Forefoot disorders and conservative treatment.
Conservative treatment
Forefoot disorder
Insole
Orthosis
Shoes
Journal
Yeungnam University journal of medicine
ISSN: 2384-0293
Titre abrégé: Yeungnam Univ J Med
Pays: Korea (South)
ID NLM: 101590467
Informations de publication
Date de publication:
05 2019
05 2019
Historique:
received:
31
03
2019
revised:
05
04
2019
accepted:
10
05
2019
entrez:
18
10
2019
pubmed:
18
10
2019
medline:
18
10
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31620619
doi: 10.12701/yujm.2019.00185
pii: yujm-2019-00185
pmc: PMC6784640
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
92-98Informations de copyright
Copyright © 2019 Yeungnam University College of Medicine.
Déclaration de conflit d'intérêts
No potential conflicts of interest relevant to this article was reported.
Références
Foot Ankle Int. 2000 Feb;21(2):94-104
pubmed: 10694020
Foot Ankle Int. 1994 Dec;15(12):654-60
pubmed: 7894637
Foot Ankle Clin. 2018 Mar;23(1):47-55
pubmed: 29362033
J Foot Ankle Res. 2013 Jul 25;6:28
pubmed: 23886242
J Phys Ther Sci. 2017 Apr;29(4):767-770
pubmed: 28533627
Foot Ankle Int. 2013 May;34(5):629-35
pubmed: 23386751
J Bone Joint Surg Am. 1998 Jun;80(6):898-908
pubmed: 9655109
EFORT Open Rev. 2017 Mar 13;1(11):409-419
pubmed: 28461920
Clin Orthop Relat Res. 1981 Jun;(157):14-20
pubmed: 7249448
Foot Ankle Int. 1997 Jul;18(7):424-6
pubmed: 9252812
Int Orthop. 2013 Sep;37(9):1857-61
pubmed: 23851648
Foot Ankle Int. 1997 Jun;18(6):342-6
pubmed: 9208292
J Foot Ankle Res. 2010 Sep 27;3:21
pubmed: 20868524
J Am Acad Orthop Surg. 2011 Aug;19(8):505-14
pubmed: 21807918
J Bone Joint Surg Br. 2005 Nov;87(11):1507-11
pubmed: 16260668
Med Clin North Am. 2014 Mar;98(2):227-32
pubmed: 24559871
J Bone Joint Surg Br. 1950 May;32-B(2):214-22
pubmed: 15422020
Foot Ankle Surg. 2018 Apr;24(2):92-98
pubmed: 29409221
Phys Ther. 2003 Sep;83(9):831-43
pubmed: 12940769
Foot Ankle Int. 2008 Aug;29(8):871-9
pubmed: 18752791
Foot Ankle Clin. 2000 Sep;5(3):451-68
pubmed: 11232391
South Med J. 1976 Jul;69(7):853-4
pubmed: 941051
Prosthet Orthot Int. 2016 Apr;40(2):215-23
pubmed: 25261491
Am J Phys Med Rehabil. 2005 Jul;84(7):514-20
pubmed: 15973088
Arthroscopy. 1988;4(1):51-4
pubmed: 3355642
Clin Orthop Relat Res. 1979 Jul-Aug;(142):93-5
pubmed: 498654
Ann R Coll Surg Engl. 1997 Jan;79(1):58-68
pubmed: 9038498
J Bone Joint Surg Br. 1952 Aug;34-B(3):366-85
pubmed: 12999918
Orthopedics. 2019 Jan 1;42(1):e138-e143
pubmed: 30540873
Foot Ankle Clin. 2011 Mar;16(1):13-20
pubmed: 21338926
Prosthet Orthot Int. 2008 Mar;32(1):79-83
pubmed: 18330806
HSS J. 2007 Feb;3(1):44-9
pubmed: 18751769
Foot Ankle Int. 2003 Oct;24(10):731-43
pubmed: 14587987
J Bone Joint Surg Br. 2005 Aug;87(8):1038-45
pubmed: 16049235
Scand J Surg. 2017 Dec;106(4):332-337
pubmed: 28737072
Clin Podiatr Med Surg. 1996 Jul;13(3):423-48
pubmed: 8829034
J Bone Joint Surg Am. 2002 Nov;84(11):2101
pubmed: 12429775
Foot Ankle Clin. 2003 Dec;8(4):695-710
pubmed: 14719836
J Am Acad Orthop Surg. 2010 Aug;18(8):474-85
pubmed: 20675640
Iowa Orthop J. 2000;20:46-8
pubmed: 10934624
J Orthop Sports Phys Ther. 2009 Oct;39(10):733-42
pubmed: 19801816
Med Clin North Am. 2014 Mar;98(2):233-51
pubmed: 24559872
BMC Musculoskelet Disord. 2014 Mar 15;15:86
pubmed: 24629181
Foot Ankle Int. 2008 Apr;29(4):407-14
pubmed: 18442456
Foot Ankle Int. 2016 Mar;37(3):300-6
pubmed: 26542161
Foot Ankle Spec. 2014 Feb;7(1):52-6
pubmed: 24319044
Clin Drug Investig. 2013 Jul;33(7):497-503
pubmed: 23740337
J Bone Joint Surg Am. 2011 Sep 7;93(17):1650-61
pubmed: 21915581