Fractures of the foot and ankle - Information about broken bones in the feet and ankles

Fractures of the foot and ankle - Information about broken bones in the feet and ankles

Information About Foot & Ankle FracturesFractures, or broken bones, of the foot and ankle are common injuries.Because our foot and ankle are necessary for walking, it is important to have proper treatment of any foot or ankle fracture.
Calcaneus Fracture
The calcaneus is the bone in heel.Calcaneus fractures can be severe injuries and often lead to problems of chronic pain in the foot.Treatment of a broken heel bone depends on the severity of the fracture.

Talus Fractures
A talus fracture occurs when the talar bone, one of the important connections between the leg and the foot, is broken.The talus has cartilage that contrubutes to both the ankle and hidfoot joiints.A talus fracture often requires surgery, and even with surgical treatment, patients often have long term ankle problems such as arthritis.

Broken Ankle - Ankle Fracture
An ankle fracture is a common injury. Broken ankles are among the most prevalent fracture types. Find information about broken ankles as well as information about ankle fracture treatment.

Metatarsal Stress Fracture
A metatarsal stress fracture is a common cause of foot pain, especially when people suddenly increase their activities. This type of injury, notorious in soldier recruits, is also called a "march fracture."

Jones Fracture
A Jones fracture is a fracture of the fifth metatarsal of the foot. Patients who sustain a Jones fracture have pain over this middle/outside area of their foot, swelling, and difficulty walking.

Navicular Stress Fracture
A navicular stress fracture is an injury to the midfoot region below the ankle.Athletes who sustain a navicular stress fracture commonly complain of a vague pain in the midfoot that hurts during activity.Treatment of a navicular stress fractures is usually accomplished with a cast.

Lisfranc Fracture
Actually a fracture and dislocation, this is an injury to a joint in the midfoot.

Fibula Fractures
A fibula fracture is an injury to the lower leg.Most often, a broken fibula is a type of ankle fracture, although there are other types of fractures of this bone.Treatment of a fibula fracture depends on the type of break that occurred.

Posterior Malleolus Fractures
Ankle fractures are common injuries that can involve different bones. Posterior malleolus fractures are one type of injury associate with a broken ankle.

Achilles Tendonitis Pain Treatment | AFACC TN

Achilles Tendonitis Pain Treatment | AFACC TN

Achilles tendonitis is a common disorder that can cause lingering pain and swelling for those effected, and can even require surgery when left untreated. An early evaluation at an AFACC clinic can help you recover properly and avoid surgery with non-invasive treatments. Fill out the form to the left to schedule an appointment with a specialist today.

What is the Achilles Tendon & How is it Affected By Tendonitis?
Achilles tendonitis is an acute inflammation of the Achilles tendon. The Achilles tendon connects the calf muscle to the back of the heel bone. Also called the "heel cord," the Achilles tendon is the largest tendon in the body.

Left untreated, the condition usually progresses to a degeneration of the tendon (Achilles tendonosis), in which the tendon loses its anatomic structure and is likely to develop tendon tears. In some cases, the degeneration may result in a complete rupture of the tendon.

Causes & Symptoms of Achilles Injuries
Symptoms of Achilles tendonitis and tendonosis may include the following:
Pain with activities or at restAchingTendernessStiffnessSwellingThickening of the tendonTendon weakness
These symptoms are usually caused by a sudden increase of repetitive activities involving the Achilles tendon. Such activities put too much stress on the tendon, leading to injury of the tendon fibers. With continued stress, the body is unable to repair the injured tendon, resulting in continued pain.

Achilles injuries are common to individuals who frequently place stress on their feet and ankles, such as athletes and laborers. However, routine daily activities and light exercising can sometimes result in tendon flare-ups. Excess weight can also contribute to tendon damage.

People with flat feet have a somewhat greater tendency to develop Achilles tendonitis and tendonosis due to increased demands placed on the tendon when walking. Proper shoe gear is essential in this patient population.

In diagnosing Achilles tendonitis or tendonosis, your AFACC podiatrist will fully examine your foot and ankle, and evaluate the condition of the tendon. This often includes evaluation of the tendon's strength and range of motion. The full extent of the tendon damage can be further assessed with x-rays or MRI, when necessary.

Tendonitis Treatment Options
Treatment approaches are usually selected on the basis of how long the injury has been present and the degree of damage to the tendon. In many cases, non-surgical treatments are very effective in managing Achilles tendonitis and Achilles tendonosis. Surgical repair is sometimes required with moderate to severe tendon damage - early evaluation and treatment by your podiatric physician can help you avoid this, and is essential in helping to prevent further damage to the tendon.

