How is trench foot treated?
Trench foot
Trench foot can be prevented by keeping the feet clean, warm, and dry. It was also discovered in World War I that a key preventive measure was regular foot inspections; soldiers would be paired and each made responsible for the feet of the other, and they would generally apply whale oil to prevent trench foot. If left to their own devices, soldiers might neglect to take off their own boots and socks to dry their feet each day, but if it were the responsibility of another, this became less likely. Later on in the war, instances of trench foot began to decrease, probably as a result of the introduction of the aforementioned measures; of wooden duckboards to cover the muddy, wet, cold ground of the trenches; and of the increased practice of troop rotation, which kept soldiers from prolonged time at the front.
Daniel Fells
On Monday, October 5, 2015, the Giants announced that Fells had been dealing with a chronic ankle condition, which was later discovered to be a staph infection, a discovery made after he had received a cortisone injection for his ankle injury. Specifically, it was found to be Methicillin-resistant Staphylococcus aureus (MRSA), which is resistant to many antibiotics that are used to treat staph infections. He has had six surgeries on his foot. Doctors do not want to amputate his foot, but they are afraid that the MRSA infection may have spread, or may spread, to the bone (osteomyelitis), or even the blood (sepsis), both of which could ultimately be fatal even with good treatment. He had had a 104 degree F temperature upon his arrival at the emergency room on Friday, October 2, 2015, where he had been taken by his wife. Due to the staph infection found in his ankle, he was placed on injured reserve. As of Friday, October 9, 2015, he appeared to possibly be doing somewhat better, as he was moved from the intensive care unit (ICU) to a private room. On July 26, 2016, Fells announced his retirement from the NFL.
Diseases of the foot
Flat feet (Pes planus foot) essentially means that the arch inside the foot is flat. This very common painless disorder may occur at birth or after pregnancy. Flat feet generally do not cause problems but may sometimes cause the foot to rotate inwards (pronation). There are orthotic shoe insoles (foot orthotics) that help correct flat feet. Surgery does not correct flat feet and should be avoided.
Morton's toe
Conservative treatment for foot pain with Morton's toe may involve exercises or placing a flexible pad under the first toe and metatarsal; an early version of the latter treatment was once patented by Dudley Joy Morton. Restoring the Morton’s toe to normal function with proprioceptive orthotics can help alleviate numerous problems of the feet such as metatarsalgia, hammer toes, bunions, Morton's neuroma, plantar fasciitis and general fatigue of the feet. Rare cases of disabling pain are sometimes treated surgically.
Stem-cell therapy
Stem cells have been used to treat degenerative bone diseases. The normally recommended treatment for dogs that have Legg–Calve–Perthes disease is to remove the head of the femur after the degeneration has progressed. Recently, mesenchymal stem cells have been injected directly in to the head of the femur, with success not only in bone regeneration, but also in pain reduction.
Feline lower urinary tract disease
A blocked urethra is a life-threatening medical emergency that requires immediate veterinary attention. If the bladder cannot be emptied, it can reach capacity and inhibit kidney function resulting in Renal failure. This will cause kidney damage, thus it is important that treatment begins as soon as possible. The plug must be removed from the penis and the bladder drained. Gentle mechanical manipulation of the penis may dislodge the blockage, or a catheter might be used to drain the bladder. Intravenous fluids are given to treat uremia. Antibiotics and a special diet may be prescribed. Diets low in magnesium and urine acidifiers may be helpful. Cats susceptible to repeated attacks of this disorder may require surgery, such as the removal of the penis (Urethrostomy) to prevent its blockage.
Clubfoot
Treatment of clubfoot is evident as early as Egyptian paintings. In early days, the foot was manipulated with a Thomas wrench and casting which caused fracture of several bones in the foot. Hippocrates around 400 B.C. was the first to offer a medical explanation.
Tear of meniscus
If the meniscus was repaired, the rehabilitation program that follows is a lot more intensive. After the surgery a hinged knee brace is sometimes placed on the patient. This brace allows controlled movement of the knee. The patient is encouraged to walk using crutches from the first day, and most of the times can put partial weight on the knee.
Sprained ankle
An orthopedic walking boot is often used for the treatment of a sprained ankle injury. Braces and crutches are also used to help alleviate the pain so the injured ankle can heal as quickly and painlessly as possible.
Ponseti method
1. The calcaneal internal rotation (adduction) and plantar flexion is the key deformity. The foot is adducted and plantar-flexed at the subtalar joint, and the goal is to abduct the foot and dorsiflex it. In order to achieve correction of the clubfoot, the calcaneus should be allowed to rotate freely under the talus bone, which also is free to rotate in the ankle mortise. The correction takes place through the normal arc of the subtalar joint. This is achieved by placing the index finger of the operator on the medial malleolus to stabilize the leg and levering on the thumb placed on the lateral aspect head of the talus while abducting the forefoot in supination. Forcible attempts at correcting the heel varus by abducting the forefoot while applying counter pressure at the calcaneocuboid joint prevents the calcaneus from abducting and therefore everting.
Treatment of equine lameness
Adjustments in trimming or shoeing can be made to help support the hoof, allowing pressure to be distributed over healthy tissue in order reduce the force over damaged or diseased tissue. Application of various types of therapeutic shoes, pads, and wedges, can be used to help alter stress placed on structures within the foot or the lower limb. Hospital plates—special shoes that keep the entire sole clean but can be opened to allow for daily treatment—are sometimes recommended for injuries to the bottom of the hoof such hoof abscesses or canker.
Trench boot
The 1917 Trench Boot was an adaptation of the boots American manufacturers were selling to the French and Belgian armies at the beginning of World War I. In American service, it replaced the Russet Marching Shoe. The boot was made of tanned cowhide with a half middle sole covered by a full sole, studded with five rows of hobnails. Iron plates were fixed to the heel. It was a great improvement, however it lacked waterproofing, leading to trench foot.
Triple arthrodesis
Triple arthrodesis is a surgical procedure whose purpose is to relieve pain in the rear part of the foot, improve stability of the foot, and in some cases correct deformity of the foot, by fusing of the three main joints of the hindfoot: the subtalar joint, calcaneocuboid joint and the talonavicular joint. It is commonly carried out on patients with joint degeneration resulting from arthritis or a severe flat foot deformity.
Köhler disease
Treatment usually involves resting the affected foot, taking pain relievers and trying to avoid putting pressure on the foot. In acute cases, the patient is often fitted with a cast that stops below the knee. The cast is usually worn for 6 to 8 weeks. After the cast is taken off, some patients are prescribed arch support for about 6 months. Also, moderate exercise is often beneficial, and physical therapy may help as well.
Surgical treatment of ingrown toenails
The Vandenbos procedure was first described by Vandenbos KQ and Bowers WP in 1959 in the US Armed Forces Medical Journal. They reported about 55 patients had had recurrences. Since 1988 Dr. Henry Chapeskie has performed this procedure on over 1,100 patients who had no recurrences. Unlike other procedures, the Vandenbos procedure doesn't touch the nail. In this procedure, the affected toe is anesthetized with a digital block and a tourniquet is applied. An incision is made proximally from the base of the nail about 5 mm (leaving the nail bed intact) then extended toward the side of the toe/toenail in an elliptical sweep to end up under the tip of the nail about 3–4 mm in from the edge. It is important that all the skin at the edge of the nail be removed. The excision must be adequate leaving a soft tissue deficiency measuring 1.5 × 3 cm. A portion of the lateral aspect of the distal phalanx is occasionally exposed without fear of infection. Antibiotics are not necessary as the wound is left open to close by secondary intention. Postoperative management involves soaking of the toe in warm water 3 times/day for 15–20 minutes. The wound is healed in 4–6 weeks. No cases of osteomyelitis have been reported. After healing, the nail fold skin remains low and tight at the side of the nail. 
