Hallux Rigidus
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Hallux Rigidus
Hallux rigidus or stiff big toe is Osteoarthritis, degenerative arthritis and stiffness due to Osteophyte, bone spurs that affects the metatarsophalangeal joints (MTP) at the base of the hallux (big toe). Hallux flexus was initially described by Davies-Colley in 1887 as a plantar flexed posture of phalanx relative to the metatarsal head. About the same time, Cotterill first used the term ''hallux rigidus''. Signs and symptoms * Pain and stiffness in the joint at the base of the big toe during use (walking, standing, bending, etc.) * Difficulty with certain activities (running, squatting) * Swelling and inflammation around the joint Although the condition is degenerative, it can occur in patients who are relatively young, particularly active sports people who have at some time suffered Injury, trauma to the joint (turf toe). A notable example is NBA star Shaquille O'Neal who returned to basketball after surgery. Causes This condition, which occurs in adolescents and adults, ...
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Rheumatology
Rheumatology (Greek ''ῥεῦμα'', ''rheûma'', flowing current) is a branch of medicine devoted to the diagnosis and management of disorders whose common feature is inflammation in the bones, muscles, joints, and internal organs. Rheumatology covers more than 100 different complex diseases, collectively known as rheumatic diseases, which includes many forms of arthritis as well as lupus and Sjögren's syndrome. Doctors who have undergone formal training in rheumatology are called rheumatologists. Many of these diseases are now known to be disorders of the immune system, and rheumatology has significant overlap with immunology, the branch of medicine that studies the immune system. Rheumatologist A rheumatologist is a physician who specializes in the field of medical sub-specialty called rheumatology. A rheumatologist holds a board certification after specialized training. In the United States, training in this field requires four years undergraduate school, four year ...
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Podiatry
Podiatry () or podiatric medicine () is a branch of medicine devoted to the study, diagnosis, medical and surgical treatment of disorders of the foot, ankle, and leg. A Doctor of Podiatric Medicine (DPM), or a podiatrist, is a healthcare professional who diagnoses and treats conditions affecting the structures of the foot, ankle, and leg. The US podiatric medical school curriculum includes lower extremity anatomy, general human anatomy, physiology, general medicine, physical assessment, biochemistry, neurobiology, pathophysiology, genetics and embryology, microbiology, histology, pharmacology, women's health, physical rehabilitation, sports medicine, research, ethics and jurisprudence, biomechanics, general principles of orthopedic surgery, and foot and ankle surgery. Podiatry is a high-paying specialization and was listed by ''Forbes'' in 2007 as the 15th-best-paid profession in the United States. The median annual salary of a podiatrist in the US was $124,830 in 2016 acc ...
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Osteoarthritis
Osteoarthritis (OA) is a type of degenerative joint disease that results from breakdown of joint cartilage and underlying bone which affects 1 in 7 adults in the United States. It is believed to be the fourth leading cause of disability in the world. The most common symptoms are joint pain and stiffness. Usually the symptoms progress slowly over years. Initially they may occur only after exercise but can become constant over time. Other symptoms may include joint swelling, decreased range of motion, and, when the back is affected, weakness or numbness of the arms and legs. The most commonly involved joints are the two near the ends of the fingers and the joint at the base of the thumbs; the knee and hip joints; and the joints of the neck and lower back. Joints on one side of the body are often more affected than those on the other. The symptoms can interfere with work and normal daily activities. Unlike some other types of arthritis, only the joints, not internal organs, are af ...
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Osteophyte
Osteophytes are exostoses (bony projections) that form along joint margins. They should not be confused with enthesophytes, which are bony projections that form at the attachment of a tendon or ligament. Osteophytes are not always distinguished from exostoses in any definite way, although in many cases there are a number of differences. Osteophytes are typically intra-articular (within the joint capsule). Cause A range of bone-formation processes are associated with aging, degeneration, mechanical instability, and disease (such as diffuse idiopathic skeletal hyperostosis). Osteophyte formation has classically been related to sequential and consequential changes in such processes. Often osteophytes form in osteoarthritic joints as a result of damage and wear from inflammation. Calcification and new bone formation can also occur in response to mechanical damage in joints. Pathophysiology Osteophytes form because of the increase in a damaged joint's surface area. This is most co ...
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Metatarsophalangeal Joints
The metatarsophalangeal joints (MTP joints), also informally known as toe knuckles, are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes. They are condyloid joints, meaning that an elliptical or rounded surface (of the metatarsal bones) comes close to a shallow cavity (of the proximal phalanges). The ligaments are the plantar and two collateral. Movements The movements permitted in the metatarsophalangeal joints are flexion, extension, abduction, adduction and circumduction. File:The feet of C. H. Unthan, the armless fiddler Wellcome L0034227.jpg, Left: toes adducted (pulled towards the center) and spread (abducted); right, both feet clenched (plantar flexed) File:Footgym rings1.jpg, The upper foot is clenching (plantarflexing) at the MTP joints and at the joints of the toes; the central foot is lifting the toes (dorsiflexing) at the MTP joints; and the foot flat on the ground off to the side is in a neutral positio ...
