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Deformity Correction Tips

Forefoot Deformity - Know Everything About It!

Dr. T V Raja 88% (14 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Chennai
Forefoot Deformity - Know Everything About It!

A problem in the foot often results in rheumatoid forefoot deformity. The symptoms of this problem include pain and deformities in the foot and ankle. The forefoot gets symmetrically affected and the first rays give rise to hallux valgus, which drives the deformity of the toes.

Types of Deformities-
There are multiple foot deformities that can occur as a result of rheumatoid arthritis:

  1. Hallux Valgus
  2. Bunion deformity with problem at the MTP joint (Metatarsophalangeal joints)
  3. Clawing of toes
  4. Dislocation of the lesser MTP joint
  5. Increased plantar pressure

Deformities and pain are usually detected by a physical examination by the physician and at times an x-ray can be suggested for the same as well.

Treatment

1. Non-Operative
The primary goal of non-operative treatment is to make the deformed foot feel comfortable. The extent of the deformity is first diagnosed and then this treatment can be suggested based on it. It basically consists of pain control, shoe modification and medical management techniques:

  • Wearing comfortable shoes to minimize the pain associated with the deformity
  • Custom made or store bought inserts to offload prominent area
  • Corn pads or paddings to protect bony prominence
  • Specific devices can be used to eradicate clawing of toes
  • Activity modification to manage pain better
  • Physical therapy or stretching to improve joint mobility

2. Operative
Operative treatments are sought when the condition of the deformities is serious and the patient suffers from remarkable pain:

  • Hallux Valgus is the most common form of foot deformity and can be managed with a surgery of arthroplasty, osteotomy or arthrodesis. Correction of the Hallux Valgus has good effects of controlling deformities and pain associated with rheumatoid arthritis.
  • Procedure to correct clawed toes based on its intensity
  • Bunion correction surgery for bunion deformities

Recovery Period
Each procedure has its own recovery period and in most cases, it can be limited to a range of 6 weeks to get back to normalcy. After 6 weeks, physical therapy may be suggested to increase activity gradually. To gain full mobility it might take around 3-6 months, depending on the patient’s age and condition. Relief is generally noticed by the 6th week, but to get back to full recovery it might take months.

Complications
Common surgical complications can be applicable to operative procedures. There can be a compromise to the blood supply to the tip of the toes, blood clots, pulmonary embolism, recurrence of deformity. Such complications are to be addressed by the physician to reconsider the right therapy

Treatments for forefoot deformities are to be performed after thorough diagnosis and investigation. Corrective measures are to be taken to prevent deformities. In case you have a concern or query you can always consult an expert & get answers to your questions!

2510 people found this helpful

Things You Should Know About Spine Deformity

Dr. Vishal Nigam 87% (12 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopedics/Orthopedic Surgery, FNB - Spine Surgery
Orthopedist, Delhi
Things You Should Know About Spine Deformity

Spine deformity is a medical condition that refers to any type of abnormality in the shape, alignment, or formation of the vertebral column. The human spine, in its normal state, has a gentle curvature but when these curves become extreme or move out of place, it leads to deformities. Some deformities are mild in nature while some are serious. The former are not recognizable but the latter mark the personality of the individual and also cause physical problems. Spine deformity is also known as a misshapen spine or curvy spine and can affect anyone – child, adolescent, adult or old.

The signs and symptoms of spine deformity include low back pain, weakness, pain in legs or thighs, muscle spasms, breathing difficulty, uneven shoulders or hips or both, misalignment of the head, protruding shoulder blade, and poor gait.

