Posterior tibial tendon is one of the main support mechanisms of the medial arch as a result, with its dysfunction the arch is no longer supported, resulting in a flat foot deformity. Trauma, certain connective tissue disorders.
Treatment: Orthotics with a rearfoot post, Lace up ankle brace, Arizona brace, Ankle Foot Orthotic, Surgery.
Ganglion Cyst
Ganglion Cysts are mucin-filled synovial cysts. It is a firm and well circumscribed mass that transilluminates.
Treatment: aspiration or surgical excision
Midfoot Arthritis
Trauma, Biomechanical abnormalities like high arch feet or flat feet, increased weight can cause midfoot arthritis. People will have altered gait due to the pain and that results in pain in other structures.
Treatment: Orthotics, Stiff and rocker soled shoes, Analgesis, Surgery.
Cuboid Syndrome
Cuboid syndrome is thought to be caused by the subluxation or irritation of the cuboid and the surrounding ligaments. Non-supportive shoe gears, high arch feet, sudden increase in activity, trauma, inveraion ankle sprain can increased the risk for the development of cuboid syndrome. The peroneal tendons are responsible for everting the foot and are more active in a person with a high arch feet or in an inversion ankle sprain. The increased activity causes the cuboid to internally rotate. The subluxation is thought to cause pain at the dorsal aspect of the cuboid.
Stress fractures are different from an acute fracture. They occur as a result of repetitive stress in the long bones. Over a period of time this stress results in injury to the cortex of the bone that is called a stress fracture.
Risk factors: Running surface, type of exercise, inadequate recovery period, foot wear, female, smoking, older age, family history, previous stress fracture, poor nutrition, altered foot mechanics, medications.
Two peroneal tendons run behind the fibular bone. They are responsible for eversion of the foot and provide stability to the lateral ligaments. Ankle sprain, direct trauma, sudden overuse injury (snowboarding), high arch feet, Os peroneum, large peroneal tubercle can cause peroneal tendon problems.
Treatment: Shockwave therapy, orthotic, taping, or surgery.
Dancer’s Fracture (Avulsion fracture)
A fifth metatarsal avulsion fracture is where the peroneus brevis tendon which attaches to the base of the fifth metatarsal pulls and cause a fracture of the fifth metatarsal. It typically occurs with an inversion injury. The sudden pull of the peroneus brevis muscle that occurs when rolling your ankle results in the fracture of the fifth metatarsal. It also occur with a sudden force applied to the fifth metatarsal bone.
Treatment: CAM walker immobilization, supportive inserts, stiffer shoes, or surgery
Jones Fracture
Fifth metatarsal base fractures are predisposed to poor healing due to the limited blood supply to the specific areas of the fifth metatarsal base.
Treatment: Protected weight bearing, immobilization, or surgery
Charcot Arthropathy
Diabetic Charcot Neuropathy is a chronic and progressive disease that occurs as a result of loss of protective sensation which leads to the destruction of foot and ankle joints and surrounding bony structures.
Treatment: Immobilization, non-weight bearing, surgery
Viera Podiatry
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7341 Office Park Place, Suite 103, Melbourne, Fl 32940
