DROP FOOT AND TREATMENTS YOUNGMEE PARK

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "DROP FOOT AND TREATMENTS YOUNGMEE PARK"

Transcription

1 DROP FOOT AND TREATMENTS YOUNGMEE PARK

2 WHAT IS FOOT DROP Foot drop / Drop foot the inability to lift the front part of the foot not a disease a symptom of some other medical problems a sign of an underlying neurological, muscular or anatomical problem can happen to one foot or both feet at the same time The ability to foot-lift is an essential part of the swing phase of the gait cycle

3 THE GAIT CYCLE

4 CAUSES Nerve injury most common compression of the nerve nerve can be injured during THR or TKR Brain or spinal cord disorders Neurological conditions stroke, multiple sclerosis (MS) cerebral palsy, Charcot-Marie-Tooth disease Muscle disorders muscular dystrophy, polio amyotrophic lateral sclerosis (Lou Gehrig's disease)

5 MUSCLES & NERVE o Dorsiflexor anterior tibialis extensor hallucis longus extensor digitorum longus o Peroneal Nerve

6 SYMPTOMS High steppage gait An exaggerated, swinging hip motion tingling, numbness & slight pain in the foot Difficulty performing certain activities that require the use of the front of the foot Muscle atrophy in the leg Limp foot

7 TREATMENT depends on the specific cause of foot drop Exercises strengthen the muscles, maintain joint motion and help to improve gait Ankle Foot Orthotics (AFO) support the foot with light-weight leg braces and shoe inserts Electrical Functional Stimulations electrically stimulate the peroneal nerve during footfall Surgery repairs or decompresses a damaged nerve fuses the foot and ankle joint or transfers tendons from stronger leg muscles The goal of treating foot drop is to get patients back to a regular gait cycle.

8 PHYSICAL THERAPY- EXERCISE usually when the problem stems from weak muscles proper physical therapy exercises can strengthen ankle muscles and improve symptoms Toe Curls toe-to-heel rock

9 PHYSICAL THERAPY- EXERCISE Foot Stretch Isometric Dorsiflexion Foot Stretch

10 PHYSICAL THERAPY- EXERCISE Foot Band Cycling

11 ANKLE FOOT ORTHOTICS The most common treatment An insert in the shoe that holds the foot at 90 degrees Stabilizes the ankle in stance and helps clear toes in swing

12 ANKLE FOOT ORTHOTICS A variety of materials Plastic AFO : light weight off the shelf - short term use custom molded from a cast long term use or complicated case risk of skin irritation Metal and leather AFO : heavy skin contact must be kept a minimum good for fluctuating edema patients

13 FUNCTIONAL ELECTRICAL STIMULATION (FES) Electrical stimulation to the nerves controls the dorsiflexor muscles. it was first proposed as a treatment for foot drop in 1961 they send electronic pulses to fire the nerve response for the front of your foot to lift. it's programmed to each individual separately it provides normal range of motion to the foot and ankle during walking stroke and multiple sclerosis patients with foot drop have had success with it Contraindication : pacemaker, uncontrolled epilepsy, pregnancy, broken skin

14 WALKAIDE utilizes patented tilt sensor technology Initiating stimulation when the leg is tilted back Terminating stimulation when the leg is tilted forward. creates a more natural and efficient walking pattern.

15 FES VS. AFO Functional electrical stimulation small wear almost any type of shoe active muscle contraction reconstruction neural pathway doesn t work for people who have problems with nerves in the feet more normal walking pattern Ankle-foot-orthotics big and heavy $$$$ $$ - $$$ needs special shoes to fit passive to correct the gait can t help reconstruct neural pathway Cosmetically unappealing hold the foot at 90 degrees

16 There are many causes and treatments for foot drop, and each individual patient requires different procedures depending on their specific cause and conditions. Clinicians must work to find optimum treatments for each patient to ensure the best outcomes.

17 QUICK QUIZ Name the nerve that controls the muscles that lift the foot. Name of the abnormal gait when the foot is raised high to avoid catching a drooping foot Name two of the exercises for a foot drop injury Contraindication for FES

18 QUESTIONS?

19 FASCINATING FOOT AND ANKLE FACTS 1. 25% of the bones in your body are in your feet. 2. The average person takes 8,000 to 10,000 steps per day 3. The average person will walk over 100,000 miles in their life, or more than 4 trips around world. 4. Women have four times as many foot and ankle problems as men ill fitting high-heeled footwear is commonly the problem. 5. More than 75% of people will experience foot and ankle problem in their lifetime.

