http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Pain_In_The_Arch_Causes_Symptoms_And_Treatments&feed=atom&action=historyPain In The Arch Causes Symptoms And Treatments - Historial de revisiones2024-03-29T06:56:17ZHistorial de revisiones para esta página en el wikiMediaWiki 1.24.1http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Pain_In_The_Arch_Causes_Symptoms_And_Treatments&diff=11321&oldid=prevAdellBayer18 en 20:43 11 jun 20172017-06-11T20:43:02Z<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 20:43 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 is the term used to describe pin under the </del>arch of <del class="diffchange diffchange-inline">the foot</del>. <del class="diffchange diffchange-inline">Arch pain is common </del>in <del class="diffchange diffchange-inline">people with flat feet. When this occurs it means </del>the <del class="diffchange diffchange-inline">person has some inflammation in </del>the <del class="diffchange diffchange-inline">mid foot</del>. The <del class="diffchange diffchange-inline">arch is supported by a tight band </del>of <del class="diffchange diffchange-inline">tissue called </del>the <del class="diffchange diffchange-inline">Planter fascia</del>, <del class="diffchange diffchange-inline">running from </del>the <del class="diffchange diffchange-inline">toes </del>to the <del class="diffchange diffchange-inline">heel bone</del>. <del class="diffchange diffchange-inline">When this is inflamed it is known as </del>Plantar <del class="diffchange diffchange-inline">Fasciitis</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 [http://<del class="diffchange diffchange-inline">Maniegalaz</del>.wordpress.com/2015/<del class="diffchange diffchange-inline">07</del>/<del class="diffchange diffchange-inline">01</del>/<del class="diffchange diffchange-inline">hammer</del>-<del class="diffchange diffchange-inline">toe-pain</del>-<del class="diffchange diffchange-inline">treatment </del>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><del class="diffchange diffchange-inline">Go to a podiatrist at the first sign of symptoms. Besides </del>pain <del class="diffchange diffchange-inline">on the bottom of the foot</del>, <del class="diffchange diffchange-inline">additional symptoms may include burning sensation </del>in <del class="diffchange diffchange-inline">arch, difficulty </del>standing <del class="diffchange diffchange-inline">on tiptoes, inflammation, more </del>pain <del class="diffchange diffchange-inline">after sleeping or resting, redness, heat</del>, <del class="diffchange diffchange-inline">localized </del>pain <del class="diffchange diffchange-inline">in </del>the <del class="diffchange diffchange-inline">ball </del>of the foot<del class="diffchange diffchange-inline">, sharp or shooting pain in </del>the <del class="diffchange diffchange-inline">toes, </del>pain that <del class="diffchange diffchange-inline">increases when toes are flexed</del>, <del class="diffchange diffchange-inline">tingling or numbness </del>in the <del class="diffchange diffchange-inline">toes</del>, <del class="diffchange diffchange-inline">aching</del>, <del class="diffchange diffchange-inline">pain that increases when walking barefoot, pain that increases when walking on hard surfaces, pain </del>the <del class="diffchange diffchange-inline">increases when standing (putting weight </del>on your feet) <del class="diffchange diffchange-inline">or moving around and decreases when immobile</del>, <del class="diffchange diffchange-inline">skin Lesions</del>, <del class="diffchange diffchange-inline">it?s important to get a proper diagnosis </del>and <del class="diffchange diffchange-inline">treatment plan</del>. <del class="diffchange diffchange-inline">Let?s go over the possible causes of </del>the pain.<br><br>Diagnosis<br><del class="diffchange diffchange-inline">The diagnosis of high arch (cavus) foot deformity </del>or <del class="diffchange diffchange-inline">Charcot Marie Tooth disease can be made by an orthopedic surgeon in </del>the <del class="diffchange diffchange-inline">office</del>. <del class="diffchange diffchange-inline">Evaluation includes </del>a <del class="diffchange diffchange-inline">thorough history </del>and <del class="diffchange diffchange-inline">physical examination </del>as well as <del class="diffchange diffchange-inline">imaging studies such as X-rays. The orthopedic surgeon will look at </del>the <del class="diffchange diffchange-inline">overall shape, flexibility, and strength </del>of <del class="diffchange diffchange-inline">a patient?s foot and ankle to </del>help <del class="diffchange diffchange-inline">determine the best treatment. Nerve tests may occasionally need </del>to <del class="diffchange diffchange-inline">be performed to help confirm </del>the <del class="diffchange diffchange-inline">diagnosis</del>.