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Forefoot disorders and conservative treatment.
Yeungnam Univ J Med 2019; 36(2):92-98YU

Abstract

Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders.

Authors+Show Affiliations

Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea.Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31620619

Citation

Park, Chul Hyun, and Min Cheol Chang. "Forefoot Disorders and Conservative Treatment." Yeungnam University Journal of Medicine, vol. 36, no. 2, 2019, pp. 92-98.
Park CH, Chang MC. Forefoot disorders and conservative treatment. Yeungnam Univ J Med. 2019;36(2):92-98.
Park, C. H., & Chang, M. C. (2019). Forefoot disorders and conservative treatment. Yeungnam University Journal of Medicine, 36(2), pp. 92-98. doi:10.12701/yujm.2019.00185.
Park CH, Chang MC. Forefoot Disorders and Conservative Treatment. Yeungnam Univ J Med. 2019;36(2):92-98. PubMed PMID: 31620619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Forefoot disorders and conservative treatment. AU - Park,Chul Hyun, AU - Chang,Min Cheol, Y1 - 2019/05/14/ PY - 2019/03/31/received PY - 2019/04/05/revised PY - 2019/05/10/accepted PY - 2019/10/18/entrez PY - 2019/10/18/pubmed PY - 2019/10/18/medline KW - Conservative treatment KW - Forefoot disorder KW - Insole KW - Orthosis KW - Shoes SP - 92 EP - 98 JF - Yeungnam University journal of medicine JO - Yeungnam Univ J Med VL - 36 IS - 2 N2 - Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders. SN - 2384-0293 UR - https://www.unboundmedicine.com/medline/citation/31620619/Forefoot_disorders_and_conservative_treatment L2 - http://yujm.yu.ac.kr/journal/view.php?doi=10.12701/yujm.2019.00185 DB - PRIME DP - Unbound Medicine ER -
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