Pedorthic Management Exam Study Guide with

Pedorthic Management Exam Study Guide with Complete Solutions Metatarsalgia - Correct Answer -Generic term for pain in the forefoot/ball from repetitive stress, associated with a drop or collapse of the metatarsal arch causing the soft tissue to be pinched or trapped between the bones Metatarsalgia treatment - Correct Answer -reduce and redistribute forefoot pressure, reduce painful joint motion, and correct any forefoot malalignment Metatarsalgia foot orthotic - Correct Answer -Total contact to transfer forefoot pressure into the longitudinal and metatarsal arches -Post adjacent metatarsals heads as necessary -Shock absorbent materials under metatarsal heads and toes Metatarsalgia shoewear - Correct Answer -Lower heel to reduce forefoot and metatarsal head pressure -Utilize shock absorbent soling -Utilize longer and wider shoe to reduce medial-lateral circumference pressures Metatarsalgia shoe modification - Correct Answer Rocker bottom sole to reduce forefoot motion and pressures -metatarsal bar to shoe to shift pressure proximally -negative heel modification -excavation under painful metatarsal Morton's Interdigital Neuroma - Correct Answer Perineural fibrosis- type of nerve compression syndrome which involves the common digital nerves of the lesser toes (often 3rd, 2nd) -reduce forefoot pressure, reduce metatarsal compression to relieve interdigital nerve entrapment and limit friction or shear inside of shoe Morton's Interdigital Neuroma foot orthotic - Correct Answer -total contact orthosis with a metatarsal pad to transfer pressure to the longitudinal and metatarsal arches 1 / 2

-shock absorbent material under metatarsal heads (viscoelastic polymers or silicones) Morton's Interdigital Neuroma shoewear - Correct Answer -utilize longer or wider shoe to reduce ML and circumferential or radial pressures -lower heel to reduce metatarsal head pressure -long medial counter to support long arch Morton's Interdigital Neuroma shoe modifications - Correct Answer -Rocker sole to shoe to reduce FF motion and pressures -Carefully placed metatarsal pad to elevate and separate metatarsals -Metatarsal bar to shift pressures proximally Morton's Toe - Correct Answer Congenital short first met, a hypermobile first met, and calluses under the 2nd and 3rd met.-reduce forefoot pressure, reduce 2nd MTPJ pressure, and limit friction or shear inside of shoe Morton's Toe foot orthotics - Correct Answer -total contact with a metatarsal pad and 1st toe extension to transfer pressure to the longitudinal and metatarsal arches -shock absorbent material under metatarsal heads Morton's Toe shoewear - Correct Answer -shock attenuating vibram sole to reduce plantar pressures -lower heel to reduce metatarsal head pressure -long medial counter to support long arch Morton's Toe shoe modification - Correct Answer -rocker sole to shoe to reduce FF motion and pressures

• carefully placed met pad to elevate and separate mets

-met bar to shift pressures proximally

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