20 REFERENCES Bullen, D. (n.d.). Tools To Treat Foot Drop on ADVANCE for Physical Therapy & Rehab Medicine. ADVANCE for Physical Therapy & Rehab Medicine. Retrieved February 28, 2013, from Farley, J., & CPO/L. (n.d.). Controlling drop foot: Beyond standard AFOs Lower Extremity Review Magazine. Lower Extremity Review Magazine - biomechanics, foot orthotics, knee pain, insoles, diabetic footwear, ankle braces. Retrieved February 26, 2013, from focus on foot drop. (n.d.). physical-therapy.advanceweb.com. Retrieved February 28, 2013, from physical-therapy.advanceweb.com/sharedresources Foot Drop: Causes, Symptoms, and Treatment. (n.d.). WebMD - Better information. Better health.. Retrieved February 28, 2013, from WalkAide: Dynamic Foot Drop Treatment. (n.d.). WalkAide: Dynamic Foot Drop Treatment. Retrieved March 1, 2013, from US/Pages/default.aspx

Treatment of Spastic Foot Deformities

Treatment of Spastic Foot Deformities Penn Comprehensive Neuroscience Center Treatment of Spastic Foot Deformities Penn Neuro-Orthopaedics Service 1 Table of Contents Overview Overview 1 Treatment 2 Procedures 4 Achilles Tendon Lengthening

More information

Off the shelf orthoses are commonly used to treat conditions such as foot and ankle sprains, minor shoulder injuries and to provide back support.

Off the shelf orthoses are commonly used to treat conditions such as foot and ankle sprains, minor shoulder injuries and to provide back support. Orthotic Bracing: Why and How Orthotic braces, or orthoses, are used to provide support to a weakened body part or joint. While many times they are worn for a short period of time, usually after an injury

More information

WALKING BOOTS WALKING BOOTS. AFO s: Provider vs Prescriber? Provider. Prescriber

WALKING BOOTS WALKING BOOTS. AFO s: Provider vs Prescriber? Provider. Prescriber Douglas H. Richie, Jr., D.P.M. 550 Pacific Coast Highway Suite 209 Seal Beach, California 90740 562.493.2451 phone 562.596.3157 fax DRichieJr@aol.com WALKING BOOTS Definitions: L 4360 (defined by HCPS):

More information

RX: Custom Thermoplastic AFO Compliance Documentation

RX: Custom Thermoplastic AFO Compliance Documentation RX: Custom Thermoplastic AFO Compliance Documentation Doctor Name: Phone: Patient Name: HICN: DOB: Indicate Quality ARIZONA THERMOPLASTIC ARTICULATED AFO, DORSI-ASSIST CROW L4631 A bivalved custom molded

More information

Plantar Fasciitis. Plantar Fascia

Plantar Fasciitis. Plantar Fascia Plantar Fasciitis Introduction Plantar fasciitis is an inflammation of the thick band of tissue that connects your heel bone to your toes. This thick band of tissue is called the plantar fascia. Plantar

More information

Gait. Maturation of Gait Beginning ambulation ( Infant s gait ) Upper Limb. Lower Limb

Gait. Maturation of Gait Beginning ambulation ( Infant s gait ) Upper Limb. Lower Limb Gait Terminology Gait Cycle : from foot strike to foot strike Gait Phase : stance (60%) : swing (40%) Velocity : horizontal speed along progression Cadence : no. of steps per unit time Step length : distance

More information

Instructions & Forms for Submitting Claims to Medicare

Instructions & Forms for Submitting Claims to Medicare Instructions & Forms for Submitting Claims to Medicare The Centers for Medicare and Medicaid services have issued a national coverage policy for the WalkAide. CMS will cover patients who have a diagnosis

More information

The Pilates Method: A Conditioning Program for Clients with Acetabular Dysplasia and Charcot-Marie-Tooth Disease

The Pilates Method: A Conditioning Program for Clients with Acetabular Dysplasia and Charcot-Marie-Tooth Disease The Pilates Method: A Conditioning Program for Clients with Acetabular Dysplasia and Charcot-Marie-Tooth Disease Kara McCulloch April 13, 2008 BASI Oct 2007 Apr 2008 Herndon, VA Abstract This study applies

More information

Foot Drop and the Common Peroneal Nerve

Foot Drop and the Common Peroneal Nerve Foot Drop and the Common Peroneal Nerve 3 3333 N CALVERT ST, SUITE 370, BALTIMORE, MD 21218 T410 467 5400 F410 366 9826 delloninstitutes.com your complaints are Cannot lift up your foot, or your toes,

More information

Knee and Leg Radiating Pain

Knee and Leg Radiating Pain 1 Knee and Leg Radiating Pain "Peroneal Nerve Entrapment" ICD-9CM: 355.3 Lesion of lateral popliteal nerve Diagnostic Criteria History: Physical Exam: Line of pain on lateral side of knee and calf Paresthesias,

