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Capsulitis of the Second Toe

Capsulitis of the Second Toe

What is Capsulitis of the Second Toe?
Ligaments surrounding the joint at the base of the second toe form a "capsule," which helps the joint to function properly. Capsulitis is a condition in which these ligaments have become inflamed.

Although capsulitis can also occur in the joints of the third or fourth toes, it most commonly affects the second toe. This inflammation causes considerable discomfort and, if left untreated, can eventually lead to a weakening of surrounding ligaments that can cause dislocation of the toe. Capsulitis--also referred to as predislocation syndrome--is a common condition that can occur at any age.

It is generally believed that capsulitis of the second toe is a result of abnormal foot mechanics, where the ball of the foot beneath the toe joint takes an excessive amount of weight-bearing pressure.

Certain conditions or characteristics can make a person prone to experiencing excessive pressure on the ball of the foot. These most commonly include a severe bunion deformity, a second toe longer than the big toe, an arch that is structurally unstable, and a tight calf muscle.

Because capsulitis of the second toe is a progressive disorder and usually worsens if left untreated, early recognition and treatment are important. In the earlier stages--the best time to seek treatment--the symptoms may include:

Pain, particularly on the ball of the foot. It can feel like there's a marble in the shoe or a sock is bunched up
Swelling in the area of pain, including the base of the toe
Difficulty wearing shoes
Pain when walking barefoot

In more advanced stages, the supportive ligaments weaken leading to failure of the joint to stabilize the toe. The unstable toe drifts toward the big toe and eventually crosses over and lies on top of the big toe--resulting in "crossover toe," the end stage of capsulitis. The symptoms of crossover toe are the same as those experienced during the earlier stages. Although the crossing over of the toe usually occurs over a period of time, it can appear more quickly if caused by injury or overuse.

An accurate diagnosis is essential because the symptoms of capsulitis can be similar to those of a condition called Morton's neuroma, which is treated differently from capsulitis.

In arriving at a diagnosis, the foot and ankle surgeon will examine the foot, press on it, and maneuver it to reproduce the symptoms. The surgeon will also look for potential causes and test the stability of the joint. X-rays are usually ordered, and other imaging studies are sometimes needed.

Non-surgical Treatment
The best time to treat capsulitis of the second toe is during the early stages, before the toe starts to drift toward the big toe. At that time, non-surgical approaches can be used to stabilize the joint, reduce the symptoms, and address the underlying cause of the condition.

The foot and ankle surgeon may select one or more of the following options for early treatment of capsulitis:

Rest and ice. Staying off the foot and applying ice packs help reduce the swelling and pain. Apply an ice pack, placing a thin towel between the ice and the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.
Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may help relieve the pain and inflammation.
Taping/splinting. It may be necessary to tape the toe so that it will stay in the correct position. This helps relieve the pain and prevent further drifting of the toe.
Stretching. Stretching exercises may be prescribed for patients who have tight calf muscles.
Shoe modifications. Supportive shoes with stiff soles are recommended because they control the motion and lessen the amount of pressure on the ball of the foot.
Orthotic devices. Custom shoe inserts are often very beneficial. These include arch supports or a metatarsal pad that distributes the weight away from the joint.

When is Surgery Needed?
Once the second toe starts moving toward the big toe, it will never go back to its normal position unless surgery is performed. The foot and ankle surgeon will select the procedure or combination of procedures best suited to the individual patient.

Achilles Pain Treatment

Achilles Pain Treatment

Achilles Pain Treatment
The Achilles tendon is a band of tough tissue that connects the calf muscles to the heel bone. It helps with walking by raising the heel off the ground. The Achilles tendon is prone to disabling injury. It withstands forces of up to 12 times body weight during sprinting. Contributing factors to injury include ignoring the initial pain or discomfort, sudden increases in training and excessive heel cushioning in the heels shoes.

Rest, Ice, Compression and Elevation help reduce inflammation and pain and reduce the damage to collagen fibers in the Achilles tendon. The AmericanCollege of Foot and Ankle Surgeons recommends that patients who treat the injury in the early stages use these treatment protocols to reduce further damage and get an athlete back to practice and performance as soon as possible.

Dr. Stephen Pribut, from Podiatric Medicine and Surgery in Washington DC, recommends cutting back on training and workouts in the initial stages of treatment. Runners should not run on hills and should cut back on any speed work to decrease the workload on the Achilles tendon. Depending on an athlete's previous training level and severity of the injury, this rest may mean stopping all running or cutting back by half.

A variety of causes contribute to Achilles pain and swelling, typically with overuse of this tendon being a primary factor. Simple treatments with natural medication, often prompts healing after injury.