In difficult or recurrent cases of Onychocryptosis (Ingrown Toenail) the patient's symptoms persist necessitating a permanent operative solution. The "Avulsion procedure" is simple but the surgeon must be skilled enough to accomplish total destruction, and removal of, the nail matrix. Another disadvantage is the long healing and recovery time(> 2 months). In these cases, the best method is the Syme procedure, that means total nail matrix removal + skin flap transfer + phalanx partial osteotomy + stitching.
Clubfoot
Roughly 30% of children will have recurrence. A recurrence can usually be managed with repeating the casting process. Recurrence is more common when there is poor compliance with the bracing, because the muscles around the foot can pull it back into the abnormal position. Approximately 20% of infants successfully treated with the Ponseti casting method will have an imbalance between the muscles that invert the ankle (posterior tibialis and anterior tibialis muscles) and the muscles that evert the ankle (peroneal muscles). Patients with this imbalance are more prone to recurrence. After 18 months of age, this can be addressed with surgery to transfer the anterior tibialis tendon from it medial attachment (the navicula) to a more lateral position (the lateral cuneiform) to rebalance these muscle forces. While this requires a general anesthetic and subsequent casting while the tendon heals, it is a relatively minor surgery that corrects a persistent muscle imbalance while avoiding disturbance to the joints of the foot.
Torque wrench
Using a crow's foot or similar extension requires the use of the following equation:
Adolf Lorenz
He created a manipulative treatment for club feet, a process that involved stretching or breaking the tendons, ligaments, and epiphyseal plates until the foot was properly aligned. Once alignment was achieved, he applied a cast so that the foot healed in the corrected position.
Forefoot
The forefoot is the anterior aspect of the foot, composed of the five metatarsal bones, the fourteen phalanges and associated soft tissue structures. It is a common site of pathology in podiatry, and is the anatomic region involved in such conditions as hallux valgus, hallux rigidus, and Morton's neuroma, among others. In cases of severe deformity, such as in Charcot joints seen with diabetic neuropathy, the forefoot can be reconstructed by arthroplasty.
Role of geography in World War I
Trench Warfare was common during WWI, although it was not exactly the healthiest or morale-boosting experience for soldiers living in the trenches. They were constantly wet and water would often build up to several inches. Urine, body odor, poison gas, bad food, rats, little clothing, and misery all defined the trench lifestyle. Diseases such as Trench Foot emerged and close quarters caused infection to be passed from one person to another and from rats and bugs to humans as well. Loud bombs could often cause deafness and long periods in the trench often led to mental illness as well.
Treatment of equine lameness
“Firing”, or thermal injury, includes thermocautery and cold firing. In both cases, firing is performed after the initial inflammation associated with the injury has subsided. The horse is sedated, and the area is clipped and blocked with a local anesthetic. The most common form of firing is “pin firing”, which uses a specialized machine with a hot tip to penetrate through the skin and into the tendon or periosteum. Multiple applications are applied in rows over the site of injury. As expected, horses require analgesia following this procedure. Uses for pin firing include tendonitis, suspensory desmitis, sesamoiditis, splints, curbs, and other soft-tissue injuries. Cold firing is a method similar to pin firing, but uses liquid nitrogen to produce its effects. It is often used to treat lameness associated with the bone, such as sore shins or splints, and usually only after other treatments have failed. Firing forces rest of an injury, and while some argue this is the true reason it leads to any improvement of lameness, others contest that undeniable success in its use has been seen. Pin firing is not taught in veterinary schools in present day.
Flat feet
In pes planus, the head of the talus bone is displaced medially and distal from the navicular bone. As a result, the Plantar calcaneonavicular ligament (spring ligament) and the tendon of the tibialis posterior muscle are stretched, so much so that the individual with pes planus loses the function of the medial longitudinal arch (MLA). If the MLA is absent or nonfunctional in both the seated and standing positions, the individual has “rigid” flatfoot. If the MLA is present and functional while the individual is sitting or standing up on their toes, but this arch disappears when assuming a foot-flat stance, the individual has “supple” flatfoot. This latter condition is often treated with arch supports. However, a recent randomized controlled trial found no evidence for the efficacy of treatment of flat feet in children either from expensive prescribed orthotics (i.e., shoe inserts) or less expensive over-the-counter orthotics.
Surgical treatment of ingrown toenails
If the nail becomes ingrown again after a wedge resection, more invasive surgery may be needed, although this rather drastic measure may not be necessary: less invasive repeat treatments such as destruction of the nail bed, should be considered. This surgery takes longer than the minor wedge resection. The toe is torniqued and incisions made from the front of the toe to around 1 cm behind the rear of the visible part of the nail. These incisions are quite deep and will require stitching and will also scar. The nail will then be cut out, much like a wedge resection and the nail bed will be broken to prevent regrowth. The nail will be significantly narrower and may appear visibly deformed but will not become ingrown again. Note: if undertaking this surgery it is advisable to rest for at least four days before resuming regular walking as even with painkillers this can be very very painful. If one's work requires standing up for extended periods of time, arrangements for time-off may be necessary for up to two weeks.
Diabetic foot
Treatment of diabetic foot can be challenging and prolonged; it may include orthopaedic appliances, antimicrobial drugs and topical dressings.
Ingrown nail
Surgical treatment for an ingrown nail is carried out by a podiatrist, a foot and ankle specialist. This is typically an in-office procedure requiring local anesthesia and special surgical instruments. The surgical approach is the removal of the offending part of the nail plate known as a wedge resection. If the ingrown toenail recurs despite this treatment, destruction of the sides of the nail with chemicals or excision is done; this is known as a matrixcestomy. Antibiotics may be used after the procedure but are not recommended, as they may delay healing. Surgical treatment for ingrown nails is more effective at preventing the nail from regrowing inwards compared to non-surgical treatments.
Stringhalt
The majority of horses affected by stringhalt are dependent upon pasture for nutrition. Removal of the horse from its original paddock containing low-quality pasture, weeds and native grasses, along with dietary control, was the most common and successful treatment. Lateral digital extensor tenectomy has also been used as a treatment by veterinarians with a success rate of just over 50%.
Ingrown nail
Mild to moderate cases are often treated conservatively with warm water and epsom salt soaks, antibacterial ointment and the use of dental floss. If conservative treatment of a minor ingrown toenail does not succeed, or if the ingrown toenail is severe, surgical treatment may be required. A "gutter splint" may be improvised by slicing a cotton-tipped wooden applicator diagonally to form a bevel and using this to insert a wisp of cotton from the applicator head under the nail to lift it from the underlying skin after a foot soak.
Diseases of the foot
Arthritic foot conditions often present differently from arthritis other areas of the body. Achilles tendinitis results from stress on calf muscles and Achilles tendon. This strong tendon often gets inflamed while playing sports like basketball. The tendon gets irritated and does cause moderate pain . When treated promptly, the tendinitis is relieved. Sometimes, the Achilles tendon can rupture if it is overstretched. When the Achilles tendon ruptures, one may feel a sudden pop followed by sharp pain. Rupture of the Achilles tendon makes it impossible to walk.
Heel
To distribute the compressive forces exerted on the heel during gait, and especially the stance phase when the heel contacts the ground, the sole of the foot is covered by a layer of subcutaneous connective tissue up to 2 cm thick (under the heel). This tissue has a system of pressure chambers that both acts as a shock absorber and stabilises the sole. Each of these chambers contains fibrofatty tissue covered by a layer of tough connective tissue made of collagen fibers. These septa ("walls") are firmly attached both to the plantar aponeurosis above and the sole's skin below. The sole of the foot is one of the most highly vascularized regions of the body surface, and the dense system of blood vessels further stabilize the septa.