More information

Rehabilitation Guidelines for Lateral Ankle Reconstruction

Rehabilitation Guidelines for Lateral Ankle Reconstruction UW HEALTH SPORTS REHABILITATION Rehabilitation Guidelines for Lateral Ankle Reconstruction The ankle is a very complex joint. There are actually three joints that make up the ankle complex: the tibiotalar

More information

Foot and Ankle Conditioning Program. Purpose of Program

Foot and Ankle Conditioning Program. Purpose of Program Prepared for: Prepared by: OrthoInfo Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

More information

.org. Posterior Tibial Tendon Dysfunction. Anatomy. Cause. Symptoms

.org. Posterior Tibial Tendon Dysfunction. Anatomy. Cause. Symptoms Posterior Tibial Tendon Dysfunction Page ( 1 ) Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed

More information

Achilles Tendon Injuries

Achilles Tendon Injuries Achilles Tendon Injuries The Achilles tendon strongest tendon in the body, connecting the heel to the calf muscles. Contracting the calf muscles pulls the Achilles tendon, which pushes the foot downward

More information

Calcaneus (Heel Bone) Fractures

Calcaneus (Heel Bone) Fractures Copyright 2010 American Academy of Orthopaedic Surgeons Calcaneus (Heel Bone) Fractures Fractures of the heel bone, or calcaneus, can be disabling injuries. They most often occur during high-energy collisions

More information

.org. Achilles Tendinitis. Description. Cause. Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel.

.org. Achilles Tendinitis. Description. Cause. Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. Achilles Tendinitis Page ( 1 ) Achilles tendinitis is a common condition that causes pain along the back of the leg near the heel. The Achilles tendon is the largest tendon in the body. It connects your

More information

John F. Schulte CPO FAAOP Has no financial interest or relationships to disclose

John F. Schulte CPO FAAOP Has no financial interest or relationships to disclose John F. Schulte CPO FAAOP Has no financial interest or relationships to disclose CME Staff Disclosures Professional Education Services Group staff have no financial interest or relationships to disclose.

More information

Endoscopic Plantar Fasciotomy

Endoscopic Plantar Fasciotomy Endoscopic Plantar Fasciotomy Introduction Plantar fasciitis is a common condition that causes pain centralized around the heel. It may be severe enough to affect regular activities. Health care providers

More information

July 2013 Lengthening Pain Relief for Short-leg Syndrome Do you ever feel unbalanced when you

July 2013 Lengthening Pain Relief for Short-leg Syndrome Do you ever feel unbalanced when you Lengthening Pain Relief for Short-leg Syndrome Do you ever feel unbalanced when you walk or run? Have you ever noticed that you look tilted to one side in photos? You may have short-leg syndrome, a common

More information

Tibialis Posterior Tendon Dysfunction. Tendons connect muscles to bones. One of the most important tendons in the leg is

Tibialis Posterior Tendon Dysfunction. Tendons connect muscles to bones. One of the most important tendons in the leg is Tibialis Posterior Tendon Dysfunction Tendons connect muscles to bones. One of the most important tendons in the leg is the Tibialis Posterior tendon. This tendon starts in the calf, stretches down behind

More information

Plantar Fascia Release

Plantar Fascia Release Plantar Fascia Release Introduction Plantar fasciitis is a common condition that causes pain around the heel. It may be severe enough to affect regular activities. If other treatments are unsuccessful,

More information

Overview, Risk Factors, Causes, Symptoms

Overview, Risk Factors, Causes, Symptoms Heel Pain Overview, Risk Factors, Causes, Symptoms Podiatrist developed and monitored. Podiatrist Advisor List Original source: www.podiatrychannel.com Original Date of Publication: 01 Jan 2000 Last Reviewed:

More information

The WalkOn Range. Dynamic Lower Leg Orthoses. NeW. Information for physicians, orthotists and physiotherapists

The WalkOn Range. Dynamic Lower Leg Orthoses. NeW. Information for physicians, orthotists and physiotherapists The WalkOn Range Dynamic Lower Leg Orthoses NeW Information for physicians, orthotists and physiotherapists One Range Many Different Applications The WalkOn product range allows you to address the specific

More information

A step forward. MyGait. The functional electrical stimulation system for drop foot. Information for users

A step forward. MyGait. The functional electrical stimulation system for drop foot. Information for users A step forward MyGait. The functional electrical stimulation system for drop foot. Information for users "We were skiing in 2008 when the accident happened. Friends had already skied down to the valley;

More information

A compressive dressing that you apply around your ankle, and

A compressive dressing that you apply around your ankle, and Ankle Injuries & Treatment The easiest way to remember this is: R.I.C.E. Each of these letters stands for: Rest. Rest your ankle. Do not place weight on it if it is very tender. Avoid walking long distances.

