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Factors that will increase in getting Foot Pain

Foot pain is a very common complaint. Around 70% of the Singapore population will suffer foot pain at some time in their lives. The foot is quite a complex structure of 26 bones and 33 joints, layered with an intertwining web of over 100 muscles, ligaments and nerves. With each step you take, a force of 2-3 times your body weight is placed on your feet and during a typical day you may take 7 or 8,000 steps! Therefore it comes as no surprise that at some time in our lives we will suffer from some kind of foot complaint. This website provide detailed information regarding the most common types of foot pain, how it occurs and what you can do to alleviate and prevent foot pain.

Factors that will increase the chances of getting foot pain:

– Age: as we get older, our feet widen and our arches flatten. Also, the fat padding on the sole and heel area wears thinner and the skin on our feet becomes dryer. Foot pain in older people could well be the first sign of arthritis, diabetes and circulatory disease.

– Gender: Women are at higher risk than men for foot pain, mostly because of high-heeled and tight they wrear or have been wearing in the past. Severe foot pain is quite common in older women.

– Occupational Risk Factors: people who are on their feet all day because of the work they do, will always run the risk of suffering some type of foot pain or discomfort, as well as aching legs and low back pain.

– Sports and Dancing: especially heel pain, shin splints, and knee pain can increase with sports, running or dancing.

– Weight gain: being overweight puts added stress on the feet which often leads to various types of foot pain

– Pregnancy: pregnant women have an increased risk of foot pain problems due to weight gain, swelling in their feet and ankles. Plus, the release of certain hormones may cause ligaments to relax, causing weakness in the feet and ankles

– Over-pronation: rolling inwards of the foot and flattening of the arches (over-pronation) is a major contributing factor to foot pain.

Stop Your Foot Pain Today! Call +65 6471 2744 or Email to: info@boneclinic.com.sg For Appointment

Freiberg’s Disease

Freiberg’s Disease is also commonly known as Freiberg’s infraction which means incomplete fracture or Freiberg’s infarction which means necrosis or bone death due to obstruction of circulation.

In any event the condition is a result of avascular necrosis meaning the blood supply to the affected bone has been cut causing the bone to undergo changes usually resulting in pain.

The disease can vary in severity and usually gets worse as time goes on. It usually begins in the second decade of life however may not manifest itself as pain until the patient reaches their early twenties. It is far more common in females then males.

As previously mentioned it is thought to be due to disruption of circulation to the head of the metatarsal bone, usually, but not always the second metatarsal bone. This disruption is thought to occur primarily from repetitive stress and not necessarily one incidence of trauma. The trauma is to the growth plate of the bone (from which the bone grows in length over time), which is located at the distal (front) part of the bone nearer the toes.

The repeated stress to the growth plate of the bone causes micro fractures in the growth plate which eventually lead to a disruption of the blood supply to that area of the bone. It occurs while this growth plate is open (growth plates eventually close and there is no longer any further bone growth) which is during puberty. During this time period there is rarely pain, but the pain occurs later on , generally in females in their twenties and early thirties in response perhaps to wearing high heels or participating in athletics.

Typically the patient complains of localized pain in the ball of the foot near the bone that is affected. The pain is usually exacerbated by excessive activity and can worsen overall with time.

An xray reveals the classic flattening of metatarsal head. There can also be fracture and fragmenting of the bone resulting in loose bodies of bone in the area causing further pain. All of this leads to degeneration of the joint between the metatarsal bone and toe.

The treatment of Freiberg’s disease is dependent on the amount of bone destruction and the amount of pain the patient is experiencing. In the younger patient who is in the early stages of bone destruction, the acutestage, it may be appropriate to try a non-weightbearing cast for a minimum of four weeks in an effort to prevent further bone and joint destruction. Anti-inflammatory medication may be given in conjunction with the cast to reduce symptoms.

After the cast is removed the patient should limit themselves to very conservative, stiff shanked shoes to limit the bending at the ball of the foot. An orthotic may also provide protection as well. Generally theorthotic should have a metatarsal bar built in to take pressure off the head of the bone. High heels are definitely out of the question, as is athletic endeavors. Patient compliance is a must in these situations because if the disease cannot be “quieted” down there will be further damage to the metatarsal boneresulting in chronic pain.

In those situations surgery becomes a viable option. An MRI of the bone and joint should be performed prior to any surgical procedure in order to get a clear picture of the diseased joint, to see if there are any loose bone fragments in the joint and to check the overall bone stock or quality of the metatarsal bone.

This is necessary because surgical intervention can range from a minimum of cleaning out the diseased joint of bone spicules (spurs) and loose bone bodies all the way to performing bone grafts and surgical breaking and resetting of the metatarsal bone in an effort to create better bone and joint alignment.

Even though lesser metatarsal implants exist, at this writing, there is not a general consensus that they are effective in treating Freiberg’s disease.

To schedule for an appointment, call us at +65 6471 2744 or SMS to +65 9235 7641 (24 Hours)

Haglund’s Deformity

Haglund’s Deformity Introduction
Foot is an important body part. No one will disagree with my opinion considering the advantages one enjoys with the help of foot. Foot comprises of various organs like heel, toes, bones, muscles, ligaments, joints etc. The bones present in the foot in general and heel in particular may develop certain abnormalities. Development of such abnormalities can lead to certain serious complications and result in temporary or permanent dysfunction of foot. We must pay proper attention towards up keep of foot and ensure foot strength with the help of nutritious diet and physical exercises. Ignorance on part in taking proper care will result in abnormalities.

Description of Haglund’s Deformity
Haglund’s deformity is a medical condition characterized by enlargement of bone at back of heel bone. In this condition the back of the heel bone, area where Achilles tendons and bone of heel attaches with each other gets affected and develop enlargement.

Haglund’s deformity is also known by other names ‘retroocular bursitis’ and ‘pump dump’.

Causes responsible for development of Haglund’s Deformity
Excessive pressure against the shoes and bursitis are considered as the two major causes responsible for development of Haglund’s Deformity. The stitching or height of the heel counter of a particular foot wear may aggravate this condition. In simple words wearing inappropriate shoes – shoes that does not fit properly or provide comfort and exert pressure on heel bone – is the main cause behind development of Haglund’s deformity.  

Symptoms of Haglund’s Deformity
Following are the most common symptoms of Haglund’s deformity.

  • Redness of area at the back side of heel
  • Swelling at the back side of heel area

Treatment of Haglund’s Deformity
There are some remedies available for treatment of Haglund’s deformity. The method of treatment is associated with the root cause behind development of this condition and severity of the condition. Mild cases of inflammation and projection enlargement of bone – at the back of the heel – are treated using methods such as compression, application of ice blocks, change of foot wear, use of medical aids like heel grip pads, Achilles heel pads and tortoise.

In cases, where the bone enlargement is considerably large, surgery may be required. Your doctor may prescribe you with Cortisone injections for relieving pain. However, the use of such injections for prolonged periods may lead to occurrence of certain other abnormalities related to foot such as Achilles tendon rupture.

Use of anti-inflammatory medications and immobilization are other options available for treating Haglund’s deformity.

Your doctor will recommend best suiting treatment for you after conducting examination and ascertain cause of development of Haglund’s deformity.

Prevention is the best way of treating any disease. Haglund’s deformity is not exception to this rule. Adopt lifestyle like maintaining hygiene by keeping foot clean and dry, proper exercises for enhancing muscle strength; use properly fitting shoes etc and avoid occurrence of Haglund’s deformity in particular and other abnormalities associated with foot in general.