The Achilles tendon is the muscle tendon of the triceps surae, a "three-headed" group of muscles—the soleus and the two heads of the gastrocnemius. The main function of the triceps surae is plantar flexion, i.e. to stretch the foot downward. It is accompanied by a "fourth head", the slight plantaris muscle, the long slender tendon of which is also attached to the heel bone but not visible.
The compressive forces applied to the foot are distributed along five rays, three medial (side of big toe) and two lateral (side of little toe). The lateral rays stretch over the cuboid bone to the heel bone and the medial rays over the three cuneiform bones and the navicular bone to the ankle bone. Because the ankle bone is placed over the heel bone, these rays are adjacent near the toes but overriding near the heel, and together they form the arches of the foot that are optimized to distributed compressive forces across an uneven terrain. In this context the heel thus forms the posterior point of support that together with the balls of the large and little toes bear the brunt of the loads.
Physical therapy for Duchenne muscular dystrophy
Splints, also referred to as orthoses, are designed to maintain or improve ROM, prevent deformity, and improve function. Splints help to support and keep limbs stretched, which delays or prevents the onset of contractures that commonly affect the knees, hips, feet, elbows, wrists and fingers. Ankle foot orthoses (AFOs) can be used during sleep or during the day. The purpose of this is to keep the foot from pointing downward and sustain the stretch of the Achilles tendon. Maintaining the length of the tendo-Achilles, also referred to as the gastrocnemius-soleus complex, is extremely important for walking. Knee ankle foot orthoses (KAFOs) are also used for walking or for standing and can be used to prolong ambulation or help delay the onset of lower limb contractures.
Clubfoot
Using the Ponseti method, the foot deformity is corrected in stages. These stages are as follows: manipulating the foot to an improved position and then holding it with a long leg cast, then removing the cast after a week, and then manipulating the foot again. The foot position usually improves over a course of 4–6 casts. The amount of casts varies from person to person to address each individual's characteristic needs. 
After correction has been achieved with casting, maintenance of correction starts with full-time (23 hours per day) use of a brace —also known as a foot abduction brace (FAB)—on both feet, regardless of whether the TEV is on one side or both, typically full-time for 3 months. After 3 months, brace wear is decreased and used mostly when sleeping for naps and at night-time. This part-time bracing is recommended until the child is 4 years of age.
Guttural pouch
Diagnosis is made based on the history of the animal, presenting clinical signs and endoscopic exploration. Pharmaceutical treatment is not suggested without coinciding surgery. Treatment typically consists of topical as well as systemic antifungal medication, paired with surgery to occlude or embolise affected arteries. Early intervention is necessary to ensure the best chance of survival. Horses that experience dysphagia or other forms of nerve dysfunction as a result of GPM have a poorer prognosis that those who have not exhibited those symptoms.
Trench foot
Unlike frostbite, trench foot does not require freezing temperatures; it can occur in temperatures up to 16° Celsius (about 60° Fahrenheit) and within as little as 13 hours. Exposure to these environmental conditions causes deterioration and destruction of the capillaries and leads to morbidity of the surrounding flesh. Excessive sweating (hyperhidrosis) has long been regarded as a contributory cause; unsanitary, cold, and wet conditions can also cause trench foot.
Foot whipping
When the beating is executed with heavy sticks like clubs or truncheons according to the falaka method, bone fractures commonly occur as well as nerve damage and severe hematoma. The sustained injuries can take a long time to heal with even lasting or irreversible physical damage to the human musculoskeletal system.
Children's feet
Contemporary management of the paediatric flat foot is directed according to pain, age, and flexibility, considering gender, weight, and joint hypermobility. When foot orthoses are indicated, inexpensive generic appliances will usually suffice. The paediatric flat foot proforma (p-FFP) directs this evidence-based approach. Three randomized controlled trials (RCTs) and one quasi-RCT have investigated the use of foot orthoses in children. The Cochrane Library systematic review analyzing the studies could not make a single recommendation, concluding that customised foot orthoses should be reserved for children with foot pain and arthritis, for unusual morphology, or unresponsive cases. There is an identified need for further research in this area. Surgery is rarely indicated for paediatric flat foot (unless rigid) and only at the failure of thorough conservative management.
Diabetic shoe
People with diabetic neuropathy in their feet may have a false sense of security as to how much at risk their feet actually are. An ulcer under the foot can develop in a couple of hours. The primary goal of therapeutic footwear is to prevent complications, which can include strain, ulcers, calluses, or even amputations for patients with diabetes and poor circulation. Neuropathy can also change the shape of a person's feet, which limits the range of shoes that can be worn comfortably. In addition to meeting strict guidelines, diabetic shoes must be prescribed by a physician and fit by a certified individual, such as an orthotist, podiatrist, therapeutic shoe fitter, or pedorthist. The shoes must also be equipped with a removable orthosis. Foot orthoses are devices such as shoe inserts, arch supports, or shoe fillers such as lifts, wedges and heels. The diabetic shoes and custom-molded inserts work together as a preventive system to help diabetics avoid foot injuries and improve mobility.
Foot plough
Prevalent in northwest Scotland, the Scottish Gaelic language contains many terms for the various varieties, e.g. "cas-dhìreach" "straight foot" for the straighter variety and on, but "cas-chrom" "bent foot" is the most common variety and refers to the crooked spade. Although no longer as common as they once were, they are still used in some places, especially the Outer Hebrides.
Louis Stromeyer
Stromeyer was a pioneer in orthopedics and orthopedic surgery. In 1831 he performed the first subcutaneous tenotomy (tendon surgery) of the Achilles tendon on a deformed foot. He introduced tenotomic surgery to England through a friend, English surgeon William John Little (1810–1894). Stromeyer performed the operation on Dr. Little in order to correct a clubfoot condition. Stromeyer was also a practitioner of maxillofacial surgery, being remembered for the eponymous "Stromeyer hook", a device used for zygomatic arch fractures.
Corn (medicine)
Treatment of corns includes paring of the lesions, which immediately reduces pain. Another popular method is to use a corn plaster, a felt ring with a core of salicylic acid that relieves pressure and erodes the hard skin. However, if an abnormal pressure source remains, the corn generally returns. If the source of any abnormal pressure is detected, this may be avoided, usually through a change to more comfortable footwear or with various types of shoe inserts or footwear with extra toe space. In extreme cases correcting gait abnormalities may be required. If no other treatment is effective, surgery may be performed.
Tench
The tench has very small scales, which are deeply embedded in a thick skin, making it as slippery as an eel. Folklore has it that this slime cured any sick fish that rubbed against it, and from this belief arose the name doctor fish.
Athlete's foot
One way to contract athlete's foot is to get a fungal infection somewhere else on the body first. The fungi causing athlete's foot may spread from other areas of the body to the feet, usually by touching or scratching the affected area, thereby getting the fungus on the fingers, and then touching or scratching the feet. While the fungus remains the same, the name of the condition changes based on where on the body the infection is located. For example, the infection is known as tinea corporis ("ringworm") when the torso or limbs are affected or tinea cruris (jock itch or dhobi itch) when the groin is affected. Clothes (or shoes), body heat, and sweat can keep the skin warm and moist, just the environment the fungus needs to thrive.