For more information about Achilles tendonitis or to have your injury assessed, contact us today to schedule an appointment at the AFACC clinic nearest you.
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Foot Conditions - Chiropractic Hand & Foot Clinics Of America

Foot Conditions - Chiropractic Hand & Foot Clinics Of America

Food Conditions

Millions of people suffer unnecessarily every day with debilitating foot pain. In fact it is common for people to accept foot pain as a normal part of life. Foot pain suffers many times feel as though that's the way their feet are and they just need to learn to live with the pain.

For decades, foot pain sufferers have attempted to resolve their foot problems by purchasing and using a variety of different shoe inserts. Many times these shoe inserts are purchased over the counter or from specialty stores; whereas other foot pain suffers will even go so far as to see a foot doctor to get custom fitted orthotics to wear inside their shoes.

While wearing a good pair of shoe inserts isn't a bad idea it will rarely correct the actual underlying problem causing a person's foot condition. Custom made orthotics and over the counter shoe inserts simply act as a band-aid to support the foot and provide a cushioned surface. Sometimes this band-aid approach will provide relief but many times it's a futile attempt as shoe inserts will often fail to provide the long-term relief that they had promised.

You might ask yourself, "If shoe inserts don't correct the underlying cause, then what is the solution to really getting to the actual problem that is causing the foot pain"? Is it surgery? Is it injections? Is it medications? The answer to all of those questions is no. Surgery, injections and medications will generally not fix the problem either. In fact, with surgery especially there are numerous risks that you will need to consider. So then what is the solution to actually correct the underlying cause of your foot condition and pain?

Because most foot pain is related to an abnormality in the alignment of the 26 foot bones the best solution will be one that directly address and corrects the foot bone misalignments. The best solution to improving the healthy alignment of the foot bones is accomplished using a specific joint manipulation procedure by a trained expert. Chiropractic Hand & Foot Clinics of America provides a fellowship training program for a small number of chiropractors across the nation. The treatments provided by a Chiropractic Hand & Foot Clinics of America doctor, is far superior to other conservative treatments.

Your Chiropractic Hand & Foot Clinics of America doctor is a trained expert in performing specific, gentle adjustments to the 26 bones of the foot. Many people are familiar with chiropractic care as it relates to the spine, however, the idea of having your foot adjusted is a whole new concept to most. With standard chiropractic practices a chiropractor will improve a patient's back pain condition by administering a gentle, specific adjustment to a misaligned vertebra. Similarly a Chiropractic Hand & Foot Clinics of America doctor will provide their foot pain patients with a gentle, specific adjustment to the misaligned foot bones thus providing the patient with relief. Because the chiropractor is actually improving the alignment of the foot bones it is truly getting to the root cause of the problem.

Common Areas of Foot Pain
Bottom of Foot Pain / Heel Pain

Bottom of foot pain can be related to several different factors depending on the location of the pain. Other factors include type of footwear, activities and hobbies, age, weight, and overall health. Some of the more common bottom of foot pain conditions include plantar fasciitis, heel spur syndrome and metatarsalgia.

Ball of Foot Pain

The ball of the foot is that area on the under surface of the foot where the toes join to the long bones (or metatarsals). This is a common area that can become irritated or injured and develop pain. There are a few main reasons or causes for most cases of pain in the ball of the foot. If one or more of the metatarsal bones become misaligned this can alter the foot's ability to naturally distribute weight during the gait cycle (walking cycle). People suffering from this type of pain will many times report that it feels like there's a lump under that portion of their foot when they stand or walk. Ball of foot pain is commonly referred to as Metatarsalgia. There are other reasons for this type of pain such as stress fracture, improperly sized shoes or from wearing high-heel shoes.

Top of Foot Pain

Top of foot pain is not as common as pain on the bottom of the foot but it can be equally as debilitating. People with flat feet may tend to experience an irritation to the joints between the foot bones on the top surface of those joints. As a result they may complain of pain and discomfort on the top of their foot. High arched feet can also develop stress and result in pain on the top of the foot, however this is usually do to tensed or strained tendons that pass over that area. In both cases the underlying cause of the top of foot pain is related to a mechanical dysfunction or misalignment of the bones in the foot.

Side of Foot Pain

Foot pain can be present at several locations on either the inside or outside of the foot and/or ankle. In most cases these pain symptoms are related to some mechanical stress or misalignment of one or more of the 26 foot bones. People who run or are active on their feet often complain of pain on the side of their foot. Another common cause of pain of the side of the foot is from shoes that are too tight and cause a constricting pressure on either side of the forefoot. This can cause pain at either the big toe are or the outside of the fifth toe.

