Metatarsalgia

Metatarsalgia is a common injuries described as overutilization foot pain associated with increased mechanical braiding the metatarsal region. Metatarsalgia is often recognized as a symptom than a specific disease. Metatarsalgiei common causes include interdigital neuroma or Morton metatarsofalangiana synovitis, avascular necrosis, inflammatory arthritis sesamoidita.Athletes who participate in activities involving the lower extremities shows impact damage often sole, including Metatarsalgia.
It is a condition affecting the metatarsal bones and joints. It is located mostly in the first metatarsal head. There are two bones sesamoide under the first metatarsal head. The second most common location of pain is under the second metatarsal.In this condition frequency of the plant, one or more of the metatarsal heads become painful and usually inflamed by excessive pressure exerted over a long period of time.Metatarsalgia begins with acute pain, rrecurenta. It is caused by uncomfortable shoes with high heels and pointed snout, narrow.Shoes with small tip In a small space forces the fingers. This outpatient inhibit plant and lead to extreme discomfort.
Other factors that may cause excessive pressure in the fingers which cause Metatarsalgia include sports shoes with high heels or impAct the plant. Also the aging process panniculitis cause thinning of the plant by making it fat succeptibila pain.
The first step is determining the cause of pain treatment metatarsalgiei. If the shoe is tight-the pain it must be changed.Inlactamintea with roomy top is ideal to treat Metatarsalgia.Ortotice devices may relieve pain in its distribution to more tolerant areas. Other recommended products are pressure bandages and pads.
Causes and pathogenesis metatarsalgieiThe foot is often injured during sports that involve repeated pressure loading asupta sole. As in other syndromes overutilization condition may be the result of mechanical alterations in the normal biomechanics that caused abnormal distribution between the metatarsal heads. Persistent stress leads to chronic irritation and inflammation of the periosteum and adjacent tissues.The weight is transferred to the leg by gravity. This power transfer is increased on the sole during walking browsing or running long distances. Pressure studies show that runners spend most of the time during the foot during running. Athletes who participate in impact sports involving running and jumping are at increased risk of damage to the sole.
The following factors are located on contributions from excessive pressure on the sole:High-level activity, prominent metatarsal headsExtensors of the fingers, stiff, weak flexors of fingersMallet finger deformity in-Achilean-tendon rigid excessive pronationEquinus deformity and foot-in crooked.
Some anatomical conditions may predispose individuals to the sole of his foot problems:Cavus foot fish-type arch the foot high, often lead to metatarsal painMorton shows people the finger-metatarsal bone in short, normal balance is disturbed sole-Iatrogenic changes after surgery, and foot osteotomies may change the anatomy of forces resulting in an uneven distribution and Metatarsalgia.Cause hammer toe deflection as the tip of the shoe Metatarsalgia finger pushes down, press the metatarsal heads.
Signs and symptoms of metatarsalgieiThe main symptom is pain in one metatarsalgiei metatarsal heads.Spread the foot pain and leg region average asportivii frequently present with inflammatory conditions. Pain is typically worse during running and walking in the propulsion phase. A gradual onset, is the most common chronic than acute presentation. Chronic symptoms can be gradual over a period of six months.Morton neuroma (interdigital) produces symptoms of irritation and inflammation Metatarsalgia by digital nerve located in the space between the metatarsal heads. Morton neuron patients may experience numbness and pain in the fingers. Morton neuron term is a misnomer because there is really a neuron. Injuries resulting from incarceration mechanics out of a neuropathy.
Physical examination includes the following:In a point-palpable tenderness at the distal end of the plantar metatarsal fatSensitivity and pain-plantar surface of metatarsal headsCallus-formation-plantar keratosisInterdigital space, absence of pain helps to assess the existence of a neuroma-Patients with interdigital neuroma shows maximum sensitivity between metatarsal spaces-Loss of sensation may be present in adjacent fingersInterdigital neuroma-in patients with compression between the metatarsal heads produce a painful click known as Mulder sign.
Complications metatarsalgiei:Freiberg avascular necrosis may occur through vascular etiology, congenital or traumatic. A sports injury can not be the sole cause of avascular necrosis, however, mechanical stress on the sole impact sports, precipitate a predisposition previous condition.Progression of the lesions can result through a ligament strain, joint instability and dislocation of the fingers. Loss of flexibility can lead to chronic stiffness and limitation of movement.
Evolution metatarsalgiei:The patient can return to his position depending on the nature of sports injury and practiced sport. Resolution deficits associated with the pathological lesion include restoring flexibility, strength, adequate nutrition, aerobic and proprioception. Physical activity is gradual acceleration and heating prior. Returning to the sport practiced expose patients to the same conditions that caused traumatic injury page. Therefore patients should be completely healed, without symptoms and ready to withstand stress and trauma associated with sports.