Ponseti method
5. Forcible correction of the equinus (and cavus) by dorsiflexion against a tight Achilles tendon results in a spurious correction through a break in the midfoot, resulting in a rocker-bottom foot. The cavus should be separately treated as outlined in step 2, and the equinus should be corrected without causing a midfoot break. It generally takes up to 4–7 casts to achieve maximum foot abduction. The casts are changed weekly. The foot abduction (correction) can be considered adequate when the thigh-foot axis is 60°. After maximal foot abduction is obtained, most cases require a percutaneous Achilles tenotomy. This is performed in the cast room under aseptic conditions. The local area is anesthetized with a combination of a topical lignocaine preparation (e.g. EMLA cream) and minimal local infiltration of lidocaine. The tenotomy is performed through a stab incision with a round tip (#6400) Beaver blade. The wound is closed with a single absorbable suture or with adhesive strips.The final cast is applied with the foot in maximum dorsiflexion, and the foot is held in the cast for 2–3 weeks.
Transdermal continuous oxygen therapy
Animal studies conducted in 2004-2005 have demonstrated the effectiveness of TCOT on Rabbit ear wounds. A recently published study documented two prevented amputations which have shown TCOT to be highly effective on diabetic foot ulcers, venous stasis and decubitus ulcers and a study completed in 2010 by Dr. Gary Sibbald documented the effectiveness of TCOT on 9 diabetic foot ulcer patients. Manufacturers of devices used in TCOT have published several additional cases whereby treatment using TCOT prevented previously scheduled amputations.
Boot (torture)
A similar implement, the "foot press", consisted of a pair of horizontal iron plates slowly tightened around the bare foot by means of a crank mechanism, squeezing the foot with sufficient force to pulverize the bones. Although it was quite standard to line the lower plate with ribs to prevent the foot from popping out of the grip of the instrument as it became sweatier, a crueler variant of this device—typically encountered in Nuremberg, Germany—lined the upper plate with hundreds of sharp spikes. A version from Venice, sometimes called the "foot screw" or "toe breaker", connected the crank mechanism to a drill that slowly mutilated the foot by boring a hole through the center of the instep as the press was tightened. In the most extreme case, the press was tightened until the plates met, so grinding the foot bones to powder.
Bone spavin
Proper shoeing is critical in the management of a horse with bone spavin. Shoes most helpful for these horses include shoes that assist in breakover (like a square or rolled toe, or shoes with wedge pads). Shoes with heel support may also help horses with bone spavin, such as egg bar shoes.
A set toe can be applied to protect the toe from increased wear, as lack of flexion in the hock will cause the horse to drag its toe. A trailer or lateral extension can be fitted to prevent an axial swing developed by the horse, allowing the horse to make contact with the ground earlier and prevent rotation within the hock.
Each case of bone spavin should be shod independently depending on the severity of the case and the horses needs, there is not a specific shoe to be applied.
Metatarsophalangeal joint sprain
Turf toe is usually healed in about 2–3 weeks. It can become more serious if left untreated, and may cause serious problems for the athlete. Treating the injury includes icing of the area, elevating the foot, or possibly the use of custom orthotics.
Ligamentous laxity
Those who have loose ligaments in the legs and feet may appear to have flat feet. While their feet have an arch when not supporting weight, when stood upon, the arch will flatten. This is because the loose ligaments cannot support the arch in the way that they should. This can make walking and standing painful and tiring.
Pain will usually occur in the feet and lower legs, but can also spread to the back due to abnormal standing and walking habits. Wearing shoes that have good arch support can help minimize the discomfort. The underlying problem, however, is not solved by wearing shoes with arch supports, or worsened by wearing shoes without arch support. There is currently no cure for the condition.
Trench foot
Trench foot was first documented by Napoleon's army in 1812. It became prevalent during the retreat from Russia and was first described by French army surgeon Dominique Jean Larrey. It was also a problem for soldiers engaged in trench warfare during the winters of World War I (hence the name).
Metatarsophalangeal joint sprain
Turf toe is named from the injury being associated with playing sports on rigid surfaces such as artificial turf and is a fairly common injury among professional American football players. Often, the injury occurs when someone or something falls on the back of the calf while that leg's knee and tips of the toes are touching the ground. The toe is hyperextended and thus the joint is injured. Additionally, athletic shoes with very flexible soles combined with cleats that "grab" the turf will cause overextension of the big toe. This can occur on the lesser toes as well. It has also been observed in sports beyond American football, including soccer, basketball, rugby, volleyball, and tae kwon do. This is a primary reason why many athletes prefer natural grass to turf, because it is softer.
Dewclaw
Based on stop-action photographs, veterinarian M. Christine Zink of Johns Hopkins University believes that the entire front foot, including the dewclaws, contacts the ground while running. During running, the dewclaw digs into the ground preventing twisting or torque on the rest of the leg. Several tendons connect the front dewclaw to muscles in the lower leg, further demonstrating the front dewclaws' functionality. There are indications that dogs without dewclaws have more foot injuries and are more prone to arthritis. Zink recommends "for working dogs it is best for the dewclaws not to be amputated. If the dewclaw does suffer a traumatic injury, the problem can be dealt with at that time, including amputation if needed."
Surgical treatment of ingrown toenails
In case of recurrence after complete removal, and if the patient never felt any pain before inflammation occurred, the condition is more likely to be "onychia" which is often confused for an ingrown or ingrowing nail ("onychocryptosis"). Complete removal of the whole nail is a simple procedure. Anaesthetic is injected and the nail is removed quickly by pulling it outward from the toe. The patient can function normally right after the procedure and most of the discomfort goes away in a few days. The entire procedure can be performed in approximately 20 minutes and is less complex than the wedge resection. The nail often grows back, however, and in most cases it can cause more problems by becoming ingrown again. It can get injured by concussion and in some cases grows back too thick, too wide or deformed. This procedure can result in chronic ingrown nails causing more pain. Accordingly, in some cases as determined by a doctor, the nail matrix is coated with a chemical (usually phenol) so none of the nail will ever grow back. This is known as a permanent or full nail avulsion, or full matrixectomy, phenolisation, or full phenol avulsion. As can be seen in the images below, the nail-less toe does not look like a normal toe. Fake nails or nail varnish can still be applied to the area to provide a normal appearance. In a few cases phenolisation is not successful and has to be repeated. Podiatrists routinely warn patients of this possibility of regrowth.
Athlete's foot
Athlete's foot, known medically as tinea pedis, is a common skin infection of the feet caused by fungus. Signs and symptoms often include itching, scaling, cracking and redness. In rare cases the skin may blister. Athlete's foot fungus may infect any part of the foot, but most often grows between the toes. The next most common area is the bottom of the foot. The same fungus may also affect the nails or the hands. It is a member of the group of diseases known as tinea.
Athlete's foot is caused by a number of different fungi, including species of "Trichophyton", "Epidermophyton", and "Microsporum". The condition is typically acquired by coming into contact with infected skin, or fungus in the environment. Common places where the fungi can survive are around swimming pools and in locker rooms. They may also be spread from other animals. Usually diagnosis is made based on signs and symptoms; however, it can be confirmed either by culture or seeing hyphae using a microscope.
Some methods of prevention include avoiding walking barefoot in public showers, keeping the toenails short, wearing big enough shoes, and changing socks daily. When infected, the feet should be kept dry and clean and wearing sandals may help. Treatment can be either with antifungal medication applied to the skin such as clotrimazole or for persistent infections antifungal medication that are taken by mouth such as terbinafine. The use of the cream is typically recommended for four weeks.
Athlete's foot was first medically described in 1908. Globally, athlete's foot affects about 15% of the population. Males are more often affected than females. It occurs most frequently in older children or younger adults. Historically it is believed to have been a rare condition, that became more frequent in the 1900s due to the greater use of shoes, health clubs, war, and travel.
