Orthopedic Treatment For Predisclocation Syndrome

by Administrator 24. April 2017 11:35

Pre-dislocation Syndrome or Capsulitis of the second toe is a common problem that affects people of any age group. It affects the joints of the second, third or fourth toe. The ligaments that surround the second toe form a kind of capsule around it and protect it besides enabling movement. Inflammation of these ligaments causes Pre-dislocation Syndrome. Prolonged condition may lead to joint weakening and toe dislocation. The ligaments that support the toes may also begin to thin and wear out. It is a progressive disorder which can greatly affect the daily life of the person.

Causes

  • Tightness of the calf muscles
  • Faulty foot mechanics which puts excessive pressure on the ball of the foot
  • Bunion deformity
  • If the second toe is longer than the big toe, it tends to curl or arch and disturbs the foot structure
  • Flattened foot arch or flat foot makes the person prone to this disorder
  • Inherent weakness in the small sized muscles that form a part of the foot joint

Symptoms

  • Pain in the ball of the foot
  • A feeling of something bunching up under the ball of the foot
  • Barefoot walking may be painful
  • Wearing closed shoes may cause discomfort and pain
  • Swelling above and below the toe
  • The toe may become unstable and override the big toe or the neighbouring toes
  • Hammer Toe formation
  • Callouses form beneath the second toe and on the ball of the foot

Diagnosis

  • Detailed physical analysis of the foot by a foot and ankle surgeon
  • Palpation and moving the toes or foot in different direction to assess the symptoms
  • X-ray imaging may be required
  • Joint stability may be tested
  • MRI may be done
  • Ultrasound

Treatment

  • Application of ice packs on the affected toe can reduce swelling
  • Rest the affected foot and prevent pressure on it
  • Injecting corticosteroids into the foot or toe
  • Use of crutches or a walker to prevent weight bearing
  • The toe may be taped to prevent its drifting towards the other toes
  • Some non steroidal anti inflammatory medicines and pain killers may be prescribed
  • Shoe inserts and supports may be useful. It may help redistribute the body weight evenly on the metatarsals
  • Calf muscle tightness may be rectified using some gentle stretching exercises
  • The doctor may suggest surgical intervention if the toe is deformed and overrides the neighbouring toe. The bone is cut and reshaped and then fixed in correct position using pins and wires
  • Surgical reduction of bunions and hammertoes
  • Surgical lengthening of tendons and ligaments
  • The foot is secured in a cast boot post surgery

For know more about the treatment options available for Predisclocation Syndrome, visit Dr. Desai. To schedule an appointment with the Plano, TX based orthopedic surgeon, call at (972) 985 – 1072.

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