Some common conditions that are related to side of foot pain are: bunions, tailor's bunion, ankle stress or ankle sprains, flat feet, and possibly even tendonitis. When the foot bones lose their healthy alignment it will lead to an increase in stress to the foot bones and joints as well as significant stress to the muscles, tendons and ligaments in the foot.

Back of the Foot Pain / Back of Heel Pain

The most common condition that affects the back of the foot is known as Achilles tendonitis. This condition occurs when there has been a great amount of stress and strain on the Achilles tendon due to various activities and abnormal movements of the foot, ankle and leg. A misalignment or mechanical dysfunction of the hind foot will generally be present when a person is suffering from this condition. Many times the patient will report having had a prior history of an ankle or sprain to the foot, possibly even months or years prior to the achilles tendonitis developing. Other times this painful condition may have developed due to repetitive movements of the foot and/or ankle over an extended period of time.

Click Locate a Doctor to find a Chiropractic Hand & Foot Clinics of America doctor near you.

Common Foot & Leg Conditions Treated:Planter FasciitisHeel PainHeel Spur SyndromeBottom of Foot PainAchilles TendonitisAnkle SprainsAnkle PainArch PainMetatarsalgiaBall of Foot PainBunionsTailor's Bunions (Bunionette)HammertoeMorton's NeuromaGeneralized Foot PainFlat FeetOver PronationHigh ArchesSever's DiseaseHaglund's DeformityShin SplintsCompartment SyndromeKnee Pain

Hallux Valgus and Bunion Surgery - Wheeless' Textbook of Orthopaedics

Hallux Valgus and Bunion Surgery - Wheeless' Textbook of Orthopaedics

Hallux Valgus and Bunion Surgery

- See:

- adolescent bunion

- bunionette

- Discussion:

- pathophysiology

- blood supply of MCP joint

- windlass mechanism

- diff dx:

- gout

- hallux rigidus (cheilectomy);

- references:

- Anatomic variations in the first ray: Part I. Anatomic aspects related to bunion surgery.

- Muscle in hallux valgus.

- Kinematics of the first metatarsophalangeal joint.

- Hallux valgus--etiology, anatomy, treatment and surgical considerations.

- Physical Exam:

- vascular status: dorsalis pedis and posterior tibial artery;

- ankle equinus deformity (loss of ankle dorsiflexion may accentuate forefoot pain);

- determine the correctability of the deformity:

- degree to which standing accentuates the deformity;

- passive correctability of the hallux valgus and determine the ROM of the MTP joint in both the corrected and uncorrected positions;

- toe stiffness: note whether the toe is stiff once placed in the corrected position?

- a mildly symptomatic hallux valgus is preferable to a stiff corrected MTP joint;

- note that a technically correct surgical procedure may leave toe stiff once placed in corrected position (due to soft tissue contractures);

- the result may be pain w/ toe off during gait;

- amount of 1st toe pronation (associated w/ severity);

- first MT-cuneiform joint is evaluated for hypermobility and tenderness (involves pushing the MT head into dorsiflexion & plantar flexion);

- ref: Instability of the First Metatarsal-Cuneiform Joint: Diagnosis and Discussion of an Independent Pain Generator in the Foot

- tenderness over medial aspect of MTP joint;

- occurs from irritation of the dorsal cutaneous nerve;

- may occur from hypetrophic bursa;

- generalized ligamentous laxity: note that standard reconstructive techniques may fail in this patients;

- Radiographs:

- is the hallux valgus congruent or incongruent?

- congruent joint are less likely to progress than non congruent joints;

- Non-Operative Treatment:

- pts w/o DJD of MTP joint may benefit from lace up shoes w/ a wide toe box;

- pts w/ equinus contracture may benefit from stretching, which may unload the forefoot and relieve pain;

- pts w/ DJD of MTP (hallux rigidus) may benefit from a stiff soled shoe;

- Operative Treatment:

- surgical approach to MTP joint:

- pertinent blood supply;

- make a curved incision 5 cm long on the medial aspect of the joint;

- begin incision proximal to IP joint, curve it over the dorsum of MP joint just medial to EHL tendon;

- end incision on medial aspect of first metatarsal 2.5 cm proximal to joint;

- dorsally take care to identify:

- medial branch of first dorsal metatarsal artery

- medial branch of 1st dorsal cutaneous nerve (branch of superficial peroneal nerve) which supplies medial side of great toe;

- dissect the fascia from the dorsum down to the bursa over the medial aspect of the metatarsal head;

- ref: Dorsomedial cutaneous nerve syndrome: Treatment with nerve transection and burial into bone.