Trench fever
Tetracycline-group antibiotics (doxycycline, tetracycline) are commonly used. Chloramphenicol is an alternative medication recommended under circumstances that render use of tetracycline derivates undesirable, such as severe liver malfunction, kidney deficiency, in children under nine years and in pregnant women. The drug is administered for seven to ten days.
Barefoot running
The running shoe itself has also been examined as a possible cause of many injuries associated with shod running. One 1991 study found that wearers of expensive running shoes that are promoted as having special features, such as added cushioning or "pronation correction", were injured significantly more frequently than runners wearing inexpensive shoes. It has also been found that running in conventional running shoes increases stress on the knee joints up to 38%, although it is still unclear if this leads to a higher rate of heel injuries or not. One study suggests that there is no evidence that cushioning or pronation control in shoes reduces injury rates or reduces performance. It was also found that the belief that one's shoes have increased cushioning had no effect on increasing or decreasing ground reaction forces during walking. Modern running shoes can also increase joint torque at the hip, knee, and ankle, and the authors of the study even suggest that running in high heels might be better than modern running shoes. Improperly fitting shoes may also result in injuries such as a subungual hematoma – a collection of blood underneath the toenail. This may also be known as "runner's toe" or "tennis toe". However, a recent randomized controlled trial (RCT) suggested that heavier runners might be at an increased risk for injury in minimalist shoes (designed to mimic barefoot running) as compared to conventional footwear.
Immersion foot syndromes
In the British Army, policies were developed to help the soldiers keep their feet dry - the surest way of preventing the disease. Soldiers were told to dry their feet, and keep them dry by changing socks several times a day. After the first year of the First World War, British troops were instructed to keep at least three pairs of socks with them and to frequently change them. The use of whale oil was also successful in combating trench foot. A British battalion in front line positions could be expected to use ten gallons of whale-oil every day.
Trench fever
The disease is caused by the bacterium "Bartonella quintana" (older names: "Rochalimea quintana", "Rickettsia quintana"), found in the stomach walls of the body louse. "Bartonella quintana" is closely related to "Bartonella henselae", the agent of cat scratch fever and bacillary angiomatosis.
Ponseti method
Ponseti treatment was introduced in UK in the late 1990s and widely popularized around the country by NHS physiotherapist Steve Wildon.
The manipulative treatment of clubfoot deformity is based on the inherent properties of the connective tissue, cartilage, and bone, which respond to the proper mechanical stimuli created by the gradual reduction of the deformity. The ligaments, joint capsules, and tendons are stretched under gentle manipulations. A plaster cast is applied after each manipulation to retain the degree of correction and soften the ligaments. The displaced bones are thus gradually brought into the correct alignment with their joint surfaces progressively remodeled yet maintaining congruency. After two months of manipulation and casting the foot appears slightly over-corrected. After a few weeks in splints however, the foot looks normal.
Ponseti method
6. Following the manipulation and casting phase, the feet are fitted with open-toed straight-laced shoes attached to a Denis Browne bar. The affected foot is abducted (externally rotated) to 70° with the unaffected foot set at 45° of abduction. The shoes also have a heel counter bumper to prevent the heel from slipping out of the shoe. The shoes are worn for 23 hours a day for three months and are worn at night and during naps for up to three years.
Trench fever
"Bartonella quintana" is transmitted by contamination of a skin abrasion or louse-bite wound with the faeces of an infected body louse ("Pediculus humanus corporis"). There have also been reports of an infected louse bite passing on the infection.
History of wound care
In modern-day 21st century, medicine has evolved to involve past treatments such as leech therapy, as well as advancing wound prevention and the treatment. A large part of wound care is wound treatment. This involves promoting healing, preventing infections, and getting rid of an already existent infection. Deciding on a treatment depends on the type of wound that a person has sustained. Varying from infections to burns, wound care is a priority in saving the limb, extremity, or life of a person. In a hospital or medical care setting, more severe wounds like diabetic ulcers, decubitus ulcers, and burns require sterile or clean (depending on the severity of the wound) dressings and wound care. The types of wound dressing include: dry dressings, wet-to-dry dressings, chemical-impregnated dressings, foam dressings, alginate dressings, hydrofiber dressings, transparent film dressings, hydrogel dressings, and hydrocolloid dressings. All of the listed dressing types require different materials to complete the dressing.Medical leeches were cleared as a medical device in 2004 after being an indispensable tool in the 19th century. This unique use of creatures is utilized in many surgeries today. Leeches have the ability to assist with compromised tissue with the components of their saliva. Their saliva contains a local anesthetic, thrombin inhibitor, antibiotic properties and a histamine-like vasodilator. These capabilities help in surgeries such as transplants, skin grafts, and even reconstructive surgeries. The leeches help localize the wound and help produce blood flow. This is helpful in operations where blood clots occur and they help dilate the blood vessels.
Bleach
Treatment of gingivitis
Tendon
The tendons in the foot are highly complex and intricate. Therefore, the healing process for a broken tendon is long and painful. Most people who do not receive medical attention within the first 48 hours of the injury will suffer from severe swelling, pain, and a burning sensation where the injury occurred.
Shin splints
Treatments include rest, ice and gradually returning to activity. Rest and ice work to allow the tibia to recover from sudden, high levels of stress and reduce inflammation and pain levels. It is important to significantly reduce any pain or swelling before returning to activity. Strengthening exercises should be performed after pain has subsided, on calves, quadriceps and gluteals. Cross training is recommended in order to maintain aerobic fitness e.g. cycling, swimming, boxing etc. Individuals should gradually return to activity, beginning with a short and low intensity level. Over multiple weeks, they can slowly work up to normal activity level. It is important to decrease activity level if any pain returns. Individuals should consider running on other surfaces besides asphalt, such as grass, to decrease the amount of force the lower leg must absorb. Orthoses and insoles help to offset biomechanical irregularities, like pronation, and help to support the arch of the foot. Other conservative interventions include footwear refitting, orthotics, manual therapy, balance training (e.g. using a balance board), cortisone injections, and calcium and vitamin D supplementation.
Less common forms of treatment for more severe cases of shin splints include extracorporeal shockwave therapy (ESWT) and surgery. Surgery is only performed in extreme cases where more conservative options have been tried for at least a year. However, surgery does not guarantee 100% recovery.
Athlete's foot
To be effective, treatment includes all infected areas (such as toenails, hands, torso, etc.). Otherwise, the infection may continue to spread, including back to treated areas. For example, leaving fungal infection of the nail untreated may allow it to spread back to the rest of the foot, to become athlete's foot once again.
Subungual hematoma
Runner's toe is a common condition seen in runners caused by downward pressure or horizontal separation of nail plate from the nail bed. This repetitive traumatic injury leads to bleeding and pooling of blood underneath the nail plate. Clinically, it is characterized by reddish-black discoloration of the toe nail. The nail plate may also become thicker and more brittle as a result of the injury (onychochauxis). The deformed nail plate will gradually grow out and be replaced by new, normal-appearing nail plate in several months time. Infrequently, the toe may become painful and require surgical drainage.
Foot arch stretcher
The base is generally one to two feet long and is made of a rigid material. In general, either the full base or parts of the base are covered with foam or another soft material and overlaid with fabric. This manufacturing process is used to both hold the shape of the foot arch stretcher and to provide comfort for the areas of the leg and foot that will come into contact with the base while in use. Sometimes, additional padding is added to the area of the foot stretcher base that will come into contact with the heel of the foot. This additional padding is added for comfort because the heel area usually receives the most leverage and accompanying pressure during the stretching process.
