the toes not always They follow a certain pattern. And there are people who have very wide, very big, very long or very small fingers. Although this is something normalalso there are people who have the big toe smaller than the second toe, that is, they the second toe is larger than the rest.
And these types of people, according to the Illustrious Official College of Podiatry of the Valencian Community (ICOPCV)are more likely to suffer Freiberg’s Disease: a necrosis of the second metatarsal that it usually flattens, loses its correct shape y hinders blood risk in the area.
Causes
This causes dorsal swelling and pain in the forefoot. walk. This pathology is common in women during the outbreak of growth in puberty and when there is a calf shortening and tiptoe walking. Now, other factors linked to this disease are the practice of high-impact sports such as dancing, running, jumping...
The reason? It is clear: are dynamics that occur frequently favoring bone collapse. This fact, as expected, has generated a certain debate on social networks, especially among people who do have this peculiarity on his feet.
Diagnosis and treatment
The exact origin of the disease is unknown. Nevertheless, the most widespread hypothesis is that the disease is caused by microtraumatismos of repetition over the head of the second toe, producing a collapse of the blood vessels that produces avascular necrosis, has explained Jorge Escotomember of the board of directors of ICOPCV.
For the diagnosis, This podiatrist has clarified that in addition to the examination, they usually need x-rays. Once confirmed, The treatment consists of carrying out a biomechanical study, study of plantar pressures and the making plantar supports to unload the affected metatarsal area.
recommendations
For this type of cases, Experts recommend using shoes with a sole that has good capacity cushioning and thus avoid deformity permanent metatarsal head trying to preserve it anatomically.
The most common consequences of having suffered the disease son: osteoarthritis of the metatarsophalangeal joint, chronic metatarsalgia, plantar plate tear, toe deformity (finger grips the hammer) arthritis.
In some cases, they must be scheduled analgesics do it infiltrations with corticosteroids and local anesthetic. It may also require immobilization with a cast or boot, crutches and complete unloading. If the treatment conservative failedyou can reach to surgical treatmentbut it is not the most common, Scotus concluded.
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