Orthopedics

What exactly is sinus tarsi syndrome?

Just what is sinus tarsi syndrome? What is the pathological process inovled in it.  An article in German in 2008 with English abstract reported that: We looked for mechanical and functional macroscopic structures in the canalis and sinus tarsi that can... (Continue reading)

Should we classify plantar fasciitis treatments into two categories?

True plantar fasciitis is due to an overload in the plantar fascia, so the logical way to treat plantar fasciitis is to reduce that load. It could be assumed that any treatment is likely to fail long term if this... (Continue reading)

Tagged with:

Debunking clinical biomechanics theories

There are many theories that underpin the clinical use of foot orthotics. Each new theory that comes along is conisdered the greatest by the originator of the theory and the make extraordinary claims for it. On Podiatry Arena a number... (Continue reading)

Tagged with:

Cuboid Manipulation

Cuboid manipulation and mobilisation is probably a key part of the management of cuboid syndrome. Cuboid syndrome tends to occur when an unstable cuboid is rotated out of its position between the calcaneus and fifith metatarsal by the pull of... (Continue reading)

Tagged with:

Heel Pain in Gout

Heel pain caused by gout is not common or is very common depending on who you talk to. Any atypical or typical heel pain that does not respond to the standard treatments should consider gout in the many differential diagnosis’s... (Continue reading)

Tagged with:     

Functional Hallux Limitus

Is functional hallux limitus primary (as in sagittal plane theory) or is functional hallux limitus secondary (as in Root theory)? There is no answer and the debate between the two points of view has been going on for over a... (Continue reading)

Factors assoicated with plantar fasciitis

This retrospective case control study in the Clinical Journal of Sports Medicine on Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners concluded that: A significantly greater maximum instantaneous load rate was found in the plantar... (Continue reading)

Tagged with:

Jones Fracture

A Jones fracture is a fracture at metaphyseal-diaphyseal junction at the base of the fifth metatarsal. It is located within 1.5 cm distal to tuberosity of 5th metatarsal base and should not be confused with the more common avulsion fracture... (Continue reading)

Tagged with:     

Lateral foot wedging for medial knee osteoarthritis

Lateral wedging for medial knee osteoarthritis is recommended by several national rheumatology associations. Lateral wedging works by decreasing the external knee adduction moment at the knee. It does not change knee alignment. Two of the key risk factors for medial... (Continue reading)

Tagged with:     

Is the posterior tibial muscle weak in PTTD?

Is the posterior tibial muscle weak in those with posterior tibial tendon dysfunction? It usually feels like it when you do the inversion muscle strength testing compared to the eversion muscle strength. But it has been shown that almost all... (Continue reading)