News — Injury

Intoeing in Children

Posted by PPL Biomechanics on

Intoeing in Children

Intoeing presents in children at certain ages as a feature of normal development. Here we investigate the causes, diagnosis and management of an intoeing gait.

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Tibialis Posterior Dysfunction - Identification and Management

Posted by PPL Biomechanics on

Tibialis Posterior Dysfunction - Identification and Management

Tibialis Posterior Dysfunction Patients usually present with medial foot pain, decreased function and flattening of the arch.  Often described as “acquired flat foot”, this condition is most commonly a result of overuse and damage to the structures supporting the medial longitudinal arch. Tibialis posterior’s main function is to stabilise the mid foot and control contact phase pronation, with a lesser role in contributing to propulsive phase supination. Tibialis posterior dysfunction can be defined in 4 different stages which serve as a guide to management. Stage I: The tendon is still intact and functioning but inflamed Stage II: The tendon has...

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Plantar Fasciosis - Identification and Management

Posted by PPL Biomechanics on

Plantar Fasciosis - Identification and Management

Plantar Fasciosis commonly presents in the form of pain and tenderness in the plantar medial aspect of the heel, where the Plantar Fascia attaches to the calcaneal tuberosity. Patients often report the pain is acute on standing in the morning or following a period of non weight bearing, which progresses to a dull aching pain. Although it is often called fasciitis, and thought of as an inflammatory condition, the fascial degeneration and necrosis found in plantar fascia especially in chronic cases is more similar to tendinosis than tendonitis.   Differential Diagnosis Heel fat pad atrophy with age Calcaneal apophysitis/ enthesopathy/...

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