Treatable tissues

Question 1

What are the s/s of plantar fasciitis?

Answer 1

• heel/arch pain that worsens on initial WB
• TTP at calcaneal tubercle
• pain with sustained walking/standing

Question 2

What can decrease pain with plantar fasciitis?

Answer 2

walking

Question 3

(pes cavus/planus) What is plantar fasciitis most commonly found with?

Answer 3

pes cavus

Question 4

Tibialis Tendonitis/dysfunction is most common in (pes cavus/pes planus) feet.

Answer 4

pes planus

Question 5

What is usually present with tibialis tendonitis/dysfunction?

Answer 5

Navicular drop
valgus stance
forefoot ABD
gait dysfunction/no forefoot propulsion

Question 6

What is the common orthosis used for tibialis tendonitis?

Answer 6

arizona brace

Question 7

Where does a person experience pain if they have tibialis tendonitis/dysfunction?

Answer 7

medial deltoid ligament
and/or
spring ligament

Question 8

For mild to moderate tibialis tendonitis strains, use _____ and ____ for treatment.

Answer 8

orthotics and shoes

Question 9

For tendon failure/gross deformity with a Dx of tibialis tendonitis, use _____, ___, and/or _____ for treatment.

Answer 9

shoes, bracing, surgery

Question 10

definition: Forefoot pain with loading/weight-bearing.

Answer 10

metatarsalgia

Question 11

What are common interventions to treat metatarsalgia?

Answer 11

orthosis
shoes
modalities
Manual therapy
exercist
gait training
skin care education

Question 12

definition: splayed forefoot

Answer 12

metatarsal/transverse arch collapse

Question 13

definition: MTP EXT, PIP/DIP FLX

Answer 13

claw toe

Question 14

definition: MTP EXT, PIP FLX, DIP EXT

Answer 14

hammer toe

Question 15

definition: DIP FLX

Answer 15

mallet toe

Question 16

Are toe deformities primary or secondary?

Answer 16

secondary

Question 17

definition: Forefoot symptoms that include referred sx (numbness, pain, burning, etc.) generally into the toes.

Answer 17

neuromal irritation

Question 18

(true/false) metatarsalgia and neuromal irritation can occur with or without deformity present

Answer 18

true

Question 19

Symptoms of neuromal irritation increase with palpation of the ______ and/or when performing the _______.

Answer 19

intermetatarsal space
forefoot squeeze test

Question 20

(true/false) s/s of neuromal irritation in the foot are relieved in NWB positions

Answer 20

False ( can still remain irritable with NWB)

Question 21

definition: Classic bunion deformity with valgus drift of the great toe; altered FHL tendon position/function.

Answer 21

hallux abductovalgus deformity

Question 22

definition: Functionally fused 1st MTPJ due to bony/capsular restriction.

Answer 22

hallux rigidis

Question 23

definition: hallux restriction in WB related to mechanical alignment/issues

Answer 23

functional hallux limitis

Question 24

definition: hallux restriction in NWB related to capsular &/or bony abnormality.

Answer 24

structural hallux limitis

Question 25

definition: the result of exostosis of the 1st met head causing drift of the phalynx.

Answer 25

bunyon

Question 26

definition: Benign outgrowth of bone; most commonly medial and dorsal on the 1st & 5th met heads.

Answer 26

exostosis

Question 27

- Exostosis with mobility is often (pain-free/painful). - Exostosis with rigidity may be (pain-free/painful) if position is functional.

Answer 27

painful, pain-free

Question 28

definition: Bunions occurring at the 5th toe that is commonly related to shoe fit

Answer 28

bonionettes

Question 29

How does one treat hallux abductovalgus deformity?

Answer 29

non-custom silicone separator

Question 30

definition: focal pain/tenderness at the plantar base of the 1st met head with pressure/WB.

Answer 30

sesamoiditis

Question 31

What treatments can be used for sesamoiditis?

Answer 31

manual therapy exercise gait training shoes orthotics

Question 32

definition: crack in the sesamoid bone that is mostly asymptomatic

Answer 32

bi-partite sesamoid

Question 33

Bi-partite sesamoid is rare in the (tibial/fibular) sesamoid bone

Answer 33

fibular

Question 34

Most often, achilles tendonitis is idiopathic with a (rapid/gradual) onset... consider mechanial origin as the cause

Answer 34

gradual onset

Question 35

What treatments are used for achilles tendon dysfunction?

Answer 35

taping modalities Manual therapy exercise gait training

Question 36

What can haglund's deformity be mistaken as?

Answer 36

bursitis or achille's tendon rupture --> can cause bursitis due to friction

Question 37

definition: Neurovascular alteration of the midfoot typically associated with DM. *This is a progressive disorder….deformity occurring during the active process is irreversible*

Answer 37

charcot foot

Question 38

What are the s/s of charcot foot?

Answer 38

- abrupt onset of erthema, edema, and planus foot position - non painful due to neuropathy - osseous reformation - rocker bottom - plantar wound

Question 39

definition: bony deformity of the heel

Answer 39

haglund's deformity