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Lower Leg and Foot Injuries

Lower Leg and Foot Injuries. Recognition and Management of Foot Injuries. Heel bruise Cause : sudden stop and go; sudden horizontal and vertical movements S&S : severe heel pain; warmth; unable to weight bear Care : ice; rest; non-weight bearing for 24 hrs; heel cup; doughnut.

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Lower Leg and Foot Injuries

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  1. Lower Leg and Foot Injuries

  2. Recognition and Management of Foot Injuries

  3. Heel bruise Cause: sudden stop and go; sudden horizontal and vertical movements S&S: severe heel pain; warmth; unable to weight bear Care: ice; rest; non-weight bearing for 24 hrs; heel cup; doughnut

  4. Plantar fascitis Cause: leg length discrepancy; inflexibility of longitudinal arch; gastroc/soleus tightness; shoes w/o arch support S&S: pain worse in am or long periods of sitting; lessens after first few steps Care: vigorous heel cord stretching; orthotics; heel cup; arch tape; massage

  5. Fractures of the metatarsals Cause: direct force S&S: swelling; pain; deformity; pt. tenderness Care: rest; immobilization;

  6. Jones Fracture (5th metatarsal) Cause: inversion and plantar flexion (ankle sprain); direct force; repetitive stress S&S: immediate swelling; pain over 5th metatarsal Care: controversial; surgery recommended; rehab

  7. Bunions Cause: painful deformity of head of 1st metatarsal (mt); narrow shoes S&S: tenderness; swelling; enlargement with calcification of head of 1st mt Care: Shoes; doughnut; orthotics; possible surgery

  8. Blisters Cause: shearing forces acting on skin S&S: fluid - clear, bloody, or infected Care: petroleum jelly; doughnut; second skin; drain; antibiotic ointment; socks; be sure to keep clean and covered to prevent infection

  9. Morton’s Neuroma Cause: mass that occurs above the nerve sheath of the plantar nerve; usually between 3rd and 4th mt; collapsed arch; pronation S&S: burning parasthesia; severe intermittent pain in the forefoot; pain relieved with non-weight bearing Care: padding; shoes; surgery

  10. Turf toe Cause: hyperextension of 1st MTP joint; sudden trauma; overuse; turf S&S: pain; swelling Care: tape; steel insoles; rest

  11. Ingrown toenail Cause: poor fitting shoes; improper nail trimming; trauma S&S: pain; swelling Care: soak in hot water (105 - 110F) for 20 min then pry out of skin, lift the nail and insert a piece of cotton to keep the nail out of the skin; trim nail straight across

  12. Toenail hematoma Cause: stepped on; dropping object; kicking object S&S: extreme pain; bleeding in nail bed Care: drill nail to drain fluid needs to be done immediately before blood dries

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