More information

Rehabilitation Services Specialty Outpatient Clinics

Rehabilitation Services Specialty Outpatient Clinics Rehabilitation Services Specialty Outpatient Clinics Rehabilitation Services offers a number of Specialty Outpatient Clinics for patients: Stroke Clinic o For any stroke patient who has physical problems

More information

Patellofemoral/Chondromalacia Protocol

Patellofemoral/Chondromalacia Protocol Patellofemoral/Chondromalacia Protocol Anatomy and Biomechanics The knee is composed of two joints, the tibiofemoral and the patellofemoral. The patellofemoral joint is made up of the patella (knee cap)

More information

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP?

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? Stenosis is a narrowing of the spinal canal. It usually occurs in the lower back (lumbar spine) or the neck (cervical spine) It occurs

More information

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013

Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Ankle Injury/Sprains in Youth Soccer Players Elite Soccer Community Organization (ESCO) November 14, 2013 Jeffrey R. Baker, DPM, FACFAS Weil Foot and Ankle Institute Des Plaines, IL Ankle Injury/Sprains

More information

Preventing & Treating Low Back Pain

Preventing & Treating Low Back Pain Preventing & Treating Low Back Pain An Introduction to Low Back Pain Low back pain is the number two reason that Americans see a health care practitioner second only to colds and flu. While most people

More information

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age?

Low Back Pain Introduction What Are the Parts of the Spine? How Does Your Spine Change With Age? Low Back Pain Introduction Back problems are common, affecting about 80 percent of adults at some time in their lives. Back problems may begin for many reasons including minor strains, sprains or injuries.

More information

PATHOLOGIC GAIT -- MUSCULOSKELETAL. Focal Weakness. Ankle Dorsiflexion Weakness COMMON GAIT ABNORMALITIES

PATHOLOGIC GAIT -- MUSCULOSKELETAL. Focal Weakness. Ankle Dorsiflexion Weakness COMMON GAIT ABNORMALITIES Pathological Gait I: Musculoskeletal - 1 PATHOLOGIC GAIT -- MUSCULOSKELETAL Normal walking is the standard against which pathology is measured Efficiency is often reduced in pathology COMMON GAIT ABNORMALITIES

More information

Functional electrical stimulation (FES)

Functional electrical stimulation (FES) Functional electrical stimulation (FES) to aid walking after stroke Updated: July 2013 Review Date: July 2014 Different Strokes 0845 130 7172 or 01908 317618 info@differentstrokes.co.uk Who is this booklet

More information

Physical effects of stroke

Physical effects of stroke Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Physical effects of stroke Some of the most common effects of stroke are physical. You may experience muscle weakness, paralysis, stiffness, or changes

More information

Podo Pediatrics Identifying Biomechanical Pathologies

Podo Pediatrics Identifying Biomechanical Pathologies Podo Pediatrics Identifying Biomechanical Pathologies David Lee, D.P.M., D. A.B.P.S. Purpose Identification of mechanical foot and ankle conditions Base treatments Knowing when to refer to a podiatrist

More information

Integra. Subtalar MBA Implant

Integra. Subtalar MBA Implant Integra Subtalar MBA Implant Patient EDUCATION Overview: What is Flatfoot? Flatfoot is a physical deformity where there is an absence of the arch that runs from the heel of the foot to the toes. A common

More information

Review of Last Lecture - TE

Review of Last Lecture - TE Gait Review of Last Lecture - TE Interventions to increase flexibility Generating muscle force depends on Open chain vs. closed chain PNF Balance strategies Benefits of aerobic exercise Gait An individual

More information

PLANTAR FASCITIS (Heel Spur Syndrome)

PLANTAR FASCITIS (Heel Spur Syndrome) PLANTAR FASCITIS (Heel Spur Syndrome) R. Amadeus Mason MD Description Plantar fascitis is characterized by stiffness and inflammation of the main fascia (fibrous connective [ligament-like] tissue) on the

More information

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS)

SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) SCRIPT NUMBER 82 SPRAINED ANKLE (TWO SPEAKERS) PROGRAM NAME: HEALTH NUGGETS PROGRAM TITLE: SPRAINED ANKLE PROGRAM NUMBER: 82 SUBJECT: PATHOLOGY, CAUSES, DIAGNOSIS, TREATMENT, PREVENTION OF SPRAINED ANKLES

More information

Managing Complex Orthopedic Rehabilitation

Managing Complex Orthopedic Rehabilitation Managing Complex Orthopedic Rehabilitation Dynamic and Static Combination Stretching Orthosis only from... Protect/Mobilize at Each Stage of Post Surgical Course Address the Challenges Presented in the

