The Experts below are selected from a list of 2793 Experts worldwide ranked by ideXlab platform
Hong Geun Jung - One of the best experts on this subject based on the ideXlab platform.
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Metatarsalgia and Toe Deformities
Foot and Ankle Disorders, 2016Co-Authors: Dong Yeon Lee, Dong Oh Lee, Hong Geun JungAbstract:1. Generally, abnormal plantar pressure distribution around forefoot is thought to be a cause of Metatarsalgia and etiologic factors of primary Metatarsalgia proposed for Metatarsalgia include incompetence of first ray, a long second metatarsal, excessive plantar flexion of the forefoot, and/or contracture of the Achilles tendon complex. 2. Surgical treatment of Metatarsalgia and intractable plantar keratosis is based on the osseous etiologies of the plantar keratosis. Weil distal metatarsal osteotomy and BRT proximal metatarsal osteotomy are frequently performed for Metatarsalgia with long metatarsal and plantar-flexed metatarsal relatively. 3. Morton’s neuroma, Freiberg disease, sesamoid lesions, and lesser toe deformities due to inflammatory arthritis or neuromuscular imbalance can be categorized as etiologic disorders for secondary Metatarsalgia. 4. Various potential etiologic factors such as trauma, impaired vascularity, and/or systemic disorders are thought to be involved in the development of Freiberg disease. 5. Lesser toe deformities can occur as isolated entities or be associated with deformities of the hallux, midfoot, or hindfoot. Etiology of lesser toe deformities includes congenital, neuromuscular, trauma, familial heritance, and the effect of bad footwear.
Nobuto Kitamura - One of the best experts on this subject based on the ideXlab platform.
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Effect of toe exercises and toe grip strength on the treatment of primary Metatarsalgia
Journal of orthopaedic surgery and research, 2020Co-Authors: Kentaro Amaha, Tatsuya Arimoto, Nobuto KitamuraAbstract:The relationship of Metatarsalgia and toe function is poorly understood. We investigated the efficacy of toe exercises for the treatment of Metatarsalgia. Forty-one (56 feet) Metatarsalgia patients (mean age ± SD: 63.4 ± 10.6) underwent toe strength measurement. We recorded pre- and post-treatment VAS score, AOFAS score, marble pickup, single-leg standing time (SLST), and compared in two subgroups to evaluate impact of disease duration on treatment outcome. Post treatment, toe plantarflexion strength improved (all p 1 year had significantly lower changes in VAS scores (p < 0.01). Multivariate analysis showed patients with longer disease duration, and larger body mass index had significantly lower improvement in VAS scores (p = 0.029 and p = 0.036, respectively). Device consistency assessed by ICC was excellent (0.89–0.97). Toe function and Metatarsalgia are improved by toe exercises, suggesting that they are closely related.
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Effect of toe exercises and toe-grip strength on the treatment of primary Metatarsalgia
2020Co-Authors: Kentaro Amaha, Tatsuya Arimoto, Nobuto KitamuraAbstract:Abstract Background: The relationship of Metatarsalgia and toe function is poorly understood. We investigated the efficacy of toe exercises for the treatment of Metatarsalgia. Methods: Forty-one (56 feet) Metatarsalgia patients (mean age±SD: 63.4±10.6) underwent toe strength measurement. We recorded pre- and post-treatment VAS score, AOFAS score, marble pickup, single-leg standing time (SLST), and compared in two subgroups to evaluate impact of disease duration on treatment outcome. Results: Post treatment, toe plantarflexion strength improved (all p <0.01); VAS scores decreased ( p <0.01); AOFAS scores, marble pickup, and SLST improved (all p <0.01). Patients symptomatic for >1 year had significantly lower changes in VAS scores ( p <0.01). Multivariate analysis showed patients with longer disease duration and larger body mass index had significantly lower improvement in VAS scores ( p= 0.029 and p =0.036, respectively). Device consistency assessed by ICC was excellent (0.89–0.97).Conclusion: Toe function and Metatarsalgia is improved by toe exercises, suggesting that they are closely related.
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Effect of Toe Exercises and Toe-grip Strength on the Treatment of Primary Metatarsalgia
2020Co-Authors: Kentaro Amaha, Tatsuya Arimoto, Nobuto KitamuraAbstract:Abstract Background The relationship of Metatarsalgia and toe function is poorly understood. We investigated the efficacy of toe exercises for the treatment of Metatarsalgia. Methods Forty-one (56 feet) Metatarsalgia patients (age mean ± SD: 63.4 ± 10.6) underwent toe strength measurement. We recorded pre- and post-treatment visual analogue scale (VAS), The American Orthopaedics Foot & Ankle Society (AOFAS) score, marble pickup, and single-leg standing time (SLST) and compared in two subgroups to evaluate impact of disease duration on treatment outcome. Results Post treatment, toe plantarflexion strength improved (all p < 0.01); VAS scores decreased (p < 0.01); and AOFAS scores, marble pickup, and SLST improved (all p < 0.01). Patients symptomatic for > 1 year had significantly lower changes in VAS scores (p < 0.01). Multivariate analysis showed patients with longer disease duration and larger body mass index had significantly lower improvement in VAS scores (p = 0.029 and p = 0.036, respectively). Device consistency assessed by Intraclass Correlation Coefficients (ICC) was excellent (0.89–0.97). Conclusion Toe function and Metatarsalgia is improved by toe exercises, suggesting that they are closely related.