<br><br>Non Surgical Treatment<br><del class="diffchange diffchange-inline">Relieving </del>the <del class="diffchange diffchange-inline">pain caused </del>by <del class="diffchange diffchange-inline">plantar fasciitis boils down </del>to <del class="diffchange diffchange-inline">two basic needs</del>. <del class="diffchange diffchange-inline">Reduce the inflammation. Support </del>and <del class="diffchange diffchange-inline">stretch the plantar fascia. If you can accomplish those two goals</del>, <del class="diffchange diffchange-inline">you should note pain relief more quickly. Doctors treating plantar fasciitis will recommend the following options for accomplishing this. Rest, Get off </del>your <del class="diffchange diffchange-inline">feet as much as possible when the pain is at its worst. If you must walk or run, try </del>to <del class="diffchange diffchange-inline">stay off hard, unforgiving surfaces and wear supporting footwear. Use ice on </del>the <del class="diffchange diffchange-inline">arch several times a day to help reduce swelling if necessary. Take Tylenol, Advil, or other over-the-counter pain relievers that contain acetaminophen, ibuprofen, or naproxen to help lessen the inflammation and ease pain. Stretch </del>your <del class="diffchange diffchange-inline">toes, calves, and foot repeatedly throughout the day to keep the plantar fasciia limber</del>. <del class="diffchange diffchange-inline">Purchase insoles, inserts, or orthopedic shoes designed </del>to <del class="diffchange diffchange-inline">support the arch of the </del>foot and <del class="diffchange diffchange-inline">wear them at all times. Purchase splints </del>that <del class="diffchange diffchange-inline">will stretch the Achilles tendon as you sleep, helping to lessen morning heel </del>pain<del class="diffchange diffchange-inline">. If none of the above helps, your doctor may prescribe regular injections of cortisone to control the pain. As a last resort, your doctor may attempt surgery to repair the plantar fascia</del>.<br><br><br>Surgical Treatment<br>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 have weakness in moving the foot up, which is sometimes called a foot drop. In these cases, a tendon from the back of the ankle may be moved to the top of the foot to help improve strength. Correcting the deformity of the foot may not be possible with soft tissue procedures alone. In these instances, one or more bone cuts (osteotomies) may be needed. Instead of a bone cut, a fusion (arthrodesis) procedure may be used. A fusion removes the joint between two bones so they grow together over time. During a fusion the bones may be held in place with plates or screws. Calcaneal osteotomy: This procedure is 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 and is often held in place with one or more screws. Sometimes patients have a deformity that has caused damage to 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.<br><br><br>Stretching Exercises<br><del class="diffchange diffchange-inline">Start in an L-Sit position. (If you?re hips </del>and <del class="diffchange diffchange-inline">hamstrings are tight sit up on a box </del>or <del class="diffchange diffchange-inline">phone book to </del>be <del class="diffchange diffchange-inline">able </del>to <del class="diffchange diffchange-inline">achieve a tall back position</del>. <del class="diffchange diffchange-inline">You can even sit on a box with </del>your <del class="diffchange diffchange-inline">back supported against a </del>wall<del class="diffchange diffchange-inline">!) Keeping </del>the <del class="diffchange diffchange-inline">legs straight, but not locked, reach both heels out away from </del>your <del class="diffchange diffchange-inline">body </del>to <del class="diffchange diffchange-inline">?Flex? </del>the <del class="diffchange diffchange-inline">ankles</del>. Try to <del class="diffchange diffchange-inline">avoid pulling back with the toes </del>to <del class="diffchange diffchange-inline">flex</del>. <del class="diffchange diffchange-inline">Keep </del>the <del class="diffchange diffchange-inline">toes relaxed </del>and <del class="diffchange diffchange-inline">lead from </del>the <del class="diffchange diffchange-inline">heel to hinge </del>the foot <del class="diffchange diffchange-inline">into the flexed position. Hold the flexed foot and breathe</del>. Take <del class="diffchange diffchange-inline">3-5 breaths and see if you can reach farther through the </del>heel to <del class="diffchange diffchange-inline">deepen </del>the <del class="diffchange diffchange-inline">flex on each exhale</del>. <del class="diffchange diffchange-inline">To transition to </del>the <del class="diffchange diffchange-inline">pointed </del>position<del class="diffchange diffchange-inline">, begin by pointing </del>the <del class="diffchange diffchange-inline">foot </del>to <del class="diffchange diffchange-inline">move </del>the <del class="diffchange diffchange-inline">ankles as far as possible </del>in the <del class="diffchange diffchange-inline">other </del>direction. <del class="diffchange diffchange-inline">Once </del>the <del class="diffchange diffchange-inline">ankles have reached their endpoint</del>, <del class="diffchange diffchange-inline">use </del>the <del class="diffchange diffchange-inline">muscles along </del>the <del class="diffchange diffchange-inline">sole </del>of the foot to <del class="diffchange diffchange-inline">point </del>the <del class="diffchange diffchange-inline">toes</del>. <del class="diffchange diffchange-inline">Inhale to continue lengthening out through </del>the <del class="diffchange diffchange-inline">top </del>of <del class="diffchange diffchange-inline">the </del>foot<del class="diffchange diffchange-inline">, exhale </del>to <del class="diffchange diffchange-inline">deepen </del>the <del class="diffchange diffchange-inline">contraction under </del>the <del class="diffchange diffchange-inline">sole of </del>the <del class="diffchange diffchange-inline">foot </del>to <del class="diffchange diffchange-inline">point </del>the <del class="diffchange diffchange-inline">toes</del>. <del class="diffchange diffchange-inline">Take 3-5 breaths</del>. <del class="diffchange diffchange-inline">Then release </del>the <del class="diffchange diffchange-inline">toes</del>, and <del class="diffchange diffchange-inline">begin reaching out through </del>the heel to <del class="diffchange diffchange-inline">hinge </del>the <del class="diffchange diffchange-inline">ankle into </del>the <del class="diffchange diffchange-inline">flexed position </del>to <del class="diffchange diffchange-inline">repeat </del>the <del class="diffchange diffchange-inline">exercise</del>. <del class="diffchange diffchange-inline">Continue </del>to <del class="diffchange diffchange-inline">flex and </del>the <del class="diffchange diffchange-inline">point </del>for <del class="diffchange diffchange-inline">5</del>-<del class="diffchange diffchange-inline">10 repetitions</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">The most common causes of </ins>arch <ins class="diffchange diffchange-inline">pain are repetitive activities, such as walking or running too far; jumping; or standing on hard surfaces for long periods </ins>of <ins class="diffchange diffchange-inline">time</ins>. <ins class="diffchange diffchange-inline">Injury, such as tears </ins>in the <ins class="diffchange diffchange-inline">ligament called </ins>the <ins class="diffchange diffchange-inline">plantar fascia</ins>. The <ins class="diffchange diffchange-inline">natural aging process. Biomechanical defects </ins>of the <ins class="diffchange diffchange-inline">foot</ins>, <ins class="diffchange diffchange-inline">or abnormalities we are born with, such as very high or low arches, or pronation (a turning out of </ins>the <ins class="diffchange diffchange-inline">foot, causing us </ins>to <ins class="diffchange diffchange-inline">walk more on </ins>the <ins class="diffchange diffchange-inline">inner border of the foot)</ins>. Plantar <ins class="diffchange diffchange-inline">fibromatosis, a benign growth on the ligament that supports the arch</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 heel spurs, spurs are not the cause of plantar fasciitis pain. One out of 10 people has [http://<ins class="diffchange diffchange-inline">lubagudger</ins>.wordpress.com/2015/<ins class="diffchange diffchange-inline">06</ins>/<ins class="diffchange diffchange-inline">24</ins>/<ins class="diffchange diffchange-inline">rigid</ins>-<ins class="diffchange diffchange-inline">hammertoes</ins>-<ins class="diffchange diffchange-inline">treatments </ins>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">Intense heel </ins>pain, <ins class="diffchange diffchange-inline">especially first thing </ins>in <ins class="diffchange diffchange-inline">the morning and after a long day. Difficulty walking or </ins>standing <ins class="diffchange diffchange-inline">for long periods without </ins>pain<ins class="diffchange diffchange-inline">. Generally</ins>, <ins class="diffchange diffchange-inline">the sharp </ins>pain <ins class="diffchange diffchange-inline">associated with plantar fasciitis is localized to </ins>the <ins class="diffchange diffchange-inline">heel, but it can spread forward along the arch </ins>of the foot <ins class="diffchange diffchange-inline">and back into </ins>the <ins class="diffchange diffchange-inline">Achilles tendon. While severe cases can result in chronic </ins>pain that <ins class="diffchange diffchange-inline">lasts all day</ins>, <ins class="diffchange diffchange-inline">the most common flare ups occur first thing </ins>in the <ins class="diffchange diffchange-inline">morning</ins>, <ins