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    Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Ebook169 pages2 hours

    Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment

    By Kenneth Kee

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    About this ebook

    This book describes Foot Disorders, Diagnosis and Treatment and Improvised Treatment

    The human foot is a strong and complicated mechanical structure with 26 bones, 33 joints (20 of which are actively articulated), and more than one hundred muscles, tendons, and ligaments.
    The joints of the foot comprise:
    1. The ankle and sub-talar joint and
    2. The inter-phalangeal articulations of the foot.
    The human foot comprises multiple bones and soft tissues which hold up the weight of the human.
    Specifically, the toes help the human while walking, supplying balance, weight-bearing, and thrust during gait.

    Due to their position and function, feet are exposed to a range of possible infections and injuries, such as bunions, plantar fasciitis, and stress fractures.

    Also, there are several genetic disorders that can affect the shape and function of the feet, including a club foot or flat feet.
    This induces humans more vulnerable to medical disorders that are caused by poor leg and foot alignments.
    Also, the wearing of shoes, sneakers and boots can hinder proper alignment and movement within the ankle and foot.
    High-heeled footwear is shown to throw off the natural weight balance
    This can also affect the lower back.
    For the sake of posture, flat soles with no heels are advised.

    Walking is a true pendulum-like gait.
    The body’s center of gravity moves up and down over a stiff, supporting leg causing an exchange of kinetic and possible energy (like an inverted pendulum).
    The mechanics of the foot and ankle are integral to the pendulum effect, supplying a stable but moveable base of support for the body to ‘vault’ over through a system of 3 rockers or pivots working in the sagittal plane.
    The leg is also functioning like a pendulum during ‘swing phase’ as it moves back and forth from the hip Joint.
    Any limitation in the sagittal plane due to compromised foot or ankle function will cause compensations to happen in the frontal and transverse planes (toeing out, bow legs, over pronation).
    The most frequent sagittal blocks are in the ‘ankle rocker’, due to reduced functional range in the ankle joint, and in the ‘forefoot rocker’, due to hallux valgus/hallux rigidus.
    The 3 rockers create the classic heel-toe action that typically features walking in humans.
    The main feature required in a ‘walking shoe’ is:
    1. An anatomical toe box; wide, flat and foot-shaped to restore and maintain the ‘forefoot rocker’ and the stabilizing function of the toes.
    2. Sole thickness, cushioning, heel height etc. depend on the terrain, climate, BMI and age of the walker.
    The biomechanics of human locomotion can be explained by the physics of pendulums and springs.

    Humans have basically 4 locomotive methods available: walking, jogging, running, sprinting.
    These locomotive methods become progressively less pendulum like and more spring like as speed and gravitational loading increase and contact time decreases.
    Each locomotive method has energetic and biomechanical consequences i.e. metabolic cost and risk of injury.
    Skillful human movement is characterized by adopting the locomotive strategy for a given speed and terrain that make the most of economy while reducing injury risk.

    Movement strategy selection is influenced by several factors such as habit, conditioning and accurate sensory feedback about the external environment.

    Frequent orthopedic-related disorders are:
    Foot
    1. Bunions (Hallux Valgus)
    2. Plantar Fasciitis
    3. Foot deformities e.g., Clubfoot, Flat foot, Foot drop
    4. Foot Fractures/dislocations
    5. Hammer toe
    6. Heel pain
    7. Heel spurs
    8. Joint pain and arthritis
    9. Tendon or ligament injury
    TABLE OF CONTENT
    Introduction
    Chapter 1 Foot Disorders
    Chapter 2 Plantar Fasciitis
    Chapter 3 Hallux Valgus
    Chapter 4 Gouty Arthritis of toe
    Chapter 5 Foot Drop
    Chapter 6

    LanguageEnglish
    PublisherKenneth Kee
    Release dateAug 30, 2019
    ISBN9780463823439
    Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Foot Disorders, A Simple Guide To The Condition, Diagnosis, Treatment And Improvised Treatment - Kenneth Kee

      Foot Disorders,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Improvised Treatment

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2019 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes Foot Disorders, Diagnosis and Treatment and Improvised Treatment which is seen in some of my patients in my Family Clinic

      (What You Need to Treat Foot Disorders, Diagnosis and Treatment and Improvised Treatment)

      This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

      My purpose in writing these simple guides was for the health education of my patients.

      Health Education was also my dissertation for my Ph.D (Healthcare Administration).

      I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

      This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

      From which many free articles from the blog was taken and put together into 800 eBooks.

      Some people have complained that the simple guides are too simple.

      For their information they are made simple in order to educate the patients.

      The later books go into more details of medical disorders.

      The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

      Since 2013, I have tried to improve my spelling and writing.