  1. Scoliosis, Kyphosis, and Spondylolisthesis - Spinal deformity is mainly categorized into three conditions that commonly affects people: These spinal deformities include the following:
  2. Scoliosis – In this type of spinal deformity, the spine becomes curved from side to side forming an “S” or “C” shape. It mostly affects teenagers in their growing years but can also affect children and adults. It can be caused due to birth defects, genetic reasons, or neurological defects. It can be structural or nonstructural. The former is caused by disease, injury or birth defect and it is permanent in nature. The latter is temporary and can be treated with surgery.
  3. Kyphosis – Also known as a hunchback, kyphosis is a condition marked by excessive curvature in the upper part of the spine. This is a very visible condition and the person has a hump on their upper back. It can affect anyone and is generally known to result because of poor posture but an infection in the spine, injury, slipped disc, muscle weakness, arthritis, and aging can also trigger kyphosis.
  4. Spondylolisthesis – In this condition, a bone in the spine moves out of position, either forward or backward, causing a deformity in the spine. It is caused by aging, arthritis, or general degeneration caused by wear and tear.

Treatment: Spinal deformity, in most of the cases, is treatable if it is detected on time. In cases of kyphosis or where the patient is experiencing symptoms such as pain or other tangible signs, physical examination by an orthopedist is necessary. Upon further screening through an X-ray or MRI scan, the degree of deformity is determined and then the doctor starts treatment. Some cases can be treated through braces or physical therapy or exercise. They correct the abnormal curvature of the spine and the individual can get a normal curvature after the treatment but in some cases, surgery is the only option left as only surgical intervention can rectify the deformed curvature. The surgical techniques include spinal fusion and insertion of implants.

Prevention: Spinal deformity is painful as well as personality diminishing condition and hence, needs timely treatment but it can be prevented as well. For it to happen, causes such as poor posture, arthritis, and slip disc need to be addressed in time. One should be extra careful about pain in the back or legs and take immediate help from the doctor. Also, one should try to maintain a healthy weight and do regular exercise.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2387 people found this helpful

Toe Deformity- What Causes It And What Are Its Treatment Options?

Dr. T V Raja 88% (14 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Chennai
Toe Deformity- What Causes It And What Are Its Treatment Options?

Have you ever come across a person with usual toes, toes that are mysteriously curled or bend upwards, downwards or inwards? As strange and intriguing as it may appear, the condition can be quite painful and is known as toe deformity. In toe deformity, the foot bone is unusually and abnormally positioned, resulting in pain and discomfort.

Toe deformity in a person can be of different types. It can be:

  1. Hammer toe: This is one of the most commonly observed toe deformity. A hammer toe is characterized by the curling or bending down of the second toe at the proximal interphalangeal joint (the middle toe joint). The toe may further bend up at the distal interphalangeal joint (joint adjacent to the toe tip) or the metatarsophalangeal joint (meeting point of the foot and the toe) as well. In hammer toe, the awkward alignment results in a slight elevation in the joint of the middle toe. A hammer toe is often seen accompanied by a bunion (a bony bump or a deformity formed at the joint that links the foot with the big toe).
  2. Mallet toe: Mallet toe mostly affects the second toe (other toes may be affected). The deformity results in bending down of the toe at the distal interphalangeal joint (appears like a mallet).
  3. Claw toe: The deformity affects all the toes, with the big toe being an exception. Here, the toes bend up at the metatarsophalangeal joint and bend down at the distal interphalangeal joint. The deformity results in the toes curling down towards the floor (appears claw-like).

What causes Toe Deformity?
There can be many factors responsible for toe deformities.

  1. Toe deformity in a person may be congenital (present from birth).
  2. It can also be an outcome of medical conditions such as arthritis (osteoarthritis, rheumatoid arthritis), stroke, heart attack, diabetes, an injury, an accident, or wearing wrong footwear.
  3. Toe deformity can also be hereditary.

Signs and symptoms:
The symptoms for Toe Deformity (hammer toe, claw toe, and mallet toe) include

  1. There is redness, pain, and swelling in the affected part of the toe. In claw toe, however, there may or may not be pain associated with the condition.
  2. A person faces difficulties in straightening the toe.
  3. In hammer toe, corns, and calluses appear on the middle joint (top) of the affected toe.
  4. In mallet toe, ulcers may occur on the toe (in diabetic patients).