Trench boot
The trench boot, sometimes known as the "Pershing boot," was an American combat boot used in the latter stages of World War I, made for the cold mud of trench warfare. For the WWI British Army trench boots, see Ammunition boot.
Surgical treatment of ingrown toenails
Following injection of a local anaesthetic at the base of the toenail and perhaps application of a tourniquet, the surgeon will remove (ablate) the edge of the nail growing into the flesh and destroy the matrix area with phenol to permanently and selectively ablate the matrix that is producing the ingrown portion of the nail (i.e., the nail margin). This is known as a partial matrixectomy, phenolisation, phenol avulsion or partial nail avulsion with matrix phenolisation. Also, any infection is surgically drained. After this procedure, other suggestions on aftercare will be made, such as salt water bathing of the toe. The purpose of the procedure is to prevent re-growth where the matrix was cauterized. After the procedure, the nail is slightly narrower (usually one millimeter or so) and is barely noticeable a year later. The surgery is advantageous because it can be performed in the doctor's office under local anesthesia and recovery time is minimal. There is no visible scar on the surgery site and a nominal chance of recurrence. However, if the phenol is improperly or inadequately applied, the nail matrix can regenerate from its partial cauterization and grow a new nail. This will result in a recurrence of the ingrown nail in approximately 4–6 months as the skin that the original ingrown nail grew under would also recover from the procedure. It should be noted that the recovery of the skin on either side of the nail is standard in this type of procedure. Many patients who suffer from a minor recurrence of the ingrown nail often have the procedure performed again. However, in cases of severe recurrence, a podiatrist can perform the procedure again or resort to a more involved, permanent solution such as removal of the entire nail or the Vandenbos Procedure.
Flat feet
An easy and traditional home diagnosis is the "wet footprint" test, performed by wetting the feet in water and then standing on a smooth, level surface such as smooth concrete or thin cardboard or heavy paper. Usually, the more the sole of the foot that makes contact (leaves a footprint), the flatter the foot. In more extreme cases, known as a kinked flatfoot, the entire inner edge of the footprint may actually bulge outward, where in a normal to high arch this part of the sole of the foot does not make contact with the ground at all.
Foot
Due to their position and function, feet are exposed to a variety of potential infections and injuries, including athlete's foot, bunions, ingrown toenails, Morton's neuroma, plantar fasciitis, plantar warts and stress fractures. In addition, there are several genetic disorders that can affect the shape and function of the feet, including a club foot or flat feet.
Battle of Le Transloy
Stretcher-bearers worked four to a stretcher, reinforced by pioneers, men from divisional supply trains and anyone else who could be spared, including prisoners. From Gueudecourt to the Longueval tramway, the carry was in three stages. Illness increased in the British armies but routine measures to prevent trench foot, by rubbing feet with whale oil and donning dry socks, reduced the number of cases compared to 1915, despite the increase in the size of the BEF. Combined frostbite and trench foot admissions to hospital in 1916 were against year previous. On the week ending 28 October, there were next week and the next two weeks. By 30 December, had been admitted in the British Expeditionary Force in the year, about as measured by ration strength.
Diseases of the foot
Ingrown toe nail is a disorder where the nail starts to grow into the soft fleshy area of the toe. It causes intense redness, pain and swelling. Ingrown toe nails often affect the big toe. The best treatment for ingrown toe nails is to get the nail partially or completely removed.
Brown patch
Similar to most turfgrass diseases one of the best cultural practice to prevent Brown patch is by incorporating new disease resistant turfgrass varieties. To find these new cultivars you can visit turfgrass seed distributors, extension specialists, or visit the National Turfgrass Evaluation Program website at: [www.ntep.org]. If incorporating disease resistant varieties of turfgrass is not an option then focus on better management practices. Some of the management practice include reducing thatch, having adequate drainage, and removing dew during hot and humid weather. Dew can be removed from the grass from mowing, using a backpack blower, or dragging a hose across the grass. Install an internal drainage system if you have severe drainage problems. Improve air circulation and avoid irrigation practices that will leave moisture on the grass blades for extended periods of time. An adequate aeration program will relieve compaction and improve drainage. Aeration should annually disrupt between 15-20% of the total surface area. Be sure that you are not applying excess nitrogen to your soil. Most balanced fertility programs for Kentucky Bluegrass lawns will consist of applying two to five lbs of nitrogen/1000 sq.ft. a year.
Schilling tendon procedure
The procedure involves the placement of three sutures through the skin anterior to the path of the peroneus brevis tendon and into the underlying deep connective tissue. These sutures provide a temporary barrier, preventing the tendon from moving anteriorly over the malleolus. This procedure was first tested on a cadaver to establish if the surgery would work or not. The procedure is performed with local anaesthetic, about 24 hours before the player begins to pitch. The stitches must be removed immediately following the cessation of play, and indications are that the stitches may tear during the course of a game.
Foot whipping
In the Middle Eastern "falaka" method, the victim is forced to lie on his or her back while the feet are elevated and bound. The beating is generally performed with a rigid wooden stick, a club or a truncheon. The term "falaka" describes the wooden plank used to tie up the ankles; however, different items are used for this purpose. The essentially different German method, which was practiced until the end of the Third Reich era, involved strapping the barefoot, prone prisoner's upper body and both ankles to a wooden bench or a plank. The feet were then forced into a pointed posture (plantar flexion) with the bare undersides facing upward. The prisoner's hands were tied behind the back, usually using a cord or a leather strap. The person was thus rendered largely immobile and, in particular, unable to move their feet from the forced position. The typically occurring contortions of the body during the execution of torture were largely halted, as well. This way, the punishment could be inflicted with a certain degree of accuracy to not cause unwanted lesions or other severe injury. It was typically executed with a slightly flexible beating accessory such as a cane or a switch. More infrequently, short whips or leather straps were also used. This form of punishment was mainly employed in women's penal institutions and labor camps where prisoners were often kept barefoot.
Combat boot
The 1917 Trench Boot was an adaptation of the boots American manufacturers were selling to the French and Belgian armies at the beginning of World War I. In American service, it replaced the Russet Marching Shoe. The boot was made of tanned cowhide with a half middle sole covered by a full sole. Iron plates were fixed to the heel. It was a great improvement, however it lacked waterproofing. It soon evolved into the 1918 Trench Boot, also called the Pershing Boot after General John Pershing, who oversaw its creation. The boot used heavier leather in its construction, and had several minor changes from the 1917 Boot.
Trench foot
Trench foot made a reappearance in the British Army during the Falklands War in 1982. Some people were even reported to have developed trench foot at the 1998 and 2007 Glastonbury Festivals, the 2009 and 2013 Leeds Festivals, as well as the 2012 Download Festival, as a result of the sustained cold, wet, and muddy conditions at the events.
Trench coat
A trench coat or trenchcoat is a coat variety made of waterproof heavy-duty cotton gabardine drill, leather, or poplin. It generally has a removable insulated lining, raglan sleeves, and the classic versions come in various lengths ranging from just above the ankles (the longest) to above the knee (the shortest). It was originally an item of clothing for Army officers (developed before the war but adapted for use in the trenches of the First World War, hence its name) and shows this influence in its styling.
Unhappy triad
Treatment of the unhappy triad usually requires surgery. An ACL surgery is common and the meniscus can be treated during the surgery as well. The MCL is rehabilitated through time and immobilization. Physical therapy after the surgery and the use of a knee brace help speed up the healing process. 
A typical surgery for a blown knee includes:
The goal of reconstruction surgery is to prevent instability and restore the function of the torn ligament, creating a stable knee. There are certain factors that the patient must consider when deciding for or against surgery.