      As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

      Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

      I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

      I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

      I apologize if these repetitions are irritating to some readers.

      Chapter 1

      Foot Disorders

      The human foot is a strong and complicated mechanical structure with 26 bones, 33 joints (20 of which are actively articulated), and more than one hundred muscles, tendons, and ligaments.

      The joints of the foot comprise:

      1. The ankle and sub-talar joint and

      2. The inter-phalangeal articulations of the foot.

      The human foot comprises multiple bones and soft tissues which hold up the weight of the human.

      Specifically, the toes help the human while walking, supplying balance, weight-bearing, and thrust during gait.

      Due to their position and function, feet are exposed to a range of possible infections and injuries, such as bunions, plantar fasciitis, and stress fractures.

      Also, there are several genetic disorders that can affect the shape and function of the feet, including a club foot or flat feet.

      This induces humans more vulnerable to medical disorders that are caused by poor leg and foot alignments.

      Also, the wearing of shoes, sneakers and boots can hinder proper alignment and movement within the ankle and foot.

      High-heeled footwear is shown to throw off the natural weight balance

      This can also affect the lower back.

      For the sake of posture, flat soles with no heels are advised.

      Walking is a true pendulum-like gait.

      The body’s center of gravity moves up and down over a stiff, supporting leg causing an exchange of kinetic and possible energy (like an inverted pendulum).

      The mechanics of the foot and ankle are integral to the pendulum effect, supplying a stable but moveable base of support for the body to ‘vault’ over through a system of 3 rockers or pivots working in the sagittal plane.

      The leg is also functioning like a pendulum during ‘swing phase’ as it moves back and forth from the hip Joint.

      Any limitation in the sagittal plane due to compromised foot or ankle function will cause compensations to happen in the frontal and transverse planes (toeing out, bow legs, over pronation).

      The most frequent sagittal blocks are in the ‘ankle rocker’, due to reduced functional range in the ankle joint, and in the ‘forefoot rocker’, due to hallux valgus/hallux rigidus.

      The 3 rockers create the classic heel-toe action that typically features walking in humans.

      The main feature required in a ‘walking shoe’ is:

      1. An anatomical toe box; wide, flat and foot-shaped to restore and maintain the ‘forefoot rocker’ and the stabilizing function of the toes.

      2. Sole thickness, cushioning, heel height etc. depend on the terrain, climate, BMI and age of the walker.

      The biomechanics of human locomotion can be explained by the physics of pendulums and springs.

      Humans have basically 4 locomotive methods available: walking, jogging, running, sprinting.

      These locomotive methods become progressively less pendulum like and more spring like as speed and gravitational loading increase and contact time decreases.

      Each locomotive method has energetic and biomechanical consequences i.e. metabolic cost and risk of injury.

      Skillful human movement is characterized by adopting the locomotive strategy for a given speed and terrain that make the most of economy while reducing injury risk.

      Movement strategy selection is influenced by several factors such as habit, conditioning and accurate sensory feedback about the external environment.

      Frequent orthopedic-related diagnoses based on body part are:

      Foot

      1. Bunions (Hallux Valgus)

      2. Plantar Fasciitis

      3. Foot deformities e.g., clubfoot, flat foot, foot drop

      4. Foot Fractures/dislocations

      5. Hammer toe

      6. Heel pain

      7. Heel spurs

      8. Joint pain and arthritis

      9. Tendon or ligament injury

      Chapter 2

      Plantar Fasciitis

      (Chapter from ‘A Simple Guide to Plantar Fasciitis 2016’ by Kenneth Kee)

      What is Plantar Fasciitis?

      Plantar Fasciitis (Painful Heel Syndrome) is a medical disorder with inflammation of the plantar fascia (which stretches from the calcaneum to the toes) typically featured by the pain in the heel especially in the morning and weight bearing exercises.

      The plantar fascia is a thick connective tissue on the bottom of the foot.

      The plantar fascia is a strong band of tissue (like a ligament) that stretches from the heel (calcaneum) to the middle foot bones.

      It strengthens the arch of the foot and also works as a shock-absorber in the foot.

      It joins the heel bone to the toes and produces the arch of the foot.

      When this tissue becomes swollen or inflamed, it is called plantar fasciitis.

      Plantar fasciitis indicates inflammation of the plantar fascia.

      It is more frequent in women.

      What is the cause of Plantar Fasciitis?

      Cause:

      The main cause of Plantar Fasciitis is the non-specific inflammation of the plantar fascia as an effect of repetitive injury to the fascia.

      In some patients the plantar fasciitis occurs as a result of a calcaneal spur pressing on the fascia.

      Plantar fasciitis happens when the thick band of tissue on the bottom of the foot is over-stretched or over-used.

      This can cause pain and make walking more difficult.

      Repeated small

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