class="diffchange diffchange-inline">making those first steps out of bed a form of torture</ins>, <ins class="diffchange diffchange-inline">and in </ins>the <ins class="diffchange diffchange-inline">evening after having spent a day </ins>on your feet<ins class="diffchange diffchange-inline">. Overpronation (a foot that naturally turns too far inward</ins>), <ins class="diffchange diffchange-inline">high arches</ins>, and <ins class="diffchange diffchange-inline">flat feet (fallen arches) can all cause similar arch pain</ins>. <ins class="diffchange diffchange-inline">In these cases, however, </ins>the pain <ins class="diffchange diffchange-inline">is more likely to continue throughout the day rather than being worst in the morning</ins>.<br><br>Diagnosis<br><ins class="diffchange diffchange-inline">A professional therapist may use tinels test to diagnose tarsal tunnel syndrome. This involves tapping the nerve just behind the medial malleolus </ins>or <ins class="diffchange diffchange-inline">bony bit of </ins>the <ins class="diffchange diffchange-inline">ankle with a rubber hammer</ins>. <ins class="diffchange diffchange-inline">Pain indicates </ins>a <ins class="diffchange diffchange-inline">positive test. Sometimes it is initially mistaken for plantar fasciitis which also causes pain from the inside heel </ins>and <ins class="diffchange diffchange-inline">throughout the arch of the foot. Neural symptoms (such as tingling or numbness) </ins>as well as the <ins class="diffchange diffchange-inline">location </ins>of <ins class="diffchange diffchange-inline">tenderness when touching the area should </ins>help to <ins class="diffchange diffchange-inline">easily distinguish between </ins>the <ins class="diffchange diffchange-inline">conditions</ins>.<br><br>Non Surgical Treatment<br><ins class="diffchange diffchange-inline">One of </ins>the <ins class="diffchange diffchange-inline">most successful, and practical treatments recommended </ins>by <ins class="diffchange diffchange-inline">podiatrists are orthotic devices, sometimes referred </ins>to <ins class="diffchange diffchange-inline">as arch supports</ins>. <ins class="diffchange diffchange-inline">Orthotics take various forms </ins>and <ins class="diffchange diffchange-inline">are constructed of various materials</ins>, <ins class="diffchange diffchange-inline">usually best recommended by </ins>your <ins class="diffchange diffchange-inline">doctor </ins>to <ins class="diffchange diffchange-inline">address </ins>the <ins class="diffchange diffchange-inline">severity of </ins>your <ins class="diffchange diffchange-inline">problem</ins>. <ins class="diffchange diffchange-inline">All orthotic devices serve </ins>to <ins class="diffchange diffchange-inline">improve </ins>foot <ins class="diffchange diffchange-inline">function </ins>and <ins class="diffchange diffchange-inline">minimize stress forces </ins>that <ins class="diffchange diffchange-inline">could ultimately arch </ins>pain.<br><br><br>Surgical Treatment<br>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 have weakness in moving the foot up, which is sometimes called a foot drop. In these cases, a tendon from the back of the ankle may be moved to the top of the foot to help improve strength. Correcting the deformity of the foot may not be possible with soft tissue procedures alone. In these instances, one or more bone cuts (osteotomies) may be needed. Instead of a bone cut, a fusion (arthrodesis) procedure may be used. A fusion removes the joint between two bones so they grow together over time. During a fusion the bones may be held in place with plates or screws. Calcaneal osteotomy: This procedure is 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 and is often held in place with one or more screws. Sometimes patients have a deformity that has caused damage to 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.<br><br><br>Stretching Exercises<br><ins class="diffchange diffchange-inline">Plantar Fasciitis stretches should always be gentle </ins>and <ins class="diffchange diffchange-inline">pain free, if discomfort occurs with </ins>or <ins class="diffchange diffchange-inline">after stretching decrease the intensity and duration of stretches. Stretches can usually </ins>be <ins class="diffchange diffchange-inline">gradually progressed in intensity and duration over time according </ins>to <ins class="diffchange diffchange-inline">individual tolerance</ins>. <ins class="diffchange diffchange-inline">Plantar Fasciitis Stretch 1. Stretch for the right calf muscle (gastrocnemius) and the arch of the right foot (plantar fascia and muscles under the arches). Take </ins>your <ins class="diffchange diffchange-inline">right heel close to the </ins>wall <ins class="diffchange diffchange-inline">and ball of </ins>the <ins class="diffchange diffchange-inline">foot upright against