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Abstract Background Metatarsalgia is a disorder that causes pain and involves repetitive high-pressure loading under the metatarsal head. Plantar pressure testing can be used to objectively assess pressure loads under the MH. However, it is also unknown if the decrease in plantar pressure under the MH after MP therapy is related to subjective improvement. In metatarsalgia patients treated using MPs, this research will investigate the correlations between subjective pain improvement and outcome rating, as well as the plantar pressure parameters. Before and after two weeks of MP therapy, visual analog scale scores of pain were obtained from all subjects. PTI and MPP values after MP application were closely correlated with rise in VAS scores, with decreases in VAS scores increasing. Conclusion After emphasizing subjective pain relief, the positive decline in the PTI and MPP in the second MH showed that under the second MH was related to subjective pain improvement.
Source link: https://doi.org/10.1186/1471-2474-7-95
Patients treated with a Wel osteotomy had remarkably higher satisfaction, reduced incidence of recurrent metatarsalgia, and fewer transfer lesions than those treated with a Helal osteotomy. Moreover, those operating with the Weil procedure had a higher chance of radiographic error and maintenance of the MTP joint dislocation than those treated with the Helal procedures. Despite the fact that the Weil osteotomy rehabilitation period was shorter than that of the Helal osteotomy, the former team's scores in the American Orthopaedic Foot and Ankle Society forefoot were significantly different from those obtained with the Helal osteotomy. The Weil procedure is a safe option for treating metatarsalgia caused by the dislocation of the MTP joint, and we have found that the Helal osteotomy is not a safe technique for treating this condition due to the high complication rate.
Source link: https://doi.org/10.1177/107110079902000202
Forefoot pain, Metatarsalgia is one of the most common causes of foot pain, and it is characterized by pain in the front part of the foot under the metatarsal bones. Primary metatarsalgia is idiopathic, but it has been traced to forefoot plantar compression. To find novel, safe, and conservative treatments for metatarsalgia, there are many causes of metatarsalgia. To avoid surgical intervention, there must be a thorough examination of metatarsalgia. Toe exercises were suggested if toe function was bad. The Achilles tendon was stretched if dorsiflexion of the ankle joint was limited. If the pain was localized to the plantar portion of the 2nd MTP, a decompression insole was used. A decompression insole was used if the pain was restricted to the plantar portion of the 2nd MTP's 2nd MTP. Toe exercises can help with balance and are well worth trying out.
Source link: https://doi.org/10.29245/2767-5130/2021/1.1131
Background: The Weil and triple Weil osteotomy are frequently used to treat third rocker metatarsalgia. The aim of this investigation was to assess the effects and complications of Weil and triple Weil osteotomy therapy for third rocker metatarsalgia. Methods: This is a list of 82 patients who were hospitalized due to third rocker metatarsalgia from March 2004 to May 2007. Results: The median AOFAS score was 90. We had serious recurrence of metatarsalgia in 4. 3 percent, moderate stiffness in 60. 2%, floating toes in 4. 3 percent, and delays in bone healing in 7. 5 percent, all with respect to complications. Conclusion: We believe that Weil and triple Weil osteotomies are safe procedures in the treatment of third rocker metatarsalgia. Preoperative planning with tracing on the weightbearing AP radiographs is a crucial step.
Source link: https://doi.org/10.3113/fai.2012.0501
Primary metatarsalgia is a result of a persistently poor weight-bearing balance across the forefoot or midfoot. If conservative therapy has failed, metatarsal osteotomy can be considered. The Invasive Distal Metatarsal Osteotomy therapy, which can be used in a minimally Invasive Distal Metatarsal Osteotomy, can produce positive outcomes. Four patients were treated with minimally invasive surgical technique from April 2009 to May 2010. On the first day of surgery, full weight bearing walking was allowed. In both patients, the length of hospital stay was 4 days. The average metatarsal index decreased from 3. 125 to 2. 8 mm, and the normal intermetatarsal angle on lateral X-ray decreased from 6° to 2°. The average score of Foot and Ankle Surgeons has increased from 66. 25 preoperatively to 96. 25 postoperatively. Conclusion Minimally Invasive Distal Metatarsal Osteotomy without internal fixation is a viable alternative to starting a new procedure in the case of recalcitrant metatarsalgia.
