Editing Supinated Foot Exercises For Metatarsalgia
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Overview<br>People with high-arched feet often feel discomfort when walking barefoot on hard surfaces and require shoes with thick, supportive soles. If you have high-arched feet, chances are your Achilles tendon is also tight, which can contribute to metatarsalgia. However, there are some people with high-arched feet who experience no symptoms at all.<br><br>Causes<br>Causes of a cavus foot type probably have some heredity origins making you more prone to have this type of foot. Ask your parents and siblings and see what kind of foot structure they have as well. There are multiple reasons this foot structure may cause symptoms to exist, most dealing with an imbalance of foot and leg muscles. Some neuromuscular diseases, such as Spina Bifida or muscular dystrophy can make one prone to a cavus foot type as the muscle become weaker. Having a weak calf muscle or a tight calf muscle [http://tallerlifts.bloggplatsen.se/2011/03 How much can you grow from stretching?] cause a cavus foot depending on the biomechanics involved.<br><br>Symptoms<br>In addition to a visibly high arch in the foot, symptoms include, Calluses on the ball, heel or side of the foot, Bent toes (hammertoes) or claw toes (toes clenched like a fist), Pain when standing or walking, Frequent ankle sprains.<br><br>Diagnosis<br>Diagnostic testing often includes magnetic resonance imaging (MRI) if one suspects a peroneal tendon problem or ankle instability. Perform electromyography and nerve conduction velocity testing if you suspect Charcot Marie Tooth. If a high suspicion of muscular dystrophy is present, perform a sural nerve biopsy.<br><br>Non Surgical Treatment<br>Do plenty of static stretching, especially of the calf muscles and the sole of the foot. This will loosen the muscles and other structures in the foot making it more flexible and able to cope with the demands of walking. Take steps to avoid injury such as correct shoe selection, strengthening and stretching exercises. See a specialist who can fit orthotic inserts for a Pes Cavus foot. These are insoles which are worn in the shoes and help correct any biomechanical problems of the foot. They can be custom made or often bought off the shelf ready made. With a high arch it is probably best to see a professional for advice. Many off the shelf insoles are ideal for over pronation or rolling in but not so effective for supinating feet or rolling out.<br><br>Surgical Treatment<br>In cases of severe Charcot Marie Tooth, there may be rare instances of excessive weakness of the anterior tibial tendon and peroneal tendons, resulting in a relatively strong posterior tibial tendon adding to the cavovarus foot position. In such cases, it may be beneficial for the surgeon to perform a posterior tibial tendon transfer through the interosseous membrane between the tibia and fibula to the dorsum of the foot.
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