Achilles pain is a condition sometimes called Achilles tendonitis. If overuse triggers degeneration of the tendon tissue, you have a condition called Achilles tendonosis. running can also trigger pain and loss of function.

The AmericanCollege of Foot and Ankle Surgeons recommends that patients who treat the injury in the early stages use several treatment protocols to reduce further damage. This can include drugs and natural medicines.

Avoid strenuous workouts, especially any running or jogging up hills or participating in any work that causes you pain. Wear comfortable shoes that offer proper ankle support, great cushioning and soles that are not too stiff.

The main thing with Achilles injuries is to rest the ankle and to get it treated effectively.

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Foot Pain - Symptoms - Better Medicine

Foot Pain - Symptoms - Better Medicine

What other symptoms might occur with foot pain?
Foot pain may be accompanied by other symptoms, depending on its cause and any underlying diseases or conditions. Some conditions that frequently affect the feet, such as peripheral vascular disease or diabetic neuropathy, can cause symptoms in other body systems.

Foot symptoms that may occur along with foot pain
Pain in the feet may accompany other symptoms affecting any of the structures of the foot including:
Bleeding or bruisingBurning or tingling sensation (paresthesia)Difficulty moving the foot, ankle or toesJoint painNumbnessStiffnessSwelling (edema) of the foot or joints
Other symptoms that may occur along with foot pain
Foot pain may accompany symptoms related to other body systems including:
Back painLeg painMuscle cramps or spasmPain, swelling or stiffness of other joints
Serious symptoms that might indicate a life-threatening condition
In some cases, foot pain may occur with other symptoms that might indicate a serious or life-threatening condition that should be immediately evaluated in an emergency setting. Seek immediate medical care (call 911) if you, or someone you are with, have any of the following symptoms:
Chest pain or pressurePalpitationsParalysis or inability to move a body partRespiratory or breathing problems, such as shortness of breath, difficulty breathing, labored breathing, wheezing, not breathing, or chokingSudden change in vision, loss of vision, or eye painSudden, severe headache

5 Tips for Soothing Bunion Pain

5 Tips for Soothing Bunion Pain

A bunion is a bone and soft tissue deformity of the foot that can cause constant or relapsing pain and inflammation. The term bunion means bump, which describes its characteristic appearance on the big or little toe side of the foot, at the base of the toe.

The number one complaint a bunion sufferer has is pain and irritation. The pain is caused by inflammation that is occurring around the tissues of the toe joint, which are being progressively stretched as the bones shift out of position. A bunion may also rub against a tight shoe, creating further irritation.

As with any foot pain, it is best to seek medical care. In addition, here are some tips that can help reduce bunion pain:
Start with a soak. A cool foot soak is an easy way to soothe sore, irritated feet. If you don't have a foot spa at home, any clean basin will do. Pour a few tablespoons of Epsom salt or your favorite bath salts into the basin and fill with cool or lukewarm water, enough to cover the ankles. Epsom salt can easily be found anywhere first aid supplies are sold. Soak anywhere from 5 to 15 minutes.
Stretch your toe. Stretching exercises are a great way to address sore joints -- and this includes toes, too. While seated comfortably, use a strap (or your hands if you're flexible) to grasp your toe. Gently pull the toe through a comfortable range of motion. Hold for 30 seconds and repeat a few more times. Try gently stretching the toe away from the next toe, also holding for 30 seconds and repeating. For example, if you have a bunion on the big toe side, grasp your big toe and stretch it away from the second toe. Discontinue any stretching if pain worsens.
Apply a topical analgesic. There are a variety of topical pain relief gels and creams available at stores and online. Many of these products contain menthol or similar ingredients that cause a cooling sensation. Some products contain capsaicin, a compound derived from chili peppers that temporarily blocks pain signals to areas where it is applied. One popular product with capsaicin is Zostrix (compare prices).
Try a bunion relief splint or toe spacer. There are a few different bunion relief devices that can help reduce pain and inflammation, mainly by reducing stress on the toe joint (metatarsophalangeal joint). See 5 Products for Bunions for more information about these products and links to compare online prices.
Try new shoes. Having your feet sized isn't just for kids. Our feet may change in size throughout our lives and it's a good idea to measure your feet -- not just for length, but width as well. A bunion usually leads to a gradual widening of the forefoot, unfortunately requiring a wider size shoe for comfort. When you think of dress shoes for bunion feet, you may picture those old-style orthopedic shoes -- but rest assured, there are many more fashionable styles to choose from. Try searching large online stores, such as, to see an array of wider sizes. There are also a variety of styles of athletic shoes that are ideal for feet with bunions. If you have a favorite pair of shoes that are too tight over your bunion, you can also have that area stretched at a shoe repair or leather repair store. If you find that wider shoes provide comfort in the forefoot area where the bunion is but are too wide in the heel area, try adding a 3/4 length arch support to your shoe to improve fit.