- surgical options:

- akin procedure

- ref: Late results after correction of hallux valgus deformity by basilar phalangeal osteotomy.

- arthrodesis

- ref: Arthrodesis of the first metatarsophalangeal joint in rheumatoid arthritis. Biodegradable rods and Kirschner-wires in 39 cases.

- chevron osteotomy

- hallux rigidus

- keller procedure

- lapidus procedure

- ludloff osteotomy

- mau osteotomy

- mcbride procedure:

- ref: McBride's operation for hallux valgus. A 2-11-year follow-up of 46 cases.

- mitchell bunion procedure

- proximal MT osteotomy

- silver procedure

- soft tissue release and capsular repair

- surgical treatment based on radiographic anatomy:

- mild deformity:

- for mild to moderate deformity (IM angle from 9 to 13 deg)

- consider soft tissue procedure (modified Mcbride procedure) or distal osteotomy (chevron or Mitchell type)

- moderate deformity:

- moderate to severe deformities (13 to 20 deg) is best treated w/ soft tissue release & proximal MT osteotomy;

- prominent medial eminence: consider a concomitant silver procedure;

- severe deformity:

- w/ hallux valgus deformity > 30 deg w/ IM angle > 12 deg consider distal soft tissue release w/ proximal osteotomy;

- MTP joint arthrodesis is another option;

- lapidus procedure: indicated for severe deformity + hypermobile 1st ray;

- wound closure:

- following the hallux valgus reconstructive procedure, the sesamoids may still lie in a subluxed positioned;
- posterior to anterior closure:
- partial reduction of the sesamoids may be achieved w/ closure of the joint capsule;

- excise the inferior portion of the joint capsule, place the toe in a slightly over-corrected position, and then oppose the inferior joint capsule to the superior joint capsule w/ non absorbable sutures;

- goal of this is to de-rotate sesamoids out of their laterally subluxed position, to a more anatomic position under the metatarsal;

- distal to proximal closure

- figure of 8 closure spaning proximal and distal MTP joint will have the effect of tightening the medial capsule;

- Other Surgical Considerations:
- hammer toe correction

- ankle equinus contracture

- Complications:

- hallux varus:

- excessive resection of medial metatarsal head;

- excision of medial sesamoid;

- excessive capsular plication;

- immobilization of the toe in excessive varus during the post op period;

- ref: The operative treatment of acquired hallux varus.

Wilson's osteotomy for the treatment of hallux valgus.

The modified Wilson osteotomy for hallux valgus.

Distal metatarsal osteotomy for hallux valgus in the middle-aged patient.

Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up.

Year Book: A Comparison of Keller's Arthroplasty and Distal Metatarsal Osteotomy in the Treatment of Adult Hallux Valgus.

The risks and benefits of distal first metatarsal osteotomies.

Principles in bunion surgery.

Monarticular nontraumatic synovitis of the metatarsophalangeal joint: a new diagnosis?

The treatment of hallux valgus with overriding second toe.

Hallux valgus.

Extensor hallucis longus transfer for hallux valgus deformity.

Shortening of the first metatarsal as a complication of metatarsal osteotomies.

A prospective study of forefoot arthroplasty.

Silastic joint arthroplasty of the great toe. A review of 228 implants using the double-stemmed implant.

Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow-up.

Survivorship analysis of implant arthroplasty for the first metatarsophalangeal joint.

Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Tuesday, September 4, 2012 1:43 pm

AKS: Summary for AK Steel Holding Corporation Co- Yahoo! Finance

AKS: Summary for AK Steel Holding Corporation Co- Yahoo! Finance

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Fundamental company data provided by Capital IQ. Historical chart data and daily updates provided by Commodity Systems, Inc. (CSI). International historical chart data, daily updates, fund summary, fund performance, dividend data and Morningstar Index data provided by Morningstar, Inc. Orderbook quotes are provided by BATS Exchange. US Financials data provided by Edgar Online and all other Financials provided by Capital IQ. International historical chart data, daily updates, fundAnalyst estimates data provided by Thomson Financial Network. All data povided by Thomson Financial Network is based solely upon research information provided by third party analysts. Yahoo! has not reviewed, and in no way endorses the validity of such data. Yahoo! and ThomsonFN shall not be liable for any actions taken in reliance thereon.

