The Plantar Plate is located beneath your toe joint and works to hold the joint in position. Stretching out or complete rupture of the plantar plate will cause localized inflammation and deformity of the toe joint.
- Vertical stress test positive.
- Most commonly second toe effected.
- Break in metatarsal bridge.
- Callous are under affected joint.
- Forefoot pain/ numbness in toe.
- Hypermobile Big toe joint.
- Short Big toe.
- Equinus (early heel lift).
- High heeled shoes.
- Increased forefoot load eg. Running.
- Taping toe to stabilize joint 4-6 weeks.
Tailor’s bunion, or Bunionette, is a condition brought about as a consequence of aggravation of the fifth metatarsal bone at the base of the little toe.
It is for the most part like ordinary bunions (the same sort of sickness influencing the big toe). It is called Tailor’s Bunion because in past centuries, tailors sat leg over leg, and this was thought to cause this physiological condition on the outside part of the foot.
It is normally described by inflammation, pain and redness of the little toe.
Frequently a tailor’s bunion is brought on by a flawed mechanical structure of the foot. The fifth metatarsal bone begins to distend outward, while the little toe moves internal. This change in alignment makes an enlargement on the outside of the foot.
Tailor’s bunion is effectively analyzed on the grounds that the bulge is visually evident. X-rays may be requested to help the specialist figure out the seriousness of the damage .
Some of the non-surgical therapies includes.
- Shoe modifications – Wearing shoes that have a wide toe box, and dodging those with pointed toes or high heels.
- Oral solutions – Nonsteroidal anti-inflammatory medications may help in diminishing the pain and inflammation.
- Injection treatment – Injections of corticosteroid are commonly used to treat the inflammation.
- Cushioning – Bunionette cushions put over the influenced area may help lessen the pain.
- Icing – An ice pack may be applied to reduce pain and inflammation.
Surgery is regularly considered when pain proceeds for a long period of time with no improvement in these non-surgical treatments.
Corns in-between the toes happen when contiguous toes rub together. These corns are more predominant where the feet are crushed into pointed or tight shoes.
Since the skin in-between the toes is moderately thin and sensitive, corns that grow there can possibly bring about significant discomfort. Furthermore, since interdigital skin is delicate, it is not extraordinary for corns to show necrotic breakdown/ulceration in the layers beneath the corn, and on events an infection may develop therefore magnifying the level of discomfort.
Following the evacuation of the corn by a Podiatrist, keeping in mind the end goal to keep the corn from continually reappearing, it is key for the patient to endeavor to diminish the pressure over the affected region. Along with avoiding unbefitting footwear, the everyday wearing of an interdigital gel toe separator is the best method for achieving this.
In the event that the corn is removed at regular intervals (every 4-8 weeks) and an agreement is established concerning avoiding tight footwear, and especially if patients are diligent in wearing the gel interdigital separators, then there are few corns in-between the toes that can’t be cured within a couple of appointments.
Fractures are broken bones. They are extremely common in the foot and ankle due to sport related injurys and trauma. There are 33 bones in the foot and they can occur within any of them in the form of a stress fracture within the bone or a bone break.
- The fibula is the smaller leg bone located to the outside border of your leg and often more suseptial to fracture than it bigger brother the tibia. Treatment of a fracture here would depend upon the how and where the injury occurs along the bone. Often patient will be plaster cast or be asked to wear a Cam walker boot for a period of time
- Heel Bone fractures occur in the calcaneous. They are extremely painful and will render the patient unable to bear weight. Often due to jumping or falling from great height onto your foot. It is extremely important they are treated corrected and may require surgery.
- Fractures of talus often require surgery. This is an extremely important bone that form the ankle joint pivot point. Often an injury to the talus will result in secondary arthritis throughout the ankle joint later in life
- Navicular stress fracture occurs within the middle of the foot’s inside border. Generally associated with athletics and overuse. The stress fracture pain will begin as a mild vague pain that gets worse with time and activity. A bone scan or MRI is usually required to diagnose a stress fracture. A period of non weight-bearing in cast or a cam walker is necessary to treat this injury
- Fracture within the Lis Franc complex includes multiple bones of the midfoot and dislocation of the joints. It is a fracture common to skier and car accident bracing impact injury. This fracture may require surgery, but again depends on the degree of injury which your podiatrist will assess with imaging
- A Jones Fracture is a common fracture of the bases of the 5th metatarsal. It occurs when a person rolls their ankle to the outside. Patient who sustain this injury will have intense swelling and find it difficult to bear weight on their foot. They will require casting or a cam walker for a non weight bearing period of time
- Metatarsal stress fractures along the shaft of the foot bones generally occur in patients who increase their activity rapidly. The podiatrist will require a bone scan or MRI to diagnose the stress fracture. You will be required to be non weight bearing.