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Lordosis is a medical condition characterized by an excessive inward curvature of the lower spine, leading to a pronounc...
02/11/2023

Lordosis is a medical condition characterized by an excessive inward curvature of the lower spine, leading to a pronounced arch in the back. While the spine naturally has a slight inward curve, an exaggerated or abnormal curvature can cause various symptoms and complications.
There are several factors that can contribute to the development of lordosis. One common cause is poor posture, particularly habits like slouching or sitting with an excessive arch in the lower back.
Prolonged periods of poor posture can strain the muscles and ligaments supporting the spine, leading to an abnormal curvature.
In some cases, lordosis may be associated with underlying conditions such as obesity, osteoporosis, or certain neuromuscular disorders.
In these instances, the abnormal curvature is often a secondary symptom of the underlying condition.
The symptoms of lordosis can vary depending on the severity of the curvature.
Mild cases may not cause any noticeable symptoms, while more severe cases can result in lower back pain, muscle stiffness, and difficulty in maintaining a neutral standing or sitting position.
Treatment for lordosis depends on the underlying cause and the severity of the curvature.
It typically involves a combination of interventions, including physical therapy, exercises to strengthen weak muscles and stretch tight ones, pain management techniques, and lifestyle modifications to improve posture and body mechanics.
In severe cases, where conservative measures do not provide relief, surgical intervention may be considered to correct the curvature and alleviate symptoms.
However, surgery is generally reserved for rare cases and is not the first-line treatment option.

FOOT DROPFoot drop is the inability to dorsiflex your ankle or having difficulty in lifting your forefoot. This normally...
02/11/2023

FOOT DROP
Foot drop is the inability to dorsiflex your ankle or having difficulty in lifting your forefoot. This normally occurs following weakness in any of the ankle dorsiflexors, usually the tibialis anterior muscle.
The weakness is initiated by injury to the main nerve that gives innervation to the tibialis anterior muscle called common peroneal nerve.
The common peroneal nerve is one of two main branches of the sciatic nerve. The sciatic nerve is a large nerve which takes its roots from L4-S3 spinal roots and travels down the thigh before dividing into two main branches which one of them forms the common peroneal nerve. The common peroneal nerve further divides into deep and superficial nerves.
The deep peroneal nerve gives innervation to the tibialis anterior muscle, which is the primary mover of the ankle into dorsiflexion.
Injury to this nerve will result to weakness in the tibialis anterior muscle and this will result to a dropped foot.
This means that, there will be an unopposed force from the ankle dorsiflexors due to the weakness, and will cause the foot to remain plantarflexed more times.
When this is not corrected, the patient gait will be affected badly.
CAUSES/RISK FACTORS:
The main cause of foot drop can be as result of injury or irritation of the deep peroneal nerve. As this nerve is one of the branches of the sciatic nerve, having problem with the sciatic nerve could also lead to foot drop.
Conditions that create sciatic pressure such as lumbar disc herniation, spondylolisthesis,and spinal stenosis, as well as infection, medical problems like tumor or stroke, neurological disorders like amyotrophic lateral sclerosis, GBS, Parkinson’s disease and muscular dystrophy may equally pose a higher risk of developing foot drop. In the same way, foot drop may occur following irritation of the peroneal nerve in hip and knee replacement surgeries.
SIGNS AND SYMPTOMS:
Early signs of foot drop include the following;
1. Numbness on the top part of the foot
2. Trouble holding onto footwear, especially flip-flops or shoes without back
3. Weakness lifting the foot at the ankle
The latter can be the main reason for a stepping gait pattern in most patients with foot drop, which is very abnormal.

THE FOOT, KNEE AND HIP CONSTITUTE A KINETIC CHAINA study by researchers at Hospital for Special Surgery (HSS) and Harvar...
02/11/2023

THE FOOT, KNEE AND HIP CONSTITUTE A KINETIC CHAIN
A study by researchers at Hospital for Special Surgery (HSS) and Harvard Medical School suggests new guidelines may be in order for evaluating and treating lower extremity pain. Investigators set out to determine if there was a relation between foot pain and lower extremity joint pain, and they found a significant association between foot pain and knee or hip pain.
The study shows that a physician evaluating a patient for foot pain should also ask about possible hip or knee pain, and vice versa, so we can address all of a patient's issues. In medicine, many times it comes down to 'what does your MRI look like or what does your x-ray look like?' But it's really important to conduct a thorough medical history and physical exam. A comprehensive orthopedic evaluation may prompt a broader treatment strategy and possibly a referral to another specialist.
Studying the interaction between the knee and the foot, or the hip and the foot is very important because it's a kinetic chain.
The kinetic chain, the notion that the body's joints and segments have an effect on one another during movement, can play a key role in pain. The foot is the first part of the body that makes contact with the ground. Its primary function is a shock absorber. If the shock-absorbing capability of the foot is somehow altered or minimized, it's going to affect other body parts.
The foot is also the foundation of the body. If the foundation is not sound, it could have a deleterious effect on the joints above the foot and ankle, namely the knee and the hip.
Researchers found that foot pain was associated with bilateral and same-side knee pain in men and women. For example, men with right foot pain compared to those with no foot pain were five to seven times more likely to have pain in their right knee or in both knees.
Foot pain was also associated with hip pain on the same side in men. In women, bilateral foot pain was associated with hip pain on both sides, on the same side or on the opposite side.
A theory that may explain study results looks at how an individual modifies his movements and postures when experiencing pain. This can result in malalignment and other problems, and the challenge for physicians is to develop a treatment plan to address all issues. The correlated and compensatory posture and movement theory may explain how multi-joint arthritis develops, as well as other abnormalities and associated pains that can result from overuse or trauma to one or more structures in the kinetic chain.

Hallux valgus, commonly known as a bunion, is a deformity of the big toe joint where the toe turns outward towards the o...
02/11/2023

Hallux valgus, commonly known as a bunion, is a deformity of the big toe joint where the toe turns outward towards the other toes.
This causes a bony protrusion to form on the side of the foot at the base of the big toe.
The exact cause of hallux valgus is not clear, but it is thought to be related to a combination of genetic factors, certain foot types, and poorly fitting shoes.
It is more common in women and can be worsened by wearing tight, narrow, or high-heeled shoes.
Symptoms of hallux valgus can include pain, swelling, and redness around the affected joint, difficulty walking or wearing shoes, and the development of corns or calluses on the affected area.
Treatment for hallux valgus depends on the severity of the condition and the level of pain and discomfort experienced by the patient.
Conservative measures such as wearing wider shoes or using orthotic devices may help alleviate symptoms, while surgery may be required for more severe cases.
Physiotherapy can play a role in the treatment of hallux valgus, particularly in cases where conservative measures are being used to manage symptoms.
A physiotherapist may recommend exercises and stretches to help improve the flexibility and strength of the muscles and joints in the foot and ankle.
This can help to alleviate pain and discomfort, as well as improve balance and coordination.

Impingement syndrome is a common condition that affects the shoulder joint, often caused by repetitive overhead activiti...
02/11/2023

Impingement syndrome is a common condition that affects the shoulder joint, often caused by repetitive overhead activities or abnormal shoulder mechanics that compress or pinch the tendons or bursa in the shoulder.
Symptoms include pain, weakness, and limited range of motion.
Conservative measures, such as rest, ice or heat therapy, physical therapy, and medications, are typically the first line of treatment.
In severe cases, surgery may be necessary.
Seeking medical advice from a healthcare professional is crucial for an accurate diagnosis and appropriate treatment plan.

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