Plantar Fasciitis

There are a number of plantar fasciitis causes. The plantar fascia ligament is like a rubber band and loosens and contracts with movement. It also absorbs significant weight and pressure. Because of this function, plantar fasciitis can easily occur from a number of reasons. Among the most common is an overload of physical activity or exercise. Athletes are particularly prone to plantar fasciitis and commonly suffer from it. Excessive running, jumping, or other activities can easily place repetitive or excessive stress on the tissue and lead to tears and inflammation, resulting in moderate to severe pain.

Pronounced as "plantar fash-ee-eye-tis," plantar means "foot," while fasciitis means "inflammation." Plantar Fasciitis is a serious, painful and progressing illness that occurs when the long, flat ligament along the bottom of the foot develops either tears or inflammation. Serious cases of plantar fasciitis can possibly lead to ruptures of the ligament itself. This ligament is called the plantar fascia and it extends the toes and runs along the bottom of the foot, attaching to your heel. Such repetitive force can pull the fascia from its attachment on your heel and cause damage and plantar fasciitis.

Your next Plantar Fasciitis exercise is stretching of the plantar fascia using a bath towel. Put a rolled up towel under the ball of one foot, holding both ends of the towel with your left and right hand. Next, slowly pull the towel towards you, while keeping your knee straight (the other knee may be bent). Hold this position for 15 to 20 seconds. Repeat 4 times and change to the other foot, if necessary. (It's always good to do these exercises on both feet, even if you only experience heel pain in one foot, as this will help prevent the heel problem to come back in your other foot!)

Pain can sometimes cause a lot more than just discomfort. It can often significantly impact daily activities since any weight placed on the affected area can deliver serious pain which can prevent you from doing daily activities and exercise. Plantar fasciitis causes an aching pain that can be localized in the heel, but also radiate throughout the foot. In most cases, pain is most noticeable and serious in the morning when getting out of bed, or after standing up after prolonged sitting. This is because pain in the inflamed area subsides after the plantar fascia relaxes.

People with plantar fasciitis experience pain when they take their first step after sitting down for too long or when they get out of bed. After few steps the pain and stiffness might reduce a bit. People with this condition may feel the pain more when they climb stairs or after standing for too long. This pain can increase as the days go by, but plantar fasciitis exercises if done regularly can significantly reduce pain and swelling in the tissue. Many people find it easier to pop pain killers, but such treatments can have other side effects.plantar fasciitis shoes

Plantar fasciitis is a foot condition usually felt as pain in the bottom of your foot around the heel. There are about 2 million new cases of this condition reported every year in the USA only. That pain is felt especially when taking the first steps in the morning or after spending some time of the feet. This pain is caused by an injury of the fascia connective tissue at the bottom of the foot. This tissue is called the plantar fascia and it connects the heel bone to the toes. Usually this injury is caused by overload of the foot.

It is the diagnosis of symptoms It is not the diagnosis of the problem The pain may be in your foot– but the problem is not What you will not often find in definitions or explanations of plantar fasciitis on the web is that there is a deeper issue at play The pain in your foot diagnosed as plantar fasciitis can often be traced back up to your gluteus maximus–your butt. These days, we sit too much and our butts muscles wind up not doing much. So they basically shut down or go to sleep–they become inhibited. This is not a good thing.

Stand barefoot, with your feet hip-width apart and with your left foot in a slightly forward position - two to three inches ahead of your right foot. The bottoms of the toes of your left foot should be in contact with a wall in front of you (the wall should be creating a forced dorsiflexion of the toes, so that the sole of the left foot is on the ground but the toes are on the wall), and your left knee should be bent slightly. Keep your weight evenly distributed between your right and left foot to start the exercise (see note below).

Above were some of the plantar fasciitis treatment options. Whether the soreness is light or perhaps severe, it will always be recommended to look for consultation from your foot as well as ankle physician. He can look at things properly as well as recommend an individual the finest therapy for plantar fasciitis depending on your foot framework and the seriousness of pain. This may prevent further problems and also can help you come out of the discomfort swiftly. Bear in mind, like all the other areas of the body, feet are also important. In the end, they may be the ones which support you almost everywhere. About the Author

Night splinting is another treatment which aims to stretch out the plantar fascia. As its name suggests, a night splint is a device you wear while you sleep which keeps your ankle dorsiflexed. The theory is that the “first-step pain” that is the hallmark of plantar fasciitis is caused by the arch healing at night without any tension on it. In the morning, the healing is disrupted by the tension put on the arch when you get out of bed. “The Sock” is a regular knee-high sock with a strap that runs from the toes to the kneecap. plantar fasciitis exercises


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