common running injury-falah

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    ARCH PAIN

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    MEANINGOF ARCH

    PAIN

    OVERVIEW

    CAUSES

    SYMPTOMS

    MEDICAL

    CARE

    TREATMENT

    CONTENT

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    ` Arch pain is the term used to describe symptoms that

    occur under the arch of the foot. When a patient has

    arch pain they usually have inflammation of the

    tissues within the midfoot. The arch of the foot isformed by a tight band of tissue that connects the heel

    bone to the toes.

    ` This band of tissue is important in proper foot

    mechanics and transfer of weight from the heel to the

    toes. When the tissue of the arch of the foot becomes

    irritated and inflamed, even simple movements can be

    quite painful.

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    ` Each foot contains 24 bones, which form two

    arches.

    ` The bones of the arch are primarily held together

    by the shape with which they fit with each otherand by ligaments that serve to hold the bones to

    each other.

    ` The muscles of the foot, plantar fascia, provide

    secondary support to the foot.` There are also fat pads in the foot to help with

    weight-bearing and absorbing impact.

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    ` The arches are the primary structures of the body thatabsorb and return force to and from the body to the

    outside world when we are on our feet. When something

    happens to these structures, pain and injury may result.

    ` There can be many causes of arch pain. Direct force

    trauma, ligament sprains, muscle strains, may all cause

    pain in the arch.

    ` Injury to the plantar fascia is a common cause of arch

    pain

    ` Injured or tight muscles may lead to incorrectbiomechanics and in turn cause arch pain.

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    ` Fractures are indicated by point tenderness that may be severe over the area of

    bone that is affected. A rotated toe or forefoot may also be a sign of a fracture.

    ` Bruises are the result of a direct-force injury to the body. A bruise can occur to the

    foot by a variety of causes, such as having your foot stepped on or by stepping on a

    rock. The tissues that compose the arch do not provide that area of the body much

    protection. Blows to the foot that result in pain, discoloration, swelling, and changes

    in how you walk may indicate more serious damage.

    ` Four grades can be used to describe arch pain:

    Pain during activity only Pain before and after activity, and not affecting performance

    Pain before, during, and after athletic activity affecting performance

    Pain so severe that performance is impossible

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    ` When the pain begins to interfere with activities of

    daily living or if you cannot perform your desired

    activities without pain, you should consider

    seeking medical attention. Other indicators thatyou should seek medical care are if the area looks

    deformed, becomes exquisitely tender to the

    touch, or is causing you to move differently.

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    ` The doctor will take a brief history to determine how

    the injury occurred. If necessary, a thorough physicalexam may be conducted to evaluate for any otherinjuries.

    ` The medical practitioner will examine how the musclesof your foot function. These tests may involve holding

    or moving your foot and ankle against resistance; youmay also asked to stand, walk, or even run. Paincaused by movements may indicate the cause of thepain.

    ` The nerves in the foot will be tested to make sure no

    injury has occurred there.` An x-ray, orbone scan of the foot and arch may betaken to determine if there are changes in the makeupof the bone.

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    ` When you first begin to notice discomfort or pain in the area, you can treat

    yourself with rest, ice, compression, and elevation (RICE).

    ` Rest will allow the tissues to heal themselves by preventing any further stress to

    the affected area.

    ` Ice should be applied no longer than 20 minutes. The ice may be put in a plastic

    bag or wrapped in a towel. Commercial ice packs are not recommended

    because they are usually too cold.

    ` Compression and elevation will help prevent any swelling of the affected

    tissues.

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    ` Once the cause of arch and foot pain is determined, a course of corrective

    actions can be started.

    ` Therapists may use machines and/or manual therapies to reduce pain.

    ` Maintenance of fitness levels via modification of activity may be prescribed.

    Substitute activities that may aggravate the pain with other activities; as

    example, running causes the body to have multiple impacts with the ground,

    but the use of bicycling, step machines, swimming, or ski machines

    eliminates impact and allows you to continue to maintain and improve your

    fitness levels.

    ` Focus on muscle strengthening and flexibility.

    You may be given exercises to increase the strength and stability of the

    affected area and to correct muscles that may not be balanced.

    Exercises to increase flexibility will maintain or improve the length of a

    muscle. Flexibility helps to make a stronger muscle that is less likely to be

    injured.

    ` Take medications to help reduce pain and inflammation.

    ` Follow up with your doctor until you are better.

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    PREPARED BY:

    MUHAMAD SYAZWAN ZHARIF BIN SALIHAN

    AKMAL ASYRAF BIN MOHD ZIN

    MUHAMMAD TARMIZI BIN ZULKIFLIMOHAMAD ZULFADLI BIN MOHAMAD

    MUHAMMAD SYAFIQ BIN ARIFFIN