nueva</b></p><div>Overview<br>A fallen arch or flatfoot is known medically as pes planus. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel. If this arch is flattened only when standing and returns when the foot is lifted off the ground, the condition is called flexible pes planus or flexible flatfoot. If the arch disappears in both foot positions, standing and elevated, the condition is called rigid pes planus or rigid flatfoot.<br><br><br>Causes<br>In most cases, plantar fasciitis develops without a specific, identifiable reason. There are, however, many factors that can make you more prone to the condition. Tighter calf muscles that make it difficult to flex your foot and bring your toes up toward your shin. Obesity. Very high arch. Repetitive impact activity (running/sports). New or increased activity.Although many people with plantar fasciitis have heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has heel spurs, but only 1 out of 20 people (5%) with [http://absentfascist7610.Sosblogs.com/ heel spurs] has foot pain. Because the spur is not the cause of plantar fasciitis, the pain can be treated without removing the spur.<br><br>Symptoms<br>The primary symptom is pain or aching in the arch area. This can be accompanied by inflammation and tenderness. If the pain is caused by the plantar fascia, it is likely to be considerably more severe in the mornings due to the muscles being unused.<br><br>Diagnosis<br>A patient is asked to step with full body weight on the symptomatic foot, keeping the unaffected foot off the ground. The patient is then instructed to "raise up on the tip toes" of the affected foot. If the posterior tibial tendon has been attenuated or ruptured, the patient will be unable to lift the heel off the floor and rise onto the toes. In less severe cases, the patient will be able to rise on the toes, but the heel will not be noted to invert as it normally does when we rise onto the toes. X-rays can be helpful but are not diagnostic of the adult acquired flatfoot. Both feet, the symptomatic and asymptomatic - will demonstrate a flatfoot deformity on x-ray. Careful observation may show a greater severity of deformity on the affected side.<br><br>Non Surgical Treatment<br>The right kind of self treatment can help you knock out Plantar Fasciitis, a common and annoying injury. Experiencing persistent pain and stiffness in the bottom of the heel or foot? The cause of this either sharp or dull discomfort could be plantar fasciitis, inflammation of the thick tissue, or fascia, that runs along the bottom of the foot. Common among distance runners with chronically tight hamstrings, back, calves and Achilles tendons, or those who run in shoes without proper arch support, the condition may also be caused by a muscular imbalance in the hips or pelvis. This imbalance can cause slight compensations in the stride that place more stress on one leg than the other, according to San Diego-based running coach Jon Clemens, who has a master?s degree in exercise physiology. While correcting the imbalance permanently requires a strength program that focuses on balance, calf- and pelvis-strengthening drills, said Clemens, treatment to temporarily relieve the inflammation can be performed easily at home.<br><br><br>Surgical Treatment<br>In cases where cast immobilization, orthoses and shoe therapy have failed, surgery is the next alternative. The goal of surgery and non-surgical treatment is to eliminate pain, stop progression of the deformity and improve mobility of the patient. Opinions vary as to the best surgical treatment for adult acquired flatfoot. Procedures commonly used to correct the condition include tendon debridement, tendon transfers, osteotomies (cutting and repositioning of bone) and joint fusions.<br><br><br>Prevention<br>Warm up properly. This means not only stretching prior to a given athletic event, but a gradual rather than sudden increase in volume and intensity over the course of the training season. A frequent cause of plantar fasciitis is a sudden increase of activity without suitable preparation. Avoid activities that cause pain. Running on steep terrain, excessively hard or soft ground, etc can cause unnatural biomechanical strain to the foot, resulting in pain. This is generally a sign of stress leading to injury and should be curtailed or discontinued. Shoes, arch support. Athletic demands placed on the feet, particularly during running events, are extreme. Injury results when supportive structures in the foot have been taxed beyond their recovery capacity. Full support of the feet in well-fitting footwear reduces the likelihood of injury. Rest and rehabilitation. Probably the most important curative therapy for cases of plantar fasciitis is thorough rest. The injured athlete must be prepared to wait out the necessary healing phase, avoiding temptation to return prematurely to athletic activity.<br><br>Stretching Exercises<br>Try these simple stretches to assist with relieving pain in your arches. (Note: Stretch slowly and gently. You should feel a moderate pull on the muscle and tendon but no pain. If these stretches are painful, stop and seek further advice from a health professional). STRETCH ONE. Stand at arm?s length from a wall with one foot in front of the other, forward knee bent. Keeping your back leg straight and back heel on the floor, lean into the wall until you feel a stretch in your calf. STRETCH TWO. This time, bend your back leg slightly, and lean into the wall. You should feel a stretch in the lower part of your calf. Hold each stretch for 20 seconds and repeat on each leg, a few times daily.</div>ArethaChilton29