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giovedì 5 febbraio 2015

Foot pain

                                                                  FOOT PAIN


dolore al piede


The most common causes that cause foot pain?

"The foot is an apparatus richly vascularized and richly innervated, therefore much more susceptible to pain than other skeletal formations. Moreover, its complex structure of 26 bones creates a mobile system of numerous joints that can go into crisis for both disease that for wear, as well as the multiple ligaments that hold firm the structure and the tendons which are inserted to confer the movement. To all this is added the mechanical load of our weight and the inevitable movement during driving. Then add that the foot was born to be used barefoot footwear is then locked in more or less rational that alter some natural movements, making it more vulnerable to pain syndromes. So the foot pain can be caused by: malformation in evolutionary state; inflammatory degenerative skeletal its components is that of the soft parts; wear of articular formations; defects of posture; use of footwear incongruous in the wrong role.


Remedies for major disorders of the foot?

Very difficult question because the answer involves the "diagnosis". In the absence of diagnosis we can only speak of attempts symptomatic trivial ranging from taking drugs the use of orthotics, physical therapy, physiotherapy. I never liked to address the problem in this way. The effort and skills should be targeted to understand the precise cause of the pain. The what to do then it will be the logical consequence. Generalizing, we can say that surgery is in first place in the resolution of painful deformities, abnormalities in post-traumatic and in many irreversible degeneration associated with aging, wear or mumerose systemic diseases. Clearly the surgical procedure must be targeted, accurate and supported by extensive and thorough diagnosis. "


WHEN RECOMMENDED SURGERY?


"The moment we ensure a malfunction of the complex apparatus of the foot and we understand that the damage is irreversible, or because it is linked to birth defect or injury is traumatic, both neurological both metabolic or other, we can accept the status quo and take action from the outside, when possible, trying to use footwear, insoles, orthopedic prostheses for groped to counteract the damage. This happens in those cases in which the patient refuses surgical procedure or the orthopedist did not feel to address the problem surgically. The other alternative is always surgical, clearly after having understood exactly biomechanical mechanisms that induce instability or pain irreversible. Error of understanding always follows a surgical error in the foot that can be catastrophic bearing in mind that the foot will accompany us on a stable and painless for life at every step. "






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