SHIN SPLITS/ SHIN PAIN
MORTON'S NEUROMA
METATARSALGIA
OSGOOD SCHLATTER
SEVER'S DISEASE
SESAMOIDITIS
Common Orthotic Problems
Plantar Fasciitis
Plantar fasciitis is a painful inflammatory process of the plantar fascia, the connective tissue or ligament on the sole of the foot. It results in pain on the heel or arch of the foot. It is often caused by overuse of the plantar fascia, increases in actives, weight or age. It is a very common condition and can be difficult to treat if not looked after correctly.
Treatment options include; rest, massage, stretching, night splints, orthotics anti-inflammatory medications.
Shin Splints/Shin Pain
Signs and Symptoms
Pain on the front (can be inside/or outside) of the lower
leg
Pain is experienced when beginning an exercise session and
may ease throughout the session
Pain during impact activities (running, jumping)
Treatment Options
Short-term: ice, rest, anti-inflammatory medication
Long- term: improve range of motion and flexibility through
soft-tissue massage and frequent stretching, appropriate footwear,
orthotics to control pronation
Mortons Neuroma - compression
of the interdigital nerve
Signs and Symptoms
Pain between any of the toes on metatarsal heads.
Treatment Options
Appropriately fitting footwear that does not constrict the
toes
Foot Orthotics with metatarsal support to unload the affected
area
Anti-inflammatory medication, Cortizone injections, Surgery.
Metatarsalgia - pain in the ball of
the foot
Signs and Symptoms
Inflammation of one or more metatarsal heads due to excessive
loading, pressure, decreased fat pad or sublaxation of individual
metarsal heads
Pain in forefoot with loading/weight-bearing
Tenderness with applied pressure beneath one or more met
heads
Treatment Options
Appropriate footwear that does not constrict the width
of the foot or have a heel that is too high.
Foot Orthotics with added metatarsal support.
Osgood schlatter
Ozgood Slatters is generally a growing boy problem, normally through
pre puberty and puberty. It is a result of the growth plate, just
beneath the tibial tuberosity, becoming inflamed. Rest and modification
to their activity level is critical in calming the inflamed area.
Sever's Disease
Another Growing Boy problem, but again it can also occur in girls. Normally during rapid growth phase 8 -13 years in girls and 10 -15 years in boys. The growth plate in the calcaneous ( heel bone ) becomes inflamed and painful. Treatment options include rest and modification to activity levels. Stretching and massage of the calf and foot orthotics.
Sesamoiditis
Specified pain directly under the 1 st metarsal head. It can be
confused with gout and arthritis. Sesamoidittis is usually brought
on by poor choice of footwear or an increase in specific loading
in the area. Shoes that are too high, too pointy or too tight tend
to make the situation worse. Also those shoes without padding in
the forefoot or studded shoes ( football boots / golf shoes etc.
) where the stud presses directly on the affected area.
.