Along the different surfaces of the feet run the muscles, tendons, and ligaments which allow complex movements to maintain balance and perform activities such as running, walking, and jumping. The plantar fascia ligament which runs from the heel to the metatarsals at the bottom of the foot supports the arch. Fallen Arches If there is pain associated with the foot or if the arch does not develop with toe-standing, x-rays are necessary. If a tarsal coalition is suspected, a CT scan is often ordered. If a posterior tibial tendon injury is suspected, your health care provider may recommend an MRI Treatment
In some patients who have severe foot damage and experience significant pain and limitation in motion surgery may be recommended. Surgical procedures aim to improve the overall foot alignment and may involve cutting or reshaping a bone, removing calcium deposits or spurs from the heel, permanently fusing bones to restore stability of the foot arch or transferring tendons to repair damaged tendons. The choice of surgery may depend on the age of the patient, the structural changes needed to improve foot alignment and other factors related to the patient’s foot function. Summary
This exercise helps to strengthen your arches. Sit on the floor with your legs fully extended in front of your. Use a larger towel rolled length wise and loop it around the balls of your feet. You should take the ends of the towels and hold one in each hand. Slowly pull the ends of the towel toward your body. This will bring your feet towards your body as well. When you feel a stretch in your feet, hold this position for a few seconds. Complete one set of 10 repetitions. To make this exercise more challenging, you can use a resistance band in place of a towel.
One of the most significant complications of rheumatoid disease is involvement of the articulation between the posterior aspect of the odontoid peg of C2 (the axis) and the transverse ligament of the atlas resulting in atlanto-axial subluxation. The dire outcome of this complication is spinal cord compression. Care is required during intubation and the anaesthetist must be aware of this complication. A distance greater than 4 mm from the anterior aspect of the peg to the posterior aspect of the anterior arch of C1 is abnormal. However, neurological complications are less common than might be expected as 25% of patients requiring joint replacement have some degree of C1/C2 subluxation.
In children, although orthotic treatment of asymptomatic flexible mild flatfoot is controversial, 3 it is common to prescribe a more supportive insole when confronted with a moderate to severe flatfoot. 10 The UCBL insert, for lack of a better term, ‘cups’ the heel and arch in a neutral position. It is made from an impression of the foot and in essence becomes a replica of the foot in the corrected position. A major benefit of the UBCL is that it also fits inside a tennis shoe. Mar 29, 2011 By Sarka-Jonae Miller Photo Caption Sometimes a brace aids the kneecap in remaining in position. Photo Credit Barry Austin/Digital Vision/Getty Images