Treatment:
Initially, toe deformity appears flexible, where movement around the affected joint is possible. However, if left unattended, the condition can become severe and rigid, thereby restricting the movement (in the affected area). Treatment for toe deformity depends on how severe the condition is.

  1. In most cases, the treatment involves wearing custom-made shoes, fitted with supports (cushions or pads) and wider toe box.
  2. Using of tapes and splints may be helpful in correcting and repositioning the deformed toe.
  3. Patients with excruciating pain benefit immensely from cortisone injections.
  4. Corn pads can be used to deal with corns and calluses better.
  5. Toe stretching exercises are highly effective.

If severe cases or extreme rigidity, doctors may opt for surgical treatments like arthrodesis, tendon transfer, arthroplasty, to name a few. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2553 people found this helpful

How To Correct Foot Deformities in Children?

Dr. Rajiv Singh 90% (69 ratings)
DNB (Pediatrics), MBBS
Pediatrician, Ghaziabad
How To Correct Foot Deformities in Children?

As babies develop in the mother's womb, there can be many factors, which could hamper normal growth in the embryo. These can result in deformities within the physiology of the baby. One area is bone tissue growth, which in early stages is still cartilage, and can manifest within the baby as deformed feet.

The incidence of deformed feet in infants, although not very common, is still prevalent enough to warrant certain fields of study as to why they happen and their remedies.

Reasons for foot deformities in infants

Some of the reasons for foot deformities within infants are mentioned below:

1. Genetic or hereditary problems - Some problems are passed from one generation to the other, although it may not manifest in the older generations.

2. Infections to the mother during pregnancy - If the mother contracted a disease during pregnancy or had an infection, it can have adverse effects on the developments of the baby and cause deformities.

3. Side effects of medications - If the mother was under medication, side effects of certain medications can cause hormonal imbalances resulting in deformities.

4. Hormonal imbalances - Certain hormonal imbalances present in the mother's body due to overlooked problems may cause issues with the baby's development and result in foot or other physical deformities.

Correction of Foot Deformities

Most corrective measures for foot deformities entail surgery as severe problems can be only corrected through that. These measures may also include other methods such as physiotherapy, massages, and training.


Let's look at some of the techniques, which are used to correct deformities, either in combinations or as standalone techniques.

  • Corrective surgery - This is the most common and usually the most recommended course of action as anything above mild deformities will have to be corrected through surgeries. Most surgeries entail lengthy recuperating periods and follow ups.
  • Corrective footwear - Milder foot deformities can be corrected with special footwear or setting devices such as special braces and supports to correct the problems.
  • Physiotherapy - Certain forms of physiotherapy are effective in correcting mild forms of deformities. However, this tool is usually deployed in conjunction with surgeries to speed up the healing process
  • Exercises - Certain deformities can only be changed with the help of exercise over a long period of time and cannot be fixed quickly even via surgery and thus, will need special care for long periods of time.

'Consult'.

Related Tip: Early Childhood Trauma - Reasons and Diagnosis

3 people found this helpful

Knock Knee And Bow Legs Corrections Without Surgery

Dr. Anuradha Sharma 91% (16525 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Knock Knee And Bow Legs Corrections Without Surgery

Knock knee and bow legs is a condition in which your legs appear bowed out that means that your knees stay wide apart and your ankles are together and knock-knee is the condition in which the knees angle touch to one another, commonly called valgus and varus deformities. 

Causes of bow legs and knock-knee genetic are due to rickets and arthritis deficiency of vit D and other nutritions, abnormalities, muscle imbalances, which can cause these deformities which results in excessive hip-knee-ankles. These deformities can affect various joints of the body including the knee, ankle, hip and spine. We take different treatments to prevent this, like painkillers, knee brace, exercise splint and finally surgery. If you want to correct this deformity without any surgery with laser treatment and other specific exercises then you can contact us.

