synovitis (metatarsalgia)
trauma and overuse cause metatarsalgia - pain in the forefoot, a synovitis of the mtp joints
treat - nsaid, orthotics, foot stretching exercises
turf toe
forced hyperextension of big toe
nsaid + rest
stress fractures
commonest 2nd metatarsal 9 esp. if have mortons foot - ie 2nd m/t longer than the 1st
sesamoid disorders
2 sesamoid bones in tendons of flexor hallucis brevis, damaged with jump type trauma or a wrenching up of big toe
rice/ nsaid
mortons neuroma
base 3rd + 4th toes thickened nerve tissue, causes pain and numbness of webspace, usually no pain barefoot!
confirmatory test - local in intermetatarsal space
orthotics, injection, neurolysis or excision
lisfranc injury
lisfranc ligament disruption
mid foot stress fracture
sprinting/jumping/hurdling - navicular bone
mid foot tendinopathy
overuse - local tenderness/pain on passive stretch or actice resisted movt
rice/nsaid
heel pain
avoid steroid injections for plantar fasciitis - cause fat necrosis in heel pad
physio to stretch gastrocnemius
tarsal tunnel syndrome
positive tinels test behind medial malleolus
heel contusion
fat in heel acts as a shock absorber and contusions are very painful
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