More information

Excessive Pronation and Postural Support

Excessive Pronation and Postural Support 1 Contact: Customer Service Foot Levelers, Inc. P.O. Box 12611 Roanoke, VA 24027-2611 (800) 553-4860 Ext. 3189 service@footlevelers.com Excessive Pronation and Postural Support by John J. Danchik, DC,

More information

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE What You Need To Know About Your Spine It is important to understand the role of the spine, the changes that occur in your spine as your

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES FUNCTIONAL ELECTRICAL STIMULATION FOR THE FOOT AND ANKLE (E.G. WALKAIDE DEVICE) The primary purpose of this document is to assist providers enrolled in the Connecticut Medical

More information

1. From the following list, please circle the conditions you do NOT think FES would be useful for.

1. From the following list, please circle the conditions you do NOT think FES would be useful for. FES CPD quiz By working through the following questions you will test your knowledge of the stimulator and its applications. Remember to copy it for your CPD file. If it raises any issues, which you would

More information

Hip Replacement Surgery Understanding the Risks

Hip Replacement Surgery Understanding the Risks Hip Replacement Surgery Understanding the Risks Understanding the Risks of Hip Replacement Surgery Introduction This booklet is designed to help your doctor talk to you about the most common risks you

More information

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Plantar Fascitis

CAPPAGH NATIONAL ORTHOPAEDIC HOSPITAL, FINGLAS, DUBLIN 11. The Sisters of Mercy. Plantar Fascitis 1.0 Policy Statement... 2 2.0 Purpose... 2 3.0 Scope... 2 4.0 Health & Safety... 2 5.0 Responsibilities... 2 6.0 Definitions and Abbreviations... 2 7.0 Guideline... 3 7.1 Assessment... 3 7.2 Treatment...

More information

CUSTOM ORTHOTICS/SHOES FAQ AND GLOSSARY

CUSTOM ORTHOTICS/SHOES FAQ AND GLOSSARY CUSTOM ORTHOTICS/SHOES FAQ AND GLOSSARY What is GSC s new orthotics and orthopedic shoe policy? Only certain health professionals can prescribe and provide you with custom orthotics, orthopedic shoes,

More information

Achilles Tendinitis. In this article, I will outline the following:

Achilles Tendinitis. In this article, I will outline the following: Achilles Tendinitis Dennis Gyllenhaal, PT, Adient-Gyllenhaal Physical Therapy Achilles tendinitis is one of the most commonly reported injuries in recreational and competitive sports. It affects males

More information

Common Orthopedic Conditions

Common Orthopedic Conditions Common Orthopedic Conditions Clayton E Turner, MD Casper Orthopaedic Associates Casper, Wyoming Frontiers in Wyoming Medicine 2014 Common Orthopedic Conditions 1. Ankle Sprain 2. Plantar Fasciitis 3. Tennis

More information

.org. Herniated Disk in the Lower Back. Anatomy. Description

.org. Herniated Disk in the Lower Back. Anatomy. Description Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as

More information

Webinar title: Know Your Options for Treating Severe Spasticity

Webinar title: Know Your Options for Treating Severe Spasticity Webinar title: Know Your Options for Treating Severe Spasticity Presented by: Dr. Gerald Bilsky, Physiatrist Medical Director of Outpatient Services and Associate Medical Director of Acquired Brain Injury

More information

PERFORMANCE RUNNING. Piriformis Syndrome

PERFORMANCE RUNNING. Piriformis Syndrome Piriformis Syndrome Have you started to experience pain in your hip or down your leg while beginning or advancing your fitness program? This pain may be stemming from the piriformis muscle in your hip.

More information

Module 1: The Somato-Motor System: Tendon Tap reflex

Module 1: The Somato-Motor System: Tendon Tap reflex Module 1: The Somato-Motor System: Tendon Tap reflex Module Objectives: 1. Describe the anatomic pathway of a tendon tap reflex. 2. Explain how a tendon tap reflex assessment assists in diagnosis of a

More information

Ankle Ligaments. Foot & Ankle Clinic. Cambridge. A patient s guide. Fred Robinson. BSc FRCS FRCS(orth) Consultant Trauma & Orthopaedic Surgeon

Ankle Ligaments. Foot & Ankle Clinic. Cambridge. A patient s guide. Fred Robinson. BSc FRCS FRCS(orth) Consultant Trauma & Orthopaedic Surgeon Ankle Ligaments A patient s guide Fred Robinson BSc FRCS FRCS(orth) Consultant Trauma & Orthopaedic Surgeon www.cambridgefootandankle.com Ankle Ligaments Fred Robinson BSc FRCS FRCS(orth) Consultant Trauma