´╗┐Plantar Fasciitis Stretches

There are a number of methods which can be used to reduce the pain from plantar fasciitis. Treating plantar fasciitis usually involves medication to ease the pain. This is most commonly anti-inflammatory drugs (NSAID's) which are helpful in alleviating pain as well as reducing inflammation. Sometimes corticosteroids may be administered either topically or by injection into the plantar fascia directly, although this is usually reserved for only the most severe cases. Extracorporeal shock wave therapy (ESWT) can be used to good effect, with the treatment using painless sound waves to help the healing process.

If you are feeling plantar pain, a simple approach to assist in alleviating the stress on the fascia is to make use of arch support inserts and do plantar fasciitis exercises, that will strengthen the plantar fascia as well. One of the prescribed plantar fasciitis stretching exercises is stretching the foot before rising from bed. The Plantar Fascia will tighten while you sleep, which causes the intense pain that people feel when they get out of bed. By stretching the plantar fascia before you put pressure on it, you can help reduce the pain that you experience with your first morning steps.

Is there a difference between Plantar Fasciitis and heel spurs? While there is a difference between the two conditions, they are related. Plantar fasciitis is a condition where the thick tissue on the bottom or your foot becomes irritated and swollen. Plantar Fasciitis means inflammation of your plantar fascia. The plantar fascia is tissue that holds up the bones on the bottom of your foot. When you have this condition you usually feel pain in the bottom or your heel. This may be due to arch problems. When your plantar fascia pulls away from the heel, calcium deposits can form there.

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.

A heel spur is a calcium deposit on the underside of the heel bone. My foot X-ray showed two heel spurs extend forward by almost a half-inch. Although they can be painless, mine were not. It felt like a knife or pin sticking into the bottom of my feet when I stood up. The sharp pain returned when standing up after sitting for a prolonged period of time. The cause of the pain was not the heel spur itself but the soft-tissue injury from the bony growth as it digs into the heel pad and plantar tissue.plantar fasciitis exercises

Foot Orthotics , is the only non-surgical therapy to have been supported by studies rated by the Center for Evidence-Based Medicine as being of high quality. Landorf et al. performed a single-blind experiment in which patients were randomly assigned to receive off-the-shelf orthotics, personally customized orthotics, or sham orthotics made of soft, thin foam. Patients receiving real orthotics showed statistically significant short-term improvements in functionality compared to those receiving the sham treatment. There was no statistically significant reduction in pain, and there was no long-term effect when the patients were re-evaluated after 12 months.

Heelpain is commonly felt on the bottom of the foot, where the plantarfascia attaches to the heel bone. Due to the fact that the fasciaconstricts when you sleep, you will typically feel the most pain in themornings. When you get up, the sudden stretch and load of your bodyweight pulls on the attachment to the heel bone. Mild to severesymptoms of foot pain in athletes may occur. The pattern of pain can bevery unpredictable over months at a time. Frequently, the paindisappears for several weeks, only to re-emerge full-blown after asingle workout or change in activity.

Potential risks include rupture of the plantar fascia and fat pad atrophy. 22 , 23 Rupture of the plantar fascia was found in almost 10 percent of patients after plantar fascia injection in one series. 22 Long-term sequelae of plantar fascia rupture were found in approximately one half of the patients with plantar fascia rupture, with longitudinal arch strain accounting for more than one half of the chronic complications. 22 , 23 On the other hand, one author 24 found that most individuals with rupture of the plantar fascia had resolution of symptoms with rest and rehabilitation. SURGERY

Patients try various remedies for the treatment of plantar fasciitis. Surgery is only the last option. PF insoles are proven to work for several people. Insole treatment is now considered a long-lasting solution to PF and various other foot related problems. Insoles very gently reposition your feet by acting on the arches. A good arch support is fitted inside your shoe according to a prescribed plan of use recommended by your podiatrist. Over a period of time, the arch supports become gentler which helps in the healing process. With the progression of the therapy, the focus is on maintaining the right alignment instead of changing it.

Plantar Fasciitis is the most common cause of heel pain in adults in the United States. Also, plantar fasciitis can lead to a much more serious condition called a heel spur, where the front and bottom of the heel have an extra bone growth, which leads to serious pain while walking. Many people can confuse these two because they are so closely related. Plantar fasciitis can especially lead the heel spurs, but not the other way around. The only way to determine if you have a heel spur, is through an x-ray or some sort of imaging technique that a doctor would use.plantar fasciitis sock
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