Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Foot wear and ulcer over dorsum of toes

Discussion in 'Diabetic Foot & Wound Management' started by tjrrehab@rediffmail.com, Jul 3, 2006.

  1. tjrrehab@rediffmail.com

    tjrrehab@rediffmail.com Welcome New Poster


    Members do not see these Ads. Sign Up.
    One lady aged 55 years, non diabetic had bilateral pronated feet with chronic foot pain. She had overstrained tibialis posterior. She was advised moulded sole to accommdate the deformity in neutral. Symptomatically she had good relief. Yesterday she had a long walk and developed ulcers over the dorsum of toes. I found she also has mild clawing of toes. No sensory deficit.
    How to relive this?
     
  2. DaVinci

    DaVinci Well-Known Member

    Reduce the thickness of insole; deeper toe box; met dome on insole
     
  3. robby

    robby Active Member

    Yep, agree, deeper toe box, thinner insole, met dome to help intrinsic muscle function more appropriate footwear.
     
  4. John Spina

    John Spina Active Member

    If she is not diabetic,why is she getting ulcers?What is her medical history?
     
  5. tjrrehab@rediffmail.com

    tjrrehab@rediffmail.com Welcome New Poster

    she is a diabetic
     
  6. HJM41

    HJM41 Member

    Silly As It May Sound Lower The Bottom Or Raise The Top . You Could Consider An Stj Implant Or Surgery. But Why If The Shoes Are Working .
     
  7. mahtay2000

    mahtay2000 Banya Bagus Makan Man

    make silicone props UNDER the toes. Mould them in the available space while the s/t is in neutral. Tuck it between 1/2 and 4/5. do not make them too big. They are also called 'silica orthodigita' in some literature.
    I know this sounds crazy but it lets the overridden short plantar muscles that act on the mpj's to plantar flex the proximal phalanges on the metatarsals again and bring the toes down a touch.
    Also check the tightness of the gastrocnemius and soleus muscles as this can lead to reverse origin to insertion extensor substitution in swing phase making the toes rub on the shoes.
     
Loading...

Share This Page