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated

More information

Sciatica Yuliya Mutsa PTA 236

Sciatica Yuliya Mutsa PTA 236 Sciatica Yuliya Mutsa PTA 236 Sciatica is a common type of pain affecting the sciatic nerve, which extends from the lower back all the way through the back of the thigh and down through the leg. Depending

More information

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS

Current Concepts of Low Back Pain. Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS Current Concepts of Low Back Pain Terry L. Grindstaff, PhD, PT, ATC, SCS, CSCS 28% population reports LBP in past 3 months (CDC 2010) 60% recurrence rate (Turner et al, 1992) Low Back Pain Low Back Pain

More information

Rehabilitation guidelines for patients undergoing surgery for Tibialis Posterior reconstruction

Rehabilitation guidelines for patients undergoing surgery for Tibialis Posterior reconstruction Rehabilitation guidelines for patients undergoing surgery for Tibialis Posterior reconstruction At the RNOH, our emphasis is patient specific, which encourages recognition of those who may progress slower

More information

The R- Wrap AFO: An Old Concept, A New Application

The R- Wrap AFO: An Old Concept, A New Application The R- Wrap AFO: An Old Concept, A New Application By Beverly Cusick, MS, PT, BOC Orthotist, John Russell, CPO, BOCOP, CPO, BOCOP Anne Russell, MA, PT. John G. Russell Jr. Academic Degrees AA. Primary

More information

Muscular System. Unit 6.5 (6 th Edition) Chapter 7.5 (7 th Edition)

Muscular System. Unit 6.5 (6 th Edition) Chapter 7.5 (7 th Edition) Muscular System Unit 6.5 (6 th Edition) Chapter 7.5 (7 th Edition) 1 Learning Objectives Identify the main characteristics of muscles. Compare the 3 main kinds of muscle. Describe the anatomy of muscle.

More information

HALLUX RIGIDUS PATIENT INFORMATION

HALLUX RIGIDUS PATIENT INFORMATION HALLUX RIGIDUS PATIENT INFORMATION What is Hallux Rigidus? Hallux rigidus is a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the big toe, and with time it gets

More information

Learn the anatomy of the foot. Identify key terms associated with plantar fasciitis. Determine the causes of plantar fasciitis and understand why it

Learn the anatomy of the foot. Identify key terms associated with plantar fasciitis. Determine the causes of plantar fasciitis and understand why it Learn the anatomy of the foot. Identify key terms associated with plantar fasciitis. Determine the causes of plantar fasciitis and understand why it occurs. Recognize the injury when it occurs and be able

More information

Heel pain and Plantar fasciitis

Heel pain and Plantar fasciitis A patient s guide Heel pain and Plantar fasciitis Fred Robinson BSc FRCS FRCS(orth) Consultant Trauma & Orthopaedic Surgeon Alex Wee BSc FRCS(orth) Consultant Trauma & Orthopaedic Surgeon. What causes

More information

$299 Fitness Education. Function Seminar Exercise Modification for the Sensitive Shoulder Seminar

$299 Fitness Education. Function Seminar Exercise Modification for the Sensitive Shoulder Seminar Plantar Fasciitis & Exercise with Rick Kaselj, MS More FREE Information on Exercise & Injuries $299 Fitness Education Returning the Shoulder Back to Optimal Function Seminar Exercise Modification for the

More information

Neck Injuries and Disorders

Neck Injuries and Disorders Neck Injuries and Disorders Introduction Any part of your neck can be affected by neck problems. These affect the muscles, bones, joints, tendons, ligaments or nerves in the neck. There are many common

More information

Lower Back Spinal Fusion & Exercise

Lower Back Spinal Fusion & Exercise & Exercise with Rick Kaselj, MS More FREE Information on Exercise & Injuries $299 Fitness Education Returning the Shoulder Back to Optimal Function Seminar Exercise Modification for the Sensitive Shoulder

More information

Podiatric Medicine. What is a Podiatrist?

Podiatric Medicine. What is a Podiatrist? Page 3 Podiatric Medicine Podiatric Medicine is the profession that strives to improve the overall health and wellbeing of patients by focusing on preventing, diagnosing, and treating conditions associated

More information

Elbow Injuries and Disorders

Elbow Injuries and Disorders Elbow Injuries and Disorders Introduction Your elbow joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the elbow joint move. There are many injuries and disorders that

More information

Lumbar Laminectomy and Interspinous Process Fusion

Lumbar Laminectomy and Interspinous Process Fusion Lumbar Laminectomy and Interspinous Process Fusion Introduction Low back and leg pain caused by pinched nerves in the back is a common condition that limits your ability to move, walk, and work. This condition

More information

It s not something you want to think about, but it s something you want to prepare for.

