Welcome to Foot Talk Fridays. Today we’re going to be discussing the importance of engaging the muscles on the inside of the feet here. It’s really important that when we’re correcting a flat foot that we tilt it and get the ankle straight. But sometimes what we need to do is engage the muscle to an end to this month so here and sometimes we can jump start it. We can do it with something like this which are little small electric muscle stimulators. There are the perfect size. These are called minipads by Footerella.

To jump start this muscle and sometimes an extreme flat feet where the muscle tone is nonexistent, we will use something that is much more powerful and this is the EM49.And this has really really strong current to that muscle so the muscles extremely flat and week we would use something much stronger and that engages this muscle. So we would tilt the foot straight and then we use electro with an insole or an orthotic. And then we tighten this muscle using the Electro muscle stimulators and then later on we would do something underneath the foot to tighten the foot and begin to lift the arch with tapes and straps and that process is something called Tri step which I will post in a later video as well simple components to lift and tighten the foot, straighten the foot, get the muscles engaged again. Have a happy Friday.

Abducted feet or duck feet is where somebody walks with their feet facing outwards at either 11:00 to 1:00, 10:00 to 2:00, 9:00 to 3:00. The normal is 11:00 to 1:00. It’s unusual for anybody to walk perfectly straight. It is normal to walk slightly of abducted. But once the feet turn out to 10:00 and 2:00 or 9:00 to 3:00. Its too much abducted. So what we would do is to find out why is the person is walking with an abducted feet. Most of the time is to compensate from an arch collapse in a flatfoot. Because when the arch collapses, the foot leans in, the legs internally rotate and is painful for the person to walk if they try to walk with their feet straighter.

So what we do is we turn the foot and align the foot straight so the person does not need to walk abducted to feel normal in their hips. We would measure how many degrees lean in and we would then turn them to make sure that our feet are straight.If your feet lean in, they autmatically abduct.So it’s always good to come in to see a podiatrist to make sure what’s happens to make your feet abducted.

Treatment plan would be something straight forward. It would be something inside the shoe that turns the ankle straight to bring the toes and foot in.

So make an appointment with your podiatrist so they can check what’s happening with the alignment of your feet and your legs.

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Leading expert Michelle Champlin reveals everything you need to know about raising your foot arches.

The most common type of flatfeet is where the ankle leans inwards otherwise known as pronation and that makes the inside medial arch collapse, appearing flat. Contrary to popular belief, flatfeet that pronate causing flatfeet can be corrected.

The 3 steps must address the most important factors in the feet that cause flat feet. The bones, muscles and ligaments must all be retrained.

• The first step is to lift the bones in the feet especially the arch area and that is done in three stages using three different heights of medial arch support called orthotics. It is important at this stage to know how much your foot pronates the degree angle should be measured and divided into three and then using an orthotic to lift to foot in the specific degree angle.

• The second step is to use an electro muscle simulator to engage the nerves and muscles to the sole of the foot and the medial arch.

• Thirdly, the ligaments that hold the bones together should be helped. This is achieved my using foot tapes or special foot pads to help hold the foot in place.

Pain in the front of the foot that makes the third and the fourth toes become numb is commonly referred to as Morton’s neuroma. However, this is an extremely rare condition where a bundle of nerves starts to grow like a tumor between the metatarsal heads of the third and the fourth most commonly. More than likely, it is neuritis or a dropped third or fourth metatarsal heads.

When the metatarsals drop, this can rub the nerves that run in between the bones of the front of the foot making the nerves numb and causing the toes in front of the nerve, commonly the third and the fourth although it can happen in the second and the third or the fourth and the fifth become numb also.

الألم في مقدمة القدم الذي يجعل إصبعي القدم الثالث والرابع يصبحان مخدرين يشار إليه عادة باسم ورم مورتون العصبي. ومع ذلك، فهذه حالة نادرة للغاية حيث تبدأ حزمة من الأعصاب في النمو مثل الورم بين رؤوس مشط القدم الثالث والرابع في أغلب الأحيان. والأرجح أنها التهاب الأعصاب أو سقوط رؤوس مشط القدم الثالث أو الرابع.