the wall. Move </ins>your <ins class="diffchange diffchange-inline">hips forwards </ins>to the <ins class="diffchange diffchange-inline">wall</ins>. Try to <ins class="diffchange diffchange-inline">keep your right leg straight. Push down through your right heel </ins>to <ins class="diffchange diffchange-inline">increase the stretch</ins>. <ins class="diffchange diffchange-inline">Maintain for 30 seconds, repeat 2-3 times. Plantar Fasciitis Stretch 2. Stretch for </ins>the <ins class="diffchange diffchange-inline">outside belly of the right calf muscle </ins>and the <ins class="diffchange diffchange-inline">arch of </ins>the <ins class="diffchange diffchange-inline">right </ins>foot. Take <ins class="diffchange diffchange-inline">your right </ins>heel <ins class="diffchange diffchange-inline">close </ins>to the <ins class="diffchange diffchange-inline">wall</ins>. <ins class="diffchange diffchange-inline">Turn </ins>the <ins class="diffchange diffchange-inline">ball of your right foot outwards to 2 o?clock </ins>position <ins class="diffchange diffchange-inline">upright against </ins>the <ins class="diffchange diffchange-inline">wall. Move your hips forwards </ins>to the <ins class="diffchange diffchange-inline">wall. Turn your trunk </ins>in the <ins class="diffchange diffchange-inline">opposite </ins>direction <ins class="diffchange diffchange-inline">(i</ins>.<ins class="diffchange diffchange-inline">e. to </ins>the <ins class="diffchange diffchange-inline">left). Try to keep your right leg straight. Push down through your right heel to increase the stretch. Maintain for 30 seconds</ins>, <ins class="diffchange diffchange-inline">repeat 2-3 times. Plantar Fasciitis Stretch 3. Stretch for </ins>the <ins class="diffchange diffchange-inline">inside belly of </ins>the <ins class="diffchange diffchange-inline">right calf muscle and the arch </ins>of the <ins class="diffchange diffchange-inline">right </ins>foot<ins class="diffchange diffchange-inline">. Take your right heel close </ins>to the <ins class="diffchange diffchange-inline">wall</ins>. <ins class="diffchange diffchange-inline">Turn </ins>the <ins class="diffchange diffchange-inline">ball </ins>of <ins class="diffchange diffchange-inline">your right </ins>foot <ins class="diffchange diffchange-inline">inwards </ins>to <ins class="diffchange diffchange-inline">10 o?clock position upright against </ins>the <ins class="diffchange diffchange-inline">wall. Move your hips forwards to </ins>the <ins class="diffchange diffchange-inline">wall. Turn your trunk in </ins>the <ins class="diffchange diffchange-inline">opposite direction (i.e. </ins>to the <ins class="diffchange diffchange-inline">right)</ins>. <ins class="diffchange diffchange-inline">Try to keep your right leg straight</ins>. <ins class="diffchange diffchange-inline">Push down through your right heel to increase </ins>the <ins class="diffchange diffchange-inline">stretch. Maintain for 30 seconds</ins>, <ins class="diffchange diffchange-inline">repeat 2-3 times. Plantar Fasciitis Stretch 4. Stretch for the right achilles tendon </ins>and the <ins class="diffchange diffchange-inline">arch of the right foot. Take your right </ins>heel <ins class="diffchange diffchange-inline">close </ins>to the <ins class="diffchange diffchange-inline">wall and ball of </ins>the <ins class="diffchange diffchange-inline">foot upright against the wall (as for stretch 1). Move your hips forwards </ins>to the <ins class="diffchange diffchange-inline">wall</ins>. <ins class="diffchange diffchange-inline">Bend your right knee forwards into the wall keeping the ball of your foot upright against the wall. Push down through your right heel </ins>to <ins class="diffchange diffchange-inline">increase </ins>the <ins class="diffchange diffchange-inline">stretch. Maintain </ins>for <ins class="diffchange diffchange-inline">30 seconds, repeat 2</ins>-<ins class="diffchange diffchange-inline">3 times</ins>.</div></td></tr>
</table>AdellBayer18http://www.rehime.com.ar/bases/paginasdecine/index.php?title=Pain_In_The_Arch_Causes_Symptoms_And_Treatments&diff=10698&oldid=prevTeriBarney: Página creada con «Overview<br>Arch pain is the term used to describe pin under the arch of the foot. Arch pain is common in people with flat feet. When this occurs it means the person has so...»2017-06-11T17:56:05Z<p>Página creada con «Overview<br>Arch pain is the term used to describe pin under the arch of the foot. Arch pain is common in people with flat feet. When this occurs it means the person has so...»</p>