It s not something you want to think about, but it s something you want to prepare for. It s not something you want to think about, but it s something you want to prepare for. StemCyte cord blood banking offers your family a new lifesaving treatment alternative Why Bank Take the once-in-alifetime

More information

Lumbar Spine Fusion (1 of 5)

Lumbar Spine Fusion (1 of 5) Lumbar Spine Fusion (1 of 5) i If you need this information in another language or medium (audio, large print, etc) please contact the Customer Care Team on 0800 374 208 email: customercare@ salisbury.nhs.uk.

More information

Self Management Program. Ankle Sprains. Improving Care. Improving Business.

Self Management Program. Ankle Sprains. Improving Care. Improving Business. Ankle Sprains Improving Care. Improving Business. What is an ankle sprain? Ligaments attach to the ankle bones and allow for normal movement and help prevent too much motion within the joint. Ankle sprains

More information

A Guide to Neuropathy

A Guide to Neuropathy Neuropathy Action Foundation Awareness Education Empowerment A Guide to Neuropathy Jonathan Katz, MD Michelle Greer, RN The Neuropathy Action Foundation (NAF), a 501(c)(3) non profit, is dedicated to ensuring

More information

Plantar Fasciitis What is the plantar fascia? (#1 in the picture to the right)

Plantar Fasciitis What is the plantar fascia? (#1 in the picture to the right) Plantar Fasciitis What is the plantar fascia? (#1 in the picture to the right) The plantar fascia is a thick, ligamentous connective tissue that runs from the calcaneus (heel bone - #2 in the picture to

More information

Achilles Tendon Injury

Achilles Tendon Injury Achilles Tendon Injury Contents Page 2 Causes of pain in the Achilles region Page 2 Achilles Tendon Injury Page 3 Those most at Risk page 3 Symptoms and Causes Page 4 Treatments Page 4 Rehabilitation Exercises

More information

Mobility After Stroke

Mobility After Stroke Mobility After Stroke Issues facing stroke survivors and their families Regaining Mobility Moving around safely and easily is not something you may think about, until you have had a stroke. Each year more

More information

Hip Bursitis/Tendinitis

Hip Bursitis/Tendinitis Hip Bursitis/Tendinitis Anatomy and Biomechanics The hip is a ball and socket joint that occurs between the head of the femur (ball) and the acetabulum of the pelvis (socket). It is protected by several

More information

A new ankle foot orthosis for running

A new ankle foot orthosis for running Prosthetics and Orthotics International September 2009; 33(3): 192 197 TECHNICAL REPORT A new ankle foot orthosis for running DAVID BISHOP 1, ALLAN MOORE 2, & NAVEEN CHANDRASHEKAR 1 1 Department of Mechanical

More information

.org. Ankle Fractures (Broken Ankle) Anatomy

.org. Ankle Fractures (Broken Ankle) Anatomy Ankle Fractures (Broken Ankle) Page ( 1 ) A broken ankle is also known as an ankle fracture. This means that one or more of the bones that make up the ankle joint are broken. A fractured ankle can range

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

The Use of the Lokomat System in Clinical Research

The Use of the Lokomat System in Clinical Research International Neurorehabilitation Symposium February 12, 2009 The Use of the Lokomat System in Clinical Research Keith Tansey, MD, PhD Director, Spinal Cord Injury Research Crawford Research Institute,

More information

Cerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1

Cerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1 Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Thousands of children are diagnosed with cerebral palsy every year. This reference summary explains

More information

Hand Injuries and Disorders

Hand Injuries and Disorders Hand Injuries and Disorders Introduction Each of your hands has 27 bones, 15 joints and approximately 20 muscles. There are many common problems that can affect your hands. Hand problems can be caused

More information

Achilles Tendinitis What is an Achilles tendinitis?

Achilles Tendinitis What is an Achilles tendinitis? Achilles Tendinitis What is an Achilles tendinitis? The Achilles tendon is a band of tissue that connects the heel bone to the calf muscle of the leg. This band of tissue/tendon may become inflamed and

More information

Lateral ligament reconstruction of the ankle. A patient s guide

Lateral ligament reconstruction of the ankle. A patient s guide Lateral ligament reconstruction of the ankle A patient s guide 1 The ankle joint The ankle is a hinge joint between the leg and the foot, and allows up/down and side-toside movement. Stability is provided

More information

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery

Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery Sports Medicine Achilles Tendon Repair Surgery Post-operative Instructions Phase One: The First Week After Surgery Amon T. Ferry, MD Orthopedic Surgery / Sports Medicine

More information

PHYSICAL EXAMINATION OF THE FOOT AND ANKLE

PHYSICAL EXAMINATION OF THE FOOT AND ANKLE PHYSICAL EXAMINATION OF THE FOOT AND ANKLE Presenter Dr. Richard Coughlin AOFAS Lecture Series OBJECTIVES 1. ASSESS 2. DIAGNOSE 3. TREAT HISTORY TAKING Take a HISTORY What is the patient s chief complaint?