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Hallux
Toes are the digits (fingers) of the foot of a tetrapod. Animal species such as cats that walk on their toes are described as being '' digitigrade''. Humans, and other animals that walk on the soles of their feet, are described as being '' plantigrade''; ''unguligrade'' animals are those that walk on hooves at the tips of their toes. Structure There are normally five toes present on each human foot. Each toe consists of three phalanx bones, the proximal, middle, and distal, with the exception of the big toe ( la, hallux). For a minority of people, the little toe also is missing a middle bone. The hallux only contains two phalanx bones, the proximal and distal. The joints between each phalanx are the interphalangeal joints. The proximal phalanx bone of each toe articulates with the metatarsal bone of the foot at the metatarsophalangeal joint. Each toe is surrounded by skin, and present on all five toes is a toenail. The toes are, from medial to lateral: * the first ...
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Injury
An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, or overexertion. Injuries can occur in any part of the body, and different symptoms are associated with different injuries. Treatment of a major injury is typically carried out by a health professional and varies greatly depending on the nature of the injury. Traffic collisions are the most common cause of accidental injury and injury-related death among humans. Injuries are distinct from chronic conditions, psychological trauma, infections, or medical procedures, though injury can be a contributing factor to any of these. Several major health organizations have established systems for the classification and description of human injuries. Occurrence Injuries may be intentional or unintentional. Intentional injuries may be acts of ...
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Shaquille O'Neal
Shaquille Rashaun O'Neal ( ; born March 6, 1972), known commonly as "Shaq" ( ), is an American former professional basketball player who is a sports analyst on the television program ''Inside the NBA''. O'Neal is regarded as one of the greatest basketball players and centers of all time. He is a and center who played for six teams over his 19-year career in the National Basketball Association (NBA) and is a four-time NBA champion. After playing college basketball for the LSU Tigers, O'Neal was drafted by the Orlando Magic with the first overall pick in the 1992 NBA draft. He quickly became one of the best centers in the league, winning Rookie of the Year in 1992–93 and leading his team to the 1995 NBA Finals. After four years with the Magic, O'Neal signed as a free agent with the Los Angeles Lakers. They won three consecutive championships in 2000, 2001, and 2002. Amid tension between O'Neal and Kobe Bryant, O'Neal was traded to the Miami Heat in 2004, and his ...
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Orthotics
Orthotics ( el, Ορθός, translit=ortho, lit=to straighten, to align) is a medical specialty that focuses on the design and application of orthoses, or braces. An is "an externally applied device used to influence the structural and functional characteristics of the Neuromuscular junction, neuromuscular and Skeletal muscle, skeletal system". Orthotists are professionals who specialize in the provision of orthoses. Classification Orthotic devices are classified into four areas of the body according to the international classification system (ICS): orthotics of the Human leg, lower extremities, orthotics of the Upper limb, upper extremities, orthotics for the Torso, trunk, and orthotics for the head. Orthoses are also classified by function: paralysis orthoses, relief orthoses, and soft braces. Under the International standard, International Standard terminology, orthoses are classified by an acronym describing the anatomical joints which they contain. For example, a knee ...
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Toe Box
The toe box is the section of footwear that surrounds the toes on closed-toe shoes. Toe boxes that are too tight can cause injuries and foot deformities, whereas wider toe boxes may be used to treat or prevent common foot conditions such as Morton's neuroma. Toe boxes come in a variety of shapes and styles of construction, some of which are a matter of fashion, and some of which are designed for specialized functions. Fitting The toe box of a shoe should fit the wearer's foot without cramping or compressing it. A simple way to test if a toe box is too tight is to take out the insole of the shoe and stand on it. If the toes overhang the insole, the toe box is too small for the foot. The toe box also needs enough extra room to accommodate movements of the foot, such as lengthening arches and the splay of the toes. With each step, ankles and feet bend, toes spread and flex, and the arches of the foot flatten and rebound. Because the arches flatten, the foot lengthens and widens as ...
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Corticosteroids
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex of vertebrates, as well as the synthetic analogues of these hormones. Two main classes of corticosteroids, glucocorticoids and mineralocorticoids, are involved in a wide range of physiological processes, including stress response, immune response, and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior. Some common naturally occurring steroid hormones are cortisol (), corticosterone (), cortisone () and aldosterone (). (Note that cortisone and aldosterone are isomers.) The main corticosteroids produced by the adrenal cortex are cortisol and aldosterone. Classes * Glucocorticoids such as cortisol affect carbohydrate, fat, and protein metabolism, and have anti-inflammatory, immunosuppressive, anti-proliferative, and vasoconstrictive effects. Anti-inflammatory effects are mediated by blocking the action of inflammatory mediators ( ...
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