foot & ankle differential diagnosis & treatment mazyad alotaibi
TRANSCRIPT
Foot & AnkleDifferential Diagnosis & Treatment
Mazyad Alotaibi
Capsular
More loss of PF OA – common post #
RA – heat, synovial thickening
Traumatic Arthritis
Non - capsular
Loose body in joint Intermittent twinges of pain Springy end feel
Ref to surgeon
Contractile
Achilles TendonEpidemiology Runners, tennis,
badminton, football
More common in older athletes
More common in men
Aetiology
Training errors
-sudden increase training intensity
-changes in terrain Biomechanical factors- Pronation- footwear Gout
Achilles Tendon Disorders
Tendinosis Bursitis
-retrocalcaneal bursa
History & Examination
Establish Aetiology Pain Palpate Assess biomechanical alignment
-foot
-tibia
Orthotics
Correct/ compensate malalignments
-overpronation -high arches
Tendons in a sheath
Peroneii
Tibialis Posterior
Gastrocnemius Tear
Sudden, acute onset Pain in calf Pain on resisted PF Pain on passive DF
Plantar Fasciitis
Correct biomechanics
Pain relief