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Forefoot pain – how to fit metatarsal domes

by David Pope

Metatarsal domes can be an important part of reducing your patient’s metatarsal pain. Acutely you will often achieve maximal pain reduction with softer metatarsal domes, and the key to the whole process is correct placement of your “Met domes”.

In this short video, Nick Torrance takes your through the process of using and fitting metatarsal domes for your patients with acute metatarsalgia.

 

 

This video is part of the video series Forefoot – Advanced Injury Management with Nick Torrance on www.clinicaledge.com.au

Video Outline – Forefoot – Advanced Injury Management with Nick Torrance 

The forefoot is a very common area of injury in your patients that are runners, have recently changed their footwear or taken up a new sport. In the first video series on the forefoot with Nick Torrance, already released and available for Clinical Edge members, he explored the bony and surface anatomy of the rear foot, midfoot and forefoot, the different arches of the foot and the bones that make up these. Nick covered in detail:

  • anatomy and surface anatomy of the muscles that support the medial longitudinal arch, lateral longitudinal arch and transverse arch
  • assessment of the foot in standing
  • 1st MTP assessment
  • assessment of the foot through the gait cycle
  • assessment of balance
  • active and passive movement tests for the foot and ankle
  • Testing muscle strength
  • Assessment and treatment of
  • Hallux Limitus
  • Hallux Valgus
  • Sesamoid injuries
  • Metatarsalgia
  • Morton’s neuroma
    This second video series Forefoot injuries – Advanced Management follows on from the first video series, building on your knowledge of anatomy, testing and treatment skills. (If you haven’t enjoyed the video series Forefoot Injuries yet, you will find it really helpful to watch Part 1 prior to this Advanced series).

 

In Forefoot – Advanced Injury Management, Nick will take you through

  • Postural foot deformities including Pes Planus and Pes Cavus and footwear that is indicated for each of these (and you may find this advice quite surprising)
  • Beyond the foot – Other musculoskeletal contributors to forefoot pain
  • Mechanism of injury – how the forefoot may become injured
  • Order of treatment – treating the forefoot as a part of the whole foot. Treat the forefoot, midfoot or rearfoot first?
  • Improving and maintaining dorsiflexion to offload the forefoot
  • Neuromuscular compression and joint stiffness in the mid foot
  • Incorporating dry needling in the lower limb – including Tibialis Posterior, Flexor Digitorum Longus, Tibialis Anterior and other muscles
  • Metatarsalgia – advanced treatment strategies
  • Specific instruction on how to fit and use metatarsal domes
  • Taping for the metatarsals
  • Shoe advice for metatarsalgia
  • Foot retraining and lumbrical strengthening
  • Specific stretches for the foot
  • Treating chronic metatarsalgia
  • Treatment of Morton’s neuroma
  • Addressing digital deformities such as claw toes and hammertoes
  • Stress fractures in the foot – identification and management
  • Sesamoiditis – advanced treatment strategies
  • Retraining normal movement of the foot
  • Using orthotics for sesamoiditis
  • Advanced Hallux Limitus and Valgus treatment
  • High heel advice for your forefoot pain patients – do they need to abandon high heels, or what high heels may still be appropriate
  • Putting your assessment and treatment together to get the best results with your forefoot patients

Find out more about assessment and treatment of Forefoot injuries at www.clinicaledge.com.au where members get access to the entire library of more than 150 clinically relevant videos

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