Foot
manipulation is a treatment
modality for improvement of mechanical malalignment of the foot.
It involves physical manipulation of joints and regular follow up
strengthening and stretching exercises by the patient. In some cases
manipulation can supplement traditional treatment such as Orthotic
therapy and surgical intervention.
The
images below have been kindly provided by Claude Tobgui.
Pre
and Post Manipulation X-Rays
The
podiatrist has used the collum tali axis and 1st metatarsal axis
as a reference point for analysing the sagittal plane alignment
of the head and neck of the talus. The angle made by the collum
tali axis and the second metatarsal axis is used as a reference
point for analysing the tranverse plane alignment of the head and
neck of the talus.
Pre
manipulation
DP
view- date- 30/01/20
Angle
made by collum tali axis and 2nd met axis is 20 degrees
Talo-navicular
joint space is irregular with narrowing of the medial portion
of the joint.
Significant
metatarsus primus adductus
Moderate
Hallux-abducto-valgus without much arthritic change
|
5
months post manipulation
date-
15/06/01
Angle
made by collum tali axis and 2nd met axis is -4 degrees
(reduced by 24 degrees)
Opening
of the medial portion of the talo-navicular joint
Reduction
in 1st intermetatarsal angle
Reduction
in hallux abductus angle
|