Horse care
The legs of a horse require routine observation for lacerations or swelling. Everyday care involves brushing the legs with a brush to remove dirt and mud. A currycomb is generally not used below the knees. It is common to have excess hair trimmed from the fetlock to prevent excess accumulation of mud and moisture that may lead to skin problems, such as rain rot or scratches. Many riders wrap the horse's legs with protective boots or bandages to prevent injury while working or exercising. After a ride, it is common for a rider or groom to hose off the legs of a horse to remove dirt and to ease any minor inflammation to the tendons and ligaments. Liniment may also be applied as a preventative measure to minimize stiffness and ease any minor strain or swelling. If the horse has been overworked, injured, or is to be transported, a standing bandage or shipping boot may be placed on the horse's legs for protection, to hold a wound dressing, or to provide support. Leg wraps are useful in preventing injury or for treating horses with leg injuries. Veterinarians may recommend using wraps during rehabilitation to prevent further injury. Another common use for leg wraps is to protect the legs of horses while being shipped in a horse trailer.
Foot binding
The broken toes were held tightly against the sole of the foot while the foot was then drawn down straight with the leg and the arch of the foot was forcibly broken. The bandages were repeatedly wound in a figure-eight movement, starting at the inside of the foot at the instep, then carried over the toes, under the foot, and around the heel, the freshly broken toes being pressed tightly into the sole of the foot. At each pass around the foot, the binding cloth was tightened, pulling the ball of the foot and the heel together, causing the broken foot to fold at the arch, and pressing the toes underneath the sole. The binding was pulled so tightly that the girl could not move her toes at all and the ends of the binding cloth were then sewn so that the girl could not loosen it.
Tenosynovitis
The mainstay of treatment for infectious tenosynovitis includes symptom relief, antibiotic therapy, and surgery. Early recognition of the disease with early initiation of antibiotics are important for better range of movement of the affected finger. Minimally invasive procedures into the flexor tendon sheath such as catheter irrigation give better outcomes (74% chance of good outcome) when compared to open surgery (26% chance of good outcome). However, wound irrigation with antibiotics has no clear benefits. Most infectious tenosynovitis cases should be managed with tendon sheath irrigation and drainage, with or without debridement of surrounding necrotic tissue, along with treatment with broad-spectrum antibiotics. In severe cases, amputation may even be necessary to prevent the further spread of infection. Following surgical intervention, antibiotic therapy is continued and adjusted based on the results of the fluid culture.
Webbed foot
A webbed foot has connecting tissue between the toes of the foot. Several distinct conditions can give rise to webbed feet, including interdigital webbing and syndactyly. The webbing can consist of membrane, skin, or other connective tissue and varies widely in different taxa. This modification significantly increases the surface area of the feet. One of the consequences of this modification in some species, specifically birds, is that the feet are a major location for heat loss. In birds, the legs utilize countercurrent heat exchange so that blood reaching the feet is already cooled by blood returning to the heart to minimize this effect. Webbed feet take on a variety of different shapes; in birds, the webbing can even be discontinuous, as seen in lobate-footed birds like grebes. However, one of the most common is the delta (Δ) or triangular shape seen in most waterfowl and frogs. This delta wing shape is a solution that has convergently evolved in many taxa, and is also used in aircraft to allow for high lift forces at high attack angles. This shape allows for the production of large forces during swimming through both drag-based and lift-based propulsion.
Diabetic foot
Prevention of diabetic foot may include optimising metabolic control (regulating glucose levels); identification and screening of people at high risk for diabetic foot ulceration; and patient education in order to promote foot self-examination and foot care knowledge. Patients would be taught routinely to inspect their feet for hyperkeratosis, fungal infection, skin lesions and foot deformities. Control of footwear is also important as repeated trauma from tight shoes can be a triggering factor. There is however only limited evidence that patient education has a long-term impact as a preventative measure.
"Of all methods proposed to prevent diabetic foot ulcers, only foot temperature-guided avoidance therapy was found beneficial in RCTs" according to a meta-analysis.
Ponseti method
Proper foot manipulations require a thorough understanding of the anatomy and kinematics of the normal foot and of the deviations of the tarsal bones in the clubfoot. Poorly conducted manipulations will further complicate the clubfoot deformity. The non-operative treatment will succeed better if it is started a few days or weeks after birth and if the podiatrist understands the nature of the deformity and possesses manipulative skill and expertise in plaster-cast applications.
The March (1945)
Those with intact boots had the dilemma of whether to remove them at night - if they left them on, trench foot could result; if they removed them, they may not get their swollen feet back into their boots in the morning or get frostbite. Worse still, the boots may freeze or, more likely, be stolen.
Foot and ankle surgery
The vast majority of foot and ankle conditions do not require surgical intervention. For example, several phalangeal conditions may be traced to the type of foot box used in a shoe, and a change of a shoe or shoe box may be sufficient to treat the condition. For inflammatory processes such as rheumatoid arthritis, non-steroidal anti-inflammatory drugs (NSAIDs) and disease-modifying antirheumatic drugs (DMARDS) may be used to manage or slow down the process. Orthotics, or an externally applied device used to modify the structural or functional characteristics of the neuromusculoskeletal system specifically for the foot and ankle, may be used as inserts into shoes to displace regions of the foot for more balanced, comfortable or therapeutic placements of the foot. Physical therapy may also be used to alleviate symptoms, strengthening muscles such as the gastrocnemius muscle (which in turn will pull on the heel, which will then pull on the plantar fascia, thus changing the structure and shape of the foot).
Meniscus (anatomy)
In sports and orthopedics, people will sometimes speak of "torn cartilage" and actually be referring to an injury to one of the menisci. There are two general types of meniscus injuries, acute tears that are often the result of trauma or a sports injury and chronic or wear-and-tear type tears. Acute tears have many different shapes (vertical, horizontal, radial, oblique, complex) and sizes. They are often treated with surgical repair depending upon the patient's age as they rarely heal on their own. Chronic tears are treated symptomatically: physical therapy with or without the addition of injections and anti-inflammatory medications. If the tear causes continued pain, swelling, or knee dysfunction, then the tear can be removed or repaired surgically.
The unhappy triad is a set of commonly co-occurring knee injuries which includes injury to the medial meniscus.
Barefoot
Since there is no artificial protection of the bare foot, some of the possible issues include cuts, abrasions, bruises, or puncture wounds from glass, nails, rocks, or thorns, as well as poisonous plants, animals, or parasites that can enter the body through the cuts on an injured bare foot. In people who are not habitually barefoot, Athlete's foot is spread by fungal spores coming into contact with skin that has been weakened and made moist. The fungus is known to only affect around 0.75% of habitually barefoot people in one study and can be prevented by reducing shoe use and keeping the feet dry, particularly after walking through a damp environment where people communally walk barefoot as the fungus only develops under the right conditions, such as when people fail to properly dry their feet after swimming or showering and then put on shoes. Wearing shoes such as flip flops or sandals in these areas can reduce the risk. As such, the fungus is very unlikely to develop on a person who goes barefoot all the time.
Natural hoof care
Barefoot trims are marketed to the public as something different from the "pasture" or "field" trim which farriers are trained to provide, taking into consideration hoof health and bony column angles, though each branded type of barefoot trim has its individual differences and there is no standardization or agreement between various barefoot advocacy groups. In contrast to farrier trims, barefoot trims are marketed as an approach to high performance hooves without the need for shoes, or simply as a natural approach to hoof care (depending upon the individual trimming method). However, they are something different, designed by nature itself to maintain a healthy, sound hoof without the use of shoes.
