The Prevalence Disability resulting from adult acquired Foot Flat Deformity among Middle aged population

Aim: To investigate about the prevalence of disability resulting from adult acquired foot flat deformity (AAFD) among middle aged population. Background: Adult acquired foot flat deformity (AAFD) which is also known as posterior tibialis tendon dysfunction (PTTD) is the condition which leads to pain due to the collapse of the longitudinal (length wise) arch of the foot. Its affects women more than non, peaking age of 55 years. The prevalence of flat foot is uncertain due to the lack of exact clinical or radiographic criteria. The foot structure problem which affects the functional activity in the adult population has been poorly studied. So the present study was undertaken about the prevalence of disability resulting from AAFD which may help to develop preventive approaches, as increased awareness serve to help the patient with earlier referral and treatment by limiting their disability. Methodology: 50 subjects who was diagnosed as AAFD was included in the study based on the inclusion and exclusion criteria. Foot function index score was calculated for the samples. Outcome Measure: Foot function index scale. Results: The total mean score is 112.75. The prevalence of disability resulting from adult acquired foot flat deformity which affects the quality of life for samples taken is 66%.

Effect of Myofascial Release Therapy In Addition To K-Tape on Chronic Plantar Fasciitis

Plantar fasciitis is one of the most common cause of heel pain. Injury to the plantar fascia results in loss of normally resilient in fascia. Fascia becomes stiffened and prone to re-injury, which resulting in a vicious cycle of persistent pain and inflammation. Though many therapies would produce better results, there was less exploration on fascial release therapy and k-tape. The purpose of the study is to identify the effect of MFR in addition to K-tape on chronic plantar fasciitis. This is a Quasi-experimental study with 48 participants. The ethical approval was obtained and the study was conducted in multiple physiotherapy centers in Namakkal district, Tamil Nadu. All the participants were selected based on selection criteria mainly those who fulfil any of the three from below, 1) Heel pain increases in the morning with first few steps following prolonged bed rest 2) Pain localized to the inferior heel 3) Pain decreases with activity such as walking or moving 4) Pain score is between 3—7 cms in 10 cm VAS. 24 participants in the experimental group receive myofascial release therapy along with k-tape for 6 weeks, 24 participants in the control group receive stretching along with k-tape for 6 weeks. The outcome measures used in this study are pain and foot function by numerical pain scale and foot function index respectively. Results were analyzed using SPSS 20.0, the results show that there were significant differences obtained between the myofascial release therapy with the k-tape group when compared to k- tape only group. There was a pain score of 10.82 ± 0.196 (p < 0.001) and foot function index score of 10.6 ± 3.85 (p < 0.001). This study concluded that the use of Myofascial release therapy with K-tape reduces pain scores and improves foot function in plantar fasciitis.

Clinical evaluation of foot disability in patients with axial spondyloarthritis

Objective: To evaluate foot disability both ultrasonographically and by using the Foot Function Index (FFI) in patients with axial spondyloarthritis (SpA) and to investigate its effects on patients' quality of life and functional capacity by determining the factors that may affect the level of disability.Patients and methods. A total of 100 patients were included in the study. Enthesis sites in the feet were assessed for tenderness and swelling. Ultrasonographic examination of the Achilles tendon and plantar fascia was made and the findings were scored according to Glasgow Ultrasound Enthesitis Scoring System (GUESS). The Foot Function Index (FFI) was used to investigate the effects of foot disorders on disability and activity limitation. The correlation between GUESS and FFI scores, and relationship of GUESS and FFI scores with age, disease duration, body mass index (BMI), smoking and disease activity parameters were investigated.Results and discussion. Physical examination revealed signs of enthesitis in 13 (13%) patients, while ultrasonographic (USG) evaluation – in 36 (36%) patients. A statistically significant correlation was found between all FFI and GUESS scores except between FFI for the right foot and GUESS for right Achilles tendon enthesitis. A positive correlation was found between age and BMI and FFI (p<0.05). There was no correlation between disease duration and smoking and FFI scores. While there was a statistically significant correlation between all scores of GUESS and age, disease duration, and BMI, no correlation was found between smoking and GUESS scores. No significant difference was found in either FFI or GUESS scores between patients with or without / diabetes and patients who were smokers or non-smokers. All FFI and GUESS scores significantly correlated with BASDAI, ASDAS, BASFI, and ASQoL (p<0.05).Conclusion. Enthesitis may lead to decreased functional capacity and loss of quality of life in ax-SpA patients. Subclinical enthesitis in the feet of patients with SpA is not rare and may be detected by USG.

Gaint cell tumour of phalynx: have you seen it?

Giant cell tumors are rarely seen in the foot. Only 1-2% cases of GCT occur in the foot. They can cause a significant amount of pain and deformity due to their aggressive and recurrent nature whenever it occurs in foot. We present an unusual case of a giant cell tumor of proximal phalynx of middle toe of left foot. 26 year old male came with complaints of pain and swelling over the middle toe of left foot since 6 months. Clinical and radiological features showed features consistent with GCT. Foot Function Index revealed a) Pain scale: 29 / 50 = 58%, b) Disability scale: 56 / 90 = 62%, c) Activity limitation scale: 8 / 30 = 27%. Authors performed enbloc resection with ray amputation of 3rd toe. Histopathological examination of excised specimen revealed classic findings of mononuclear cells with interspersed fibro-collagenous strands and numerous multinucleated osteoclast-like giant cells which confirmed our diagnosis. Patient was serially followed up and at 6 months followup, there were no signs of recurrence with markedly improved foot function index.