More information

Muscular Dystrophy and Multiple Sclerosis. ultimately lead to the crippling of the muscular system, there are many differences between these

Muscular Dystrophy and Multiple Sclerosis. ultimately lead to the crippling of the muscular system, there are many differences between these Battles 1 Becky Battles Instructor s Name English 1013 21 November 2006 Muscular Dystrophy and Multiple Sclerosis Although muscular dystrophy and multiple sclerosis are both progressive diseases that ultimately

More information

Cerebral Palsy. In order to function, the brain needs a continuous supply of oxygen.

Cerebral Palsy. In order to function, the brain needs a continuous supply of oxygen. Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Up to 5000 children in the United States are diagnosed with cerebral palsy every year. This reference

More information

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١

Passive ROM Exercises. 9/29/2013 Dr. Enas Elsayed ١ Passive ROM Exercises 9/29/2013 Dr. Enas Elsayed ١ Reference Therapeutic Exercise: Foundations and Techniques. 5 th edition by Kisner and Colby. Range of Motion (Chapter 3),pages: 41-63 9/29/2013 Dr. Enas

More information

Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt

Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt Anterior Cruciate Ligament Reconstruction Progression Rehabilitation Program By Jenna Hennebry, Erin Stiefel, and Lauren Schmidt Case Study: 18 year old female soccer player Isolated ACL rupture (planted

More information

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation...

What are Core Muscles?... 2. A Healthy Lumbar Spine...3. What is Low Back Pain?...4. Rehabilitation...6. Stages of Rehabilitation... Table of Contents What are Core Muscles?... 2 A Healthy Lumbar Spine...3 What is Low Back Pain?...4 Rehabilitation...6 Stages of Rehabilitation...7 Pain Management....................... 8 Heat/Ice What

More information

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle

A Patient s Guide to Lateral Ligament Reconstruction of the Ankle A Patient s Guide to Lateral Ligament Reconstruction of the Ankle The Foot and Ankle unit at the Royal National Orthopaedic Hospital (RNOH) is a multi-disciplinary team. The team consists of three specialist

More information

Screening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam

Screening Examination of the Lower Extremities BUY THIS BOOK! Lower Extremity Screening Exam Screening Examination of the Lower Extremities Melvyn Harrington, MD Department of Orthopaedic Surgery & Rehabilitation Loyola University Medical Center BUY THIS BOOK! Essentials of Musculoskeletal Care

More information

Sky Ridge Medical Center, Aspen Building Ridgegate Pkwy., Suite 309 Lone Tree, Colorado Office: Fax:

Sky Ridge Medical Center, Aspen Building Ridgegate Pkwy., Suite 309 Lone Tree, Colorado Office: Fax: Plantar Fasciitis Plantar fasciitis is inflammation of the thick tissue on the bottom of the foot. This tissue is called the plantar fascia. It connects the heel bone to the toes and creates the arch of

More information

The Forefoot Valgus Foot-Type Joe Fox, MS, LAT June 10, 2014

The Forefoot Valgus Foot-Type Joe Fox, MS, LAT June 10, 2014 The Forefoot Valgus Foot-Type Joe Fox, MS, LAT June 10, 2014 Introduction BS Kinesiology Exercise Science and Athletic Training, University of Wisconsin-Madison MS in Exercise Science Athletic Training,

More information

Pilates for Overpronation

Pilates for Overpronation Pilates for Overpronation Karina Ward September 2014 Santa Barbara BASI Pilates 1 Abstract The feet face unique biomechanical demands in support of dynamically stabilizing the body. Forming our foundation,

More information

Theodore B. Shybut, M.D. 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-5590 Fax: 713-986-5521. Sports Medicine

Theodore B. Shybut, M.D. 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-5590 Fax: 713-986-5521. Sports Medicine Anterior Cruciate Ligament Reconstruction Accelerated Rehab This rehabilitation protocol has been designed for patients with ACL reconstruction who anticipate returning to a high level of activity as quickly

More information

Irish Dancing Injuries

Irish Dancing Injuries Irish Dancing Injuries CONTENTS 1. Types Of Injuries 2. Why do Irish Dancers get these type of Injuries? 3. Core Strength 4. Balance 5. Injuries 6. Prevention of Injuries 7. Rehabilitation Types Of Injuries

More information

PHASE I ANKLE REHABILITATION EXERCISES

PHASE I ANKLE REHABILITATION EXERCISES PHASE I ANKLE REHABILITATION EXERCISES SWELLING CONTROL S REST: Keep your standing and walking activities to a minimum while swelling is a problem. ICE: Use an ice pack in a moist towel for 10-15 minutes

More information