Pes anserine bursitis
The etymology of the name relates to the insertion of the conjoined tendons into the anteromedial proximal tibia. From anterior to posterior, the pes anserinus is made up of the tendons of the sartorius, gracilis, and semitendinosus muscles. The tendon's name, which literally means "goose's foot," was inspired by the pes anserinus's webbed, footlike structure. The conjoined tendon lies superficial to the tibial insertion of the medial collateral ligament (MCL) of the knee.Pes anserine bursitis can be treated with a variety of physical therapy treatments, steroids to reduce inflammation, or surgery if necessary. Physical therapy treatments include therapeutic ultrasound, electrical stimulation (E-stim), rehabilitative exercises, and ice. Therapeutic ultrasound and E-stim deliver medication deep to the bursa to reduce inflammation. The rehabilitative exercises are done with the intention of stretching and strengthening the hip abductors, quadriceps, and hamstrings. These stretches have the potential to significantly reduce the tension over the pes anserine bursa.
Nail prick
Veterinary treatment includes taking the shoe off, cutting the hoof clean and opening the nail hole to allow drainage. If the horse is in pain anesthesia of the nerve is given. The hole is irrigated and the hole can be packed with iodine-soaked cotton. Superficial infections may only need one treatment. The horse can be given an antiseptic foot bandage for 3–4 days and then be shod if the lameness is gone. The prognosis is usually good provided that minimal damage occurs to vatial structures of the foot. Tetanus prophylaxis is used for unvaccinated horses.
MDP syndrome
There may be different problems associated with MDP syndrome in the feet. The lack of subcutaneous fat means that there is direct pressure on the skin resulting in callus (hard skin) on the heels and also the weight-bearing parts of the forefoot. This is best managed by trying to find insoles to support the foot but it’s difficult to avoid completely. There is no approach that will increase the subcutaneous fat. The second feature is clawed toes as a result of contraction of the long extender tendons. The contractured constrictions can get worse over time. It is worth considering a physiotherapy referral with an aim to establish exercises to try to keep the tendons stretched if possible.
Clubfoot
The French method for treatment of clubfoot is a conservative method of treatment of a newborn which requires daily physical therapy for the first two months. The goal of this treatment is to avoid future need of surgery, but the success rate varies and after release surgery may still be necessary. The treatment includes daily manipulations of the feet along with stretching of the feet, followed by taping in order to maintain the range of motion gains achieved at the end of each session. The French method differs from the Ponseti method in that the taping techniques allow some motion in the feet. Another focus is to strengthen the peroneal muscles which is thought to contribute towards long-term correction. After the two month mark physical therapy sessions can be weaned down to three times per week instead of daily until the child reaches six months old. Parents are required to continue on with home exercises and night splinting even after the program has achieved proper foot correction in order to maintain the correction. The Ponseti method is generally preferred.
Distal hereditary motor neuropathy type V
Physical therapy is the predominant treatment of symptoms. Orthopedic shoes and foot surgery can be used to manage foot problems.
Horse grooming
The most basic form of hoofcare is cleaning, or "picking out the feet". A hoof pick is used to remove mud, manure, and rocks from the sole of the hoof. Removal of mud and manure helps to prevent thrush, a common hoof ailment which in very severe cases may cause lameness, and the removal of rocks helps to prevent stone bruises. In the winter, hoof picking also provides the chance to remove packs of snow from the horse's hooves, which can cause uncomfortable "snowballs". Additionally, when the hoof is cleaned, it can be visually inspected for problems such as puncture wounds due to a nail (which has the potential to be very serious if left untreated).
All crevices of the hoof are cleaned, particularly the sulci between the frog and the bars, as those areas are most likely to trap rocks or other debris, and also are the most common area to develop thrush. It is best to work the hoof pick from heel to toe, so to avoid accidentally jabbing the horse's leg, the frog of the hoof, or the person using the pick. When picking the feet, the groom stands at the horse's side, facing the tail of the horse, then slides his or her hand down the horse's leg. If the horse was not trained to pick up its foot when a person runs their hand to the fetlock and lifts lightly, most horses will pick up their feet if the tendons behind their cannon bone are squeezed. Some horses, particularly draft breeds, may be trained to pick up their feet to pressure on their fetlock.
Treatment of equine lameness
DDFT tenotomy is usually recommended in cases of laminitis and coffin bone rotation that is chronic or non-responsive to other forms of treatment. Transection of the DDFT reduces the pull on the bottom of the coffin bone, and subsequently decreases the stress placed on the laminae of the hoof. A horse will not be athletically useful following a DDFT tenotomy, with a best-case scenario of the animal returning to pasture soundness or possibly for comfortable enough for light pleasure riding. It is therefore considered a salvage procedure to improve the quality of life of the horse, often as final effort to avoid euthanasia. This procedure may be performed standing under local anesthesia. The DDFT is cut at the level of the mid-cannon or mid-pastern, although the mid-cannon is preferred to avoid the flexor tendon sheath. A DDFT tenotomy can also be used to treat severe cases of flexural limb deformity in foals, but it is also a salvage procedure and prevents the animal from any future athletic use.
List of types of tinea
To effectively treat athlete's foot, it is necessary to treat the entire infection, wherever it is on the body, until the fungi are dead and the skin has fully healed. There is a wide array of over the counter and prescription topical medications in the form of liquids, sprays, powders, ointments, and creams for killing fungi that have infected the feet or the body in general. For persistent conditions, oral medications are available by prescription.
Legg–Calvé–Perthes disease
Treatment has historically centered on removing mechanical pressure from the joint until the disease has run its course. Options include traction (to separate the femur from the pelvis and reduce wear), braces (often for several months, with an average of 18 months) to restore range of motion, physiotherapy, and surgical intervention when necessary because of permanent joint damage. To maintain activities of daily living, custom orthotics may be used. Overnight traction may be used in lieu of walking devices or in combination. These devices internally rotate the femoral head and abduct the leg(s) at 45°. Orthoses can start as proximal as the lumbar spine, and extend the length of the limbs to the floor. Most functional bracing is achieved using a waist belt and thigh cuffs derived from the Scottish-Rite orthosis. These devices are typically prescribed by a physician and implemented by an orthotist. Clinical results of the Scottish Rite orthosis have not been good according to some studies, and its use has gone out of favor. Many children, especially those with the onset of the disease before age 6, need no intervention at all and are simply asked to refrain from contact sports or games which impact the hip. For older children (onset of Perthes after age 6), the best treatment option remains unclear. Current treatment options for older children over age 8 include prolonged periods without weight bearing, osteotomy (femoral, pelvic, or shelf), and the hip distraction method using an external fixator which relieves the hip from carrying the body's weight. This allows room for the top of the femur to regrow. The Perthes Association has a "library" of equipment which can be borrowed to assist with keeping life as normal as possible, newsletters, a helpline, and events for the families to help children and parents to feel less isolated.
Enthesopathy
Experts state that the main stay of treatment is basically with passive stretching augmented with analgesics during acute attacks.
Soft cushioned foot wear for plantar fasciitis, work modification are other modalities of preventing the disease progression.
Rarely calcified attachment can be removed either minimally invasive or through arthroscopy.
Earlier injection of steroid as mixed with local anaesthetic at the tender spot was a widely used treatment modality.
Recent advancement include injection of platelet rich plasma or stem cells to reduce inflammation and to promote healing.
Chicken feet
In Trinidad, the chicken feet are cleaned, seasoned, boiled in seasoned water, and left to soak with cucumbers, onions, peppers and green seasoning until cool. It is eaten as a party dish called chicken foot souse.