Source link: https://doi.org/10.1016/j.jotr.2012.04.004
BACKGROUND: Gastrocnemius shortening leads to an equinus deformity that can be present in foot disorders, including metatarsalgia. Pain localized to the metatarsal heads is described by this term. Patients with mechanical metatarsalgia and isolated gastrocnemius shortening were analyzed by this prospective research in order to investigate the effect of medial gastrocnemius proximal release on ankle dorsiflexion and determine the effects of this procedure on pain and functional limitations in patients with mechanical metatarsalgia and isolated gastrocnemius shortening. Methods: We prospectively followed 78 feet in 52 patients with metatarsalgia with an isolated gastrocnemius contracture diagnosed with the Silfverskiöld test. Result: Preoperative values of VAS and AOFAS were 7. 4 and 46. 8, respectively. Preoperatively, ankle dorsiflexion of the knee straight was 17. 5 degrees, which increased to 2. 5 degrees at 6 months postoperatively. Conclusion: We believe that proximal medial gastrocnemius recession is a different treatment option to treat selected patients with mechanical dysarthropathy and gastrocnemius shortening.
Source link: https://doi.org/10.1177/1071100716640612
ABSTRACT Introduction Weil osteotomies are used to surgically treat metatarsalgia by a single distal oblique cut with translation of the metatarsal head or surgically shortening the metatarsal bone, if by removing a piece of bone. This research aims to see if wedge-cut Weil osteotomy is associated with improved pain relief and less complications up to 12 months postoperatively. Methods and analysis of 80 consecutive consenting patients deciding to receive surgical treatment of propulsive metatarsalgia in a randomised control trial embedded within a clinical registry will be collected for 80 consecutive consenting patients eligible to receive surgical intervention of propulsive metatarsalgia in a randomised control trial embedded within a national registry. The primary outcome is patient-reported pain as measured by the Foot and Ankle Outcome Score - Pain subscale, and the secondary result is the incidence of procedure-specific complications up to 12 months postoperatively. In a multivariable model with the same confounders, a binary logistic regression will be used to determine the secondary outcome. Ethics and dissemination Ethics Committee approval for this investigation was provided by the Ramsay Health Care Human Research Ethics Committee's NSW/VIC branch. This analysis's strengths and weaknesses This review was intended to determine the clinical effectiveness of wedge-cut Weil osteotomy relative to the flat-cut method with a prospective, randomised control group design. The statistical scheme seeks to prevent this by treating adjunct procedures as potential confounders of the intervention's effects, as well as prognostic factors gathered from publicly available literature on pain ratings in metatarsalgia.
Source link: https://doi.org/10.1101/2020.12.10.20242339
We investigated the effectiveness of toe exercises for the treatment of metatarsalgia. Methods: Forty-one metatarsalgia patients underwent strength testing. Patients who have been symptomatic for more than a year had dramatic declines in VAS scores for patients symptomatic for more than a year. Patients with longer disease duration and higher body mass index had significant lower improvements in VAS scores, according to a multivariate study. Conclusion: Toe exercises have both toe function and metatarsalgia, which indicate that they are closely related.
Source link: https://doi.org/10.21203/rs.3.rs-41953/v2
Abstract Background The relationship between metatarsalgia and toe function is poorly understood. Toe exercises were used toe exercises for the treatment of metatarsalgia. We looked at the effectiveness of toe exercises for the treatment of metatarsalgia. Methods Forty-one metatarsalgia patients underwent strength testing. Results from the post-treatment toe plantarflexion strength all improved with no changes in VAS scores, although some p1 year had significant declines in VAS scores. p.
Source link: https://doi.org/10.21203/rs.3.rs-41953/v1
Background information The relationship between metatarsalgia and toe function is poorly understood. We looked into the effectiveness of toe exercises for the treatment of metatarsalgia. Forty-one metatarsalgia patients underwent toe strength testing. Patients who have been symptomatic for more than a year had dramatically lower changes in VAS scores. Patients with longer disease duration, and higher body mass index showed significant decline in VAS scores, according to a multivariate analysis.
Source link: https://doi.org/10.1186/s13018-020-02113-7
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