عندما تسقط عظام مشط القدم، يمكن أن يؤدي هذا إلى احتكاك الأعصاب التي تمر بين عظام مقدمة القدم مما يجعل الأعصاب مخدرة ويتسبب في خدر أصابع القدم أمام العصب، وعادة ما يكون الثالث والرابع على الرغم من أنه يمكن أن يحدث في الثاني والثالث أو الرابع والخامس أيضًا.

By lifting the transverse arch, we will eliminate the excess pressure through the metatarsal heads that can be causing the pain. We also opened the joint space between the metatarsal heads to allow the nerves to flow freely once again.

من خلال رفع القوس المستعرض، سنقضي على الضغط الزائد عبر رؤوس مشط القدم الذي يمكن أن يسبب الألم. كما فتحنا أيضًا المساحة المفصلية بين رؤوس مشط القدم للسماح للأعصاب بالتدفق بحرية مرة أخرى.

If it is the case of Morton’s neuroma, this is a surgical case where the neuroma needs to be removed. Treatments are commonly cortisone injection if there is neuritis that is unbearable. There are side effects of this such as melting off the fatty padding which is actually very important for the area and the cortisone injection it should be the very last option.

Surgical removal is normally the first option with a real Morton’s neuroma and the most common and effective is an orthotic with the transverse arch lift that opens up the space between the metatarsals reducing the neuritis and also lifting the metatarsal heads to prevent extra pressure underneath the ball of the foot.

إذا كانت هذه هي حالة ورم مورتون العصبي، فهذه حالة جراحية حيث يجب إزالة الورم العصبي. العلاجات عادة ما تكون حقن الكورتيزون إذا كان هناك التهاب عصبي لا يطاق. هناك آثار جانبية لهذا مثل ذوبان الحشوة الدهنية وهو أمر مهم جدًا للمنطقة ويجب أن يكون حقن الكورتيزون هو الخيار الأخير.

عادةً ما يكون الإزالة الجراحية هي الخيار الأول مع ورم مورتون العصبي الحقيقي والأكثر شيوعًا وفعالية هو تقويم العظام مع رفع القوس المستعرض الذي يفتح المساحة بين عظام مشط القدم مما يقلل من التهاب العصب ويرفع أيضًا رؤوس عظام مشط القدم لمنع الضغط الإضافي أسفل كرة القدم.

What is Morton’s Neuroma?

ما هو ورم مورتون العصبي؟

There are quite a few different types of corn that can affect the feet.

1. There are shoe corns that develop on the top and side of the toes from shoes that are too tight.

2. There are hard corns that develop underneath the foot from high pressure areas.

3. There are soft corns that predominantly affect in between the toes from where the bones of the toes touch each other and cause a very painful soft corn that looks white and rubbery.

4. There are seed corns that are genetic that are very very small and they look like they have been scattered across the sole of the feet and there are no bigger than the size of a pin head and actually very painful as they have in there is a touch to them.

5. There are bio mechanical corns also that develop underneath the foot usually from a dropped bone or an enlarged bone inside the foot.

So the podiatrist must first investigate what type of corn you have to advise what type of treatment will reduce or stop the corn from coming back.

The new school year has started and fresh new school shoes are always a sign of new academic beginnings. However if you have noticed in previous years that the school shoes have become distorted in an unusual way it is a major sign of a foot problem.

The structure of the foot can distort a shoe causing unusual heel wear or unusual bulging on the upper leather part of the school shoe. When the shoe starts to deform, it can increase the problem in the structure of the foot. It is essential that you bring your child in for a foot assessment if you think their feet are moving in and unusual way or the shoe is wearing away and in unusual pattern.