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I found that the principles and practice of podiatric medicine
text has been helpful to me:
ANOTHER
INTERESTING SITE IS :
http://www.supination.net
WELCOME TO PODIATRY.IN
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YES, COME ON IN
please consider visiting suepodiatrist.com
for fictional podiatry music on reasons not
to sue a podiatrist.
Scroll down to see rest of this website
THIS IS A
UNIQUE
TEXTBOOK LIKE VERSION OF PODIATRY. WHAT MAKES THIS SITE UNIQUE IS YOU
DON'T HAVE TO LOG INTO THE MAIN HOME PAGE TO GO TO A TOPIC.
EACH TOPIC HAS ITS OWN WEBPAGE THAT CAN
BE DIRECTLY
ACCESSED. THIS WEBSITE CAN BE USED BY PODIATRY STUDENTS AND PRACTICING
PODIATRISTS.
THE SITES AVAILABLE ARE: http://www.footdermatology.com
PLEASE
CONSIDER CLICKING ON AND VIEWING THE FOLLOWING LINK. I BELIEVE IT IS
IMPORTANT TO FIND OUT ABOUT THE USE OF SILVER DRESSINGS AND OTHER TYPE
OF DRESSINGS ON FOOT WOUNDS:
WELCOME TO
SUPONATION.COM
please note the correct spelling of the word is supination.
Runners may find this particular web
page of interest:
I believe that a certain degree of
pronation is normal,
if the foot is it's optimum position during the gait cycle.
If too much supination is present then the foot does not pronate,
the heel does not evert when it should, and the internal rotation
of the leg does not occur. If the leg does not internally rotate
then the knee cannot flex. The knee flexion is needed to absorb
shock. Thus abnornal foot function possibly can cause other problems in
the
body for which your medical doctor can examine, diagnose and treat. A
podiatrist can treat the abnormal supination which I believe is the
foot not pronating when it should.
An example of "abnormal
supination" which is
also known by me as "hypersupination" or "hypopronation"
can be found by the gait analysis of a patient and also
from the findings of your static exam. ( Generally the findings
of a static exam should confirm the findings of a
gait analysis of biomechanics occuring in the foot. Please keep in mind
that there are triplanal suprastructural influences that influence the
foot
and the foot can compensate either normally or abnormally. There is
normal and abnormal compensation occuring in the foot). At
the New York
College of Podiatric Medicine I learned that when the
subtalar joint is held in it's neutral position, and the longitudinal
axis of the midfoot is maximally pronated especially in the
frontal plane, then the first metatarsal phalangeal joint is
relatively plantarflexed with regards to the other metatarsal
heads. The abnormal compensation that occurs if this joint is rigid
but not flexible causes the rearfoot to abnormally supinate ( a great
deal of motion is occuring on the frontal plane during this
abnormal supination) at that
point in the gait cycle when it should be pronating. Again
pronation of the rearfoot is where the calcaneous everts and
dorsiflexes and the talar head is plantarflexing. With this in mind,
the leg does not internally rotate as it normally should and
the knee cannot flex and so there is a decreased ability
for the knee joint to absorb shock. I believe the knee was the
major shock absorber. I believe this could possibly lead to ankle and
foot inversion sprains and injuries especially during certain sports.
All this is only some of what I learned while I was a student
at
the NYCPM. I am very grateful to all my teachers at NYCPM for all that
they taught me. All my teachers there were mostly podiatrists who have
given me
the biomechanical knowledge that enabled me to better treat my
patients. Please understand that there are other theories in the
orthopedic texts. For example, when the calcaneous everts, the foot
becomes more rigid.
This is totally the opposite of what I learned at
NYCPM. (I believe theory in general can be very
interesting. However, every runner, patient with a
biomechanical fault is a seperate clinical patient.
Through trial and error even the use of felt propperly
placed in one's shoes or sneakers can dramatically affect
gait.)
I am now looking to see if
certain sneakers, shoes
or orthotics can help accomodate such abnormal supination.
For some of my patients I have tried using an arch support as a
temporary attempt to treat certain problems. Before any treatment is
attempted I feel it is
important to first see a podiatrist or other qualified licensed health
care
practitioner.
A
PODIATRIST CAN GENERALLY PERFORM A BIOMECHANICAL EXAM AND GAIT ANALYSIS
AND PRESCRIBE A CUSTOM MOLDED FOOT ORTHOTIC. BY TAKING A CAST OF THE
FOOT IN IT'S OPTIMUM POSITION AND PRESCRIBING THE PROPPER ORTHOTICS
NEEDED IS AN ATTEMPT TO TRY TO TREAT VARIOUS FOOT PROBLEMS. THERE ARE
NO GUARANTEES. SOMETIMES ORTHOTICS CAN BE VERY BENEFICIAL
WHEN PRESCRIBED AND CASTED BY A PODIATRIST. FOR EXAMPLE I USED AN
ORTHOTIC THAT WAS CALLED THE STJ HEEL SPUR SPECIAL FOR HEEL PAIN AND
WAS VERY PLEASED WITH THE RESULTS. SOMETIMES ORTHOTICS DO NOT WORK.
Disclaimer: None of the above is to be taken to be medical advice
to be relied upon. If you have any abnormal supination please
consult with your podiatrist or medical doctor to examine,
diagnose and treat this. The above opinion given does not
apply to everyone.