<p><b>Página nueva</b></p><div>Overview<br>Arch pain is the term used to describe pin under the arch of the foot. Arch pain is common in people with flat feet. When this occurs it means the person has some inflammation in the mid foot. The arch is supported by a tight band of tissue called the Planter fascia, running from the toes to the heel bone. When this is inflamed it is known as Plantar Fasciitis.<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 [http://Maniegalaz.wordpress.com/2015/07/01/hammer-toe-pain-treatment 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>Go to a podiatrist at the first sign of symptoms. Besides pain on the bottom of the foot, additional symptoms may include burning sensation in arch, difficulty standing on tiptoes, inflammation, more pain after sleeping or resting, redness, heat, localized pain in the ball of the foot, sharp or shooting pain in the toes, pain that increases when toes are flexed, tingling or numbness in the toes, aching, pain that increases when walking barefoot, pain that increases when walking on hard surfaces, pain the increases when standing (putting weight on your feet) or moving around and decreases when immobile, skin Lesions, it?s important to get a proper diagnosis and treatment plan. Let?s go over the possible causes of the pain.<br><br>Diagnosis<br>The diagnosis of high arch (cavus) foot deformity or Charcot Marie Tooth disease can be made by an orthopedic surgeon in the office. Evaluation includes a thorough history and physical examination as well as imaging studies such as X-rays. The orthopedic surgeon will look at the overall shape, flexibility, and strength of a patient?s foot and ankle to help determine the best treatment. Nerve tests may occasionally need to be performed to help confirm the diagnosis.<br><br>Non Surgical Treatment<br>Relieving the pain caused by plantar fasciitis boils down to two basic needs. Reduce the inflammation. Support and stretch the plantar fascia. If you can accomplish those two goals, you should note pain relief more quickly. Doctors treating plantar fasciitis will recommend the following options for accomplishing this. Rest, Get off your feet as much as possible when the pain is at its worst. If you must walk or run, try to stay off hard, unforgiving surfaces and wear supporting footwear. Use ice on the arch several times a day to help reduce swelling if necessary. Take Tylenol, Advil, or other over-the-counter pain relievers that contain acetaminophen, ibuprofen, or naproxen to help lessen the inflammation and ease pain. Stretch your toes, calves, and foot repeatedly throughout the day to keep the plantar fasciia limber. Purchase insoles, inserts, or orthopedic shoes designed to support the arch of the foot and wear them at all times. Purchase splints that will stretch the Achilles tendon as you sleep, helping to lessen morning heel pain. If none of the above helps, your doctor may prescribe regular injections of cortisone to control the pain. As a last resort, your doctor may attempt surgery to repair the plantar fascia.<br><br><br>Surgical Treatment<br>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 have weakness in moving the foot up, which is sometimes called a foot drop. In these cases, a tendon from the back of the ankle may be moved to the top of the foot to help improve strength. Correcting the deformity of the foot may not be possible with soft tissue procedures alone. In these instances, one or more bone cuts (osteotomies) may be needed. Instead of a bone cut, a fusion (arthrodesis) procedure may be used. A fusion removes the joint between two bones so they grow together over time. During a fusion the bones may be held in place with plates or screws. Calcaneal osteotomy: This procedure is 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 and is often held in place with one or more screws. Sometimes patients have a deformity that has caused damage to 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.<br><br><br>Stretching Exercises<br>Start in an L-Sit position. (If you?re hips and hamstrings are tight sit up on a box or phone book to be able to achieve a tall back position. You can even sit on a box with your back supported against a wall!) Keeping the legs straight, but not locked, reach both heels out away from your body to ?Flex? the ankles. Try to avoid pulling back with the toes to flex. Keep the toes relaxed and lead from the heel to hinge the foot into the flexed position. Hold the flexed foot and breathe. Take 3-5 breaths and see if you can reach farther through the heel to deepen the flex on each exhale. To transition to the pointed position, begin by pointing the foot to move the ankles as far as possible in the other direction. Once the ankles have reached their endpoint, use the muscles along the sole of the foot to point the toes. Inhale to continue lengthening out through the top of the foot, exhale to deepen the contraction under the sole of the foot to point the toes. Take 3-5 breaths. Then release the toes, and begin reaching out through the heel to hinge the ankle into the flexed position to repeat the exercise. Continue to flex and the point for 5-10 repetitions.</div>TeriBarney