13 people found this helpful

Knock Knee And Bow Legs Corrections Without Surgery

Dr. Anuradha Sharma 91% (16525 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Knock Knee And Bow Legs Corrections Without Surgery

Knock knee and bow legs is a condition in which your legs appear bowed out that means that your knees stay wide apart and your ankles are together and knock-knee is the condition in which the knees angle touch to one another, commonly called valgus and varus deformities. Causes of bow legs and knock-knee genetic are due to rickets and arthritis deficiency of vit d and other nutritions, abnormalities, muscle imbalances, which can cause these deformities which results in excessive hip-knee-ankles. These deformities can affect various joints of the body including the knee, ankle, hip and spine. We take different treatments to prevent this, like painkillers, knee brace, exercise splint and finally surgery

Knock Knee And Bow Legs Correct Without Surgery

Dr. Anuradha Sharma 91% (16525 ratings)
MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Knock Knee And Bow Legs Correct Without Surgery

Knock knee and bow legs is a condition in which your legs appear bowed out meaning your knees stay wide apart and your ankles are together. And knock knee in this condition in which the knees angle touch to one another commomly called valgus and varus deformities.

Causes of bow legs and knock knee genetic due to rickets and arthrities defficency of vitamin-D and other nutritions, abnormalities, muscle imbalances can causes these deformities which result in excessive hip-knee-ankles. These deformities can affect various joint of the body including the knee, ankle, hip, spine.

We are taking different treatment to prevent this like painkillers, knee brace, exercise splint and finally surgery.

If you want to correct this deformities without surgery with laser treatment and other specific exercise then you can contacct and visit in admire physiotherapy laser clinic.

6 people found this helpful

Correct Posture

Dr. Pradeep Jain 90% (122 ratings)
MD - Paediatrics, MBBS
Pediatrician, Jodhpur
Correct Posture

Correct Posture

2 people found this helpful

Do you know correct way of drinking water?

Dt. Farzana Chauhan 92% (153 ratings)
M.Sc - Dietitics / Nutrition, B.Sc - Dietitics / Nutrition
Dietitian/Nutritionist, Mumbai
Do you know correct way of drinking water?

The way in which you drink water can seriously be a life-changer. And all you need to make is simple, minor changes such as --

1. First off, sit down to drink (just as you should sit down to eat).

2. Take sips, not full-glass chugs. Small sip, swallow, breathe. Repeat.

3. Sip water throughout the day. If you chug too much water at once your body doesn't actually absorb all of it. Most of it will run right through you.

4. Drink at least room temperature water. Warm is even better. Cold and iced water literally douse the digestive fire.

5. Only sip a small amount of water with your meals. If you drink too much while you eat, your belly won’t have enough room for digestive action. Remember this rule: fill your stomach 1/3 with food, 1/3 with water, and leave 1/3 empty for the digestive juices and process.

6. For the same reason, don’t drink loads of water before or after your meals.

7. As far as how much, we’re all different sizes with varied diets and lifestyles. One set rule of eight glasses a day simply can not apply to everyone. Naturally, the miraculous human body has it’s own built-in measuring system: thirst. If you’re thirsty, drink water. When you listen to thirst cues and sip water throughout the day you’ll be drinking the right amount.

8. Your urine is a secondary confirmation to know if you’re amply hydrated. It should be fairly clear and straw colored. If it’s dark yellow you need to drink more.

9. Your lips are yet another indicator. If they’re dry you might be dehydrated.

www.allaboutdiets.in

Click on consult privately to join my healthy online weight loss diet program and get assured result.
57 people found this helpful

Correct amount of toothpaste for children

BDS, MDS
Dentist,
Correct amount of toothpaste for children
Excessive amount of toothpaste can increase the chances of your child consuming too much fluoride while brushing. Use half of tooth brush bristles length toothpaste.
92 people found this helpful
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