Dong Yeon Lee - One of the best experts on this subject based on the ideXlab platform.
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Metatarsalgia and Toe Deformities
Foot and Ankle Disorders, 2016Co-Authors: Dong Yeon Lee, Dong Oh Lee, Hong Geun JungAbstract:1. Generally, abnormal plantar pressure distribution around forefoot is thought to be a cause of Metatarsalgia and etiologic factors of primary Metatarsalgia proposed for Metatarsalgia include incompetence of first ray, a long second metatarsal, excessive plantar flexion of the forefoot, and/or contracture of the Achilles tendon complex. 2. Surgical treatment of Metatarsalgia and intractable plantar keratosis is based on the osseous etiologies of the plantar keratosis. Weil distal metatarsal osteotomy and BRT proximal metatarsal osteotomy are frequently performed for Metatarsalgia with long metatarsal and plantar-flexed metatarsal relatively. 3. Morton’s neuroma, Freiberg disease, sesamoid lesions, and lesser toe deformities due to inflammatory arthritis or neuromuscular imbalance can be categorized as etiologic disorders for secondary Metatarsalgia. 4. Various potential etiologic factors such as trauma, impaired vascularity, and/or systemic disorders are thought to be involved in the development of Freiberg disease. 5. Lesser toe deformities can occur as isolated entities or be associated with deformities of the hallux, midfoot, or hindfoot. Etiology of lesser toe deformities includes congenital, neuromuscular, trauma, familial heritance, and the effect of bad footwear.
A. Darby - One of the best experts on this subject based on the ideXlab platform.
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Rheumatoid nodule as a cause of Morton's Metatarsalgia
Foot and Ankle Surgery, 2002Co-Authors: D. Mcclelland, A. DarbyAbstract:A 46-year-old-lady with seropositive rheumatoid arthritis presented with a typical history of Morton's Metatarsalgia. Examination revealed a palpable tender mass between the third and fourth toes of her right foot. She underwent excision of the lesion. Histology revealed a Morton's neuroma embedded within the substance of a rheumatoid nodule. This has rarely been described previously and supports the concept of direct neural irritation as a factor in the pathogenesis of Morton's Metatarsalgia.
Marco Matuccicerinic - One of the best experts on this subject based on the ideXlab platform.
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a comparison of two podiatric protocols for Metatarsalgia in patients with rheumatoid arthritis and osteoarthritis
Clinical and Experimental Rheumatology, 2014Co-Authors: Maddali Bongi S, Del Rosso A, S Mikhaylova, G Landi, B Ferretti, Edoardo Cavigli, M Baccini, Marco MatuccicerinicAbstract:OBJECTIVES In rheumatoid arthritis (RA) and osteoarthritis (OA) forefoot involvement causes disability and Metatarsalgia. Our objective was to evaluate, in RA and OA patients, the efficacy of two protocols combining insoles in polypropylene terephtalate (PPT) and custom silicone orthoses for toes on disability and Metatarsalgia. METHODS Twenty-four women (13 with OA, 11 with RA) with Metatarsalgia were treated with two protocols: group A (protocol A) wore PPT insoles (T1) for 30 days and for another 30 days silicone orthosis for toes were added (T2). Group B (protocol B) wore PPT insoles and silicone orthosis (T1) for 30 days and in the following 30 days only insoles (T2). At T0, T1 and T2, pain, disability and function (Foot Function Index - FFI), pressure (KPA) and plantar contact areas (cm2) (baropodometer), and gait spatial-temporal parameters (GAITRite®) were assessed. RESULTS At T0 versus T2, both protocols reduced FFI-pain, -disability and -functional limitation (p<0.05), with better results of protocol A than protocol B (p<0.05) for FFI-pain and -disability. Both protocols reduced baropodometer foot plantar pressures (p<0.001), with better results for protocol A for right foot pressures (p<0.05) and increased foot contact areas (p<0.05), with no difference between them (p=NS). Gait parameters were not significantly changed by both protocols (p=NS). CONCLUSIONS In patients with RA and OA with Metatarsalgia, the synergic action of silicone toe orthosis and PPT insoles improves FFI, reduces foot plantar pressures and increases foot plantar contact areas. Protocol A, using firstly insoles and then adding silicone toe orthoses, is the more efficacious.