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Physiotherapists in Scotland treat many different conditions including the condition profiled below.
This condition is also known as high instep or high arch and is a type of foot anatomy where the medial longitudinal arch (arch on the inner side of the foot) is significantly greater than normal. This is the opposite foot deformity to flat foot and may be without symptoms. However the limiting of weight bearing stresses to the heel and the metatarsal heads may put excessive stresses on the ball of the foot, causing calluses to form and a painful front foot problem. This can also go with hammer toes where the toes are flexed up in a clawed manner and take no part in contacting the ground in gait.
Pes cavus may cause difficulties in selecting suitable footwear as the height of the foot in the midfoot region is so much greater than normal, and some people may need insoles to support the arch and allow effective and painless walking. Pes cavus can be hereditary or can be secondary to a neurological or neuromuscular condition. Treatment is usually conservative such as physiotherapy for strengthening and stretching and the provision of custom insoles as surgery to treat foot pain of this cause is unpredictable in outcome.
Fractures occur in a huge variety of forms and in a wide variation of severity from the small flake pulled of a bone by a ligament to an open fracture with many pieces. Treatment for a fracture reflects this variety, encompassing a spectrum from a minor reduction in activity to amputation of the body part involved. An important first assessment is to decide whether the fracture is closed or open, meaning whether the skin is intact or there is an open wound leading down to the fracture. Open or compound fractures need thorough cleaning and removal of any dead tissue and treatment with antibiotics to prevent infection.
The next issue to decide is the matter of displacement. Many fractures occur through the body of a bone but the whole bone remains in its original alignment and there is no displacement of one part of the bone compared to another. Healing should occur in as close to the original anatomy as possible so treatment aims to .reduce. a fracture, i.e. to re-establish to original position of the bone by manipulation and then maintaining the position by immobilisation. Fractures are typically placed in Plaster of Paris or other materials to hold the position for a number of weeks.
Physiotherapists in Scotland have contributed some of the many articles on this site such as the one extracted below.
The thirties is the decade when our muscles, tendons and ligaments begin to exhibit a loss of elasticity which makes them more vulnerable to the stresses put upon them. With the explosion of health problems related to inactivity and eating too much, exercise is recommended as a solution to these ailments, increasing the likelihood of foot pathologies as our feet are more vulnerable with time. As we try and maintain or increase our levels of performance we need to plan this carefully and factor in enough time for rest and recuperation.Many problems occur when people in their thirties decide that they want to regain the fitness they once knew as a person in their twenties, forgetting that their soft tissues' capacity to endure stresses has reduced significantly in the meantime. Some of this problem relates to the amount of weight we have typically gained in the meantime as weight gain can be very important in foot pathologies. Warming up and stretching before activities or athletic perfo...