Disorders of the foot

The foot has for function to maintain the balance of the body with regard to its environment. This is why it is capable of adapting itself to the various surfaces on which we walk each day. Unfortunately, when the function of adaptation to the ground is modified, the pressures transmitted to the feet and mainly to the heels, are increased. This increase of pressure associated with an incorrect biomechanics favor the appearance of the pains.

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One of the first consequences of this increase of pressure is the appearance of callouses. In time, theses callouses favor the development of corns.

Besides, this stress can favor:

A heel pain (Talalgia)

PLANTAR FASCIITIS

The plantar fasciitis is a sharp pain felt under the heel. This pain is usually more intense after a period of rest, like getting out of bed in the morning. These symptoms tend to decrease after a few minutes, but will reappear later in the day.

It is caused by a strong tension of the plantar fascia. This structure is responsible of the plantar arch. In the case of the sag of the feet, this fibrous tissue becomes too tense, which produce some micro-tears.

The initial treatments include:

  • Applying ice, stretching and foot massage
  • Wearing proper shoes at all times
  • Wearing foot orthotics
  • The use of night splints
  • The use of anti-inflammatory
  • The infiltration of corticosteroids

The thorn of Lenoir or plantar heel spur is a bony deformity of the heel. It is the consequence of too much tension in the soft tissues (tendons and fascia) to their point of attachment on the heel. Although it can be painful during his formation, heel spur is a radiologic manifestation, which is not always symptomatic. In practical terms, 50% of the population that has heel pain have a heel spur plantar on the radiography.

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Nerve compression

Névrome de Morton

We recognize the Morton’s neuroma by a sharp sensation of burning on the front foot (at the plantar surface of the area of the metatarsal heads) that may radiate to the toes or to the legs. This nerve irritation can sometimes give the impression of walking on a pebble, to have a fold down misplaced, a tingling sensation or numbness in the toes.

Several factors can trigger the onset of Morton’s neuroma as the practice of some sports, standing, flat feet and inadequate shoes, and more.

A consultation is necessary for the appearance of these symptoms to confirm the diagnosis. Although some clinical tests allow identification, diagnostic ultrasound can reveal its presence and quantify its evolution.

Without treatment or care, the symptoms will become ever causing intense and debilitating pain.

An bunion (hallux abducto valgus)

Hallux valgus, commonly known as bunions is a progressive deformation creating an osseous deviation of the 1st metatarsus towards the outside entailing a deviation inward of the big toe (Hallux). In time, a deposit of calcium can accentuate the size of the bunion. Sometimes hereditary, they are however more present for women due to the wearing of shoes too narrow and/or improperly adjusted. Other factors can also be at the origin of this osseous deviation.

At first asymptomatic, the Hallux-valgus (bunion) will evolve and can cause some pain at the level of the 1st metatarsal, but also at the base of the 2nd toe. The pressure exercised by the big toe (Hallux) on the 2nd toe, can precipitate the formation of a hammer toe on the 2nd toe. It is thus important to consult quickly to prevent the increase of the bunion which, in certain case, can lead to a surgical operation to correct in a definitive way the osseous deviation.

Hammer toes

Result of a muscular imbalance of the foot, the hammer toe is characterized by a deformation (curled up toe) caused by a contraction of the toe articulations.  Due to his positioning, the hammer toe can be painful due to the constant friction entailing the formation of calluses, corns and/or irritation.

The hammer toe is normally a sign of a bad posture, inappropriate shoes, of pes cavus to mention only a few.  To avoid some invalidating consequences like a sharp pain, difficulty to wear shoes, appearance of corns and calluses, a consultation is strongly recommended.

During your consultation, a personalized approach to your specific needs will be proposed to avoid these problems in the future.

The general posture and as well as the demarche, can also be affected by the deformations of the feet.

Posture disorders

Posture disorder can be due to many factors. When it is not corrected, it can involve consequences like back pain, pain in the hips, knees and ankles. A biomechanical evaluation will thus be used to determine the approach to adopt according to your condition in order to correct your posture.

Gait disorders

Gait Disorders can be characterized by feet which point towards the interior, outside or with the boitery. Various approaches exist to correct the gait. A complete evaluation will make it possible to determine the cause of this disorder and to start a process of correction specific to your condition.

Flat Foot

The flat foot is characterized by a sagging of the arch of the foot. Caused by a ligamentous muscular deficit or a malformation of the foot, the flat foot is present when the individual is standing up. The muscles try to stabilize the foot and to give him a normal structure without success.  It can then result, some tiredness’s and pain in the legs, ankles or feet. The alignment of the leg is entirely affected; often, the knee will be turned towards the interior and the buttocks arisen, accentuate the lumbar curve.

A consultation in podiatry makes it possible to determine the approach to adopt. In spite of the popular belief, the plantar orthoses are not always indicated in the treatment of these imbalances and the podiatrist is the specialist who will be able to determinate if it’s indicated or not.

Pes Cavus

The hallow foot (Pes cavus) is characterized, contrary to a flat foot, by a curve of the arch that is too pronounced. Revealed during the growth, this deformation of the foot is generally idiopathic but can however be associated with a neurologic disorder. A special attention must be accorded to the evolution.

A consultation in podiatry makes it possible to determine the approach to adopt. In spite of the popular belief, the plantar orthoses are not always indicated in the treatment of these imbalances and the podiatrist is the specialist who will be able to determinate if it’s indicated or not.

Children with feet and/or ankles turned in

Various reasons can explain why the feet of the children are pointing towards the interior. A biomechanical evaluation will be done to determine the approach to adopt according to the condition of your child. Since Childhood is an important and determining period, consulting early can avoid many problems at the adulthood.