Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
We see in our sports podiatry activity in a significant number of patients complaining of pain located in the heel and / or under the foot arch.
They represent on average 20% of the chief complaints.
The most common cause is inflammation of the plantar fascia (fasciitis), and in particular at its insertion on the heel bone (insertion fasciitis).
The fascia is a band of fibrous tissue that extends from the calcaneus to the metatarsal heads and by extension to the base of the phalanges.
Describes a superficial fascia and deep other which form a triangle, whose main function is to form a vault and keep a curvature of the foot.
The fascia also has the function of supporting the weight of the body to absorb shocks and protect from beneath the bones of the foot.
We also note, it plays a leading role in the movement of the foot ensuring stability.
The triggers are numerous, including pain can occur after intense exercise (running, walking ....) Or during the recovery early in the season for example sport.
But we can also associate this disease with different causes, including:
-r├ętraction posterior chain (excessive tension of the fascia by the phenomenon of the pulley)
- Short Achilles tendon
-or otherwise the hollow foot with very high dynamic supination
-foot irreducible hollow
-in├ęgalit├ę of leg length
-mauvaises shoes or shoes with too large corrections
inappropriate orthopedic -semelles including too high foot arch
The patient described the pain in the heel, and rarely at the rope of the fascia.
On palpation include pressure algetic an area located at the antero internal heel part.
This pain occurs on a regular basis, the morning upon awakening or after prolonged sitting.
The patient can not get up because the pain is intense and after a few minutes, especially walking it disappears.
In sport, the patient can not feel any pain but the next day to be completely impotent.
Doctor: - I walk like a little old
We find very rarely, cases of ruptures of the fascia with shooting pain, a snapping sensation, visual signs (hematoma) and especially an impotence as in the case of a rupture of the Achilles tendon total.
The diagnosis of fracture, even if it seems obvious to be confirmed by an MRI.
The treatment of fasciitis is often long and often been the interminable discussion forums on the miracle cure.
The first remedy is to avoid its appearance, and for this it is essential to work stretching.
RELAX it to be permanently posterior chain and plantar chain because in sport both drivers retract, and over the workouts are shorter.
Years also cause a decrease in elasticity.
Eliminate all other causes: bad shoes or old shoes
overweight ... ..
Finally, the main treatment is wearing orthotics, which aims to relax the plantar fascia and correct if necessary static and dynamic morphological disorders.
(The recess "hole" at the level of the sole is to be removed)
In addition and to treat inflammation that is to say, put out the fire, there is an array processing / Physiotherapy (massage and ultrasound)
In all cases more than 90% of heel pain disappear between 6 and 9 months of conservative treatment.
Partial ACL tear
Isolated ruptures of the anterior cruciate ligament (ACL) injuries are the most frequent ligament of the knee. These breaks may be complete or partial. In partial tears, clinical diagnosis is more difficult because the clinical presentation is variable. The diagnosis, evolution in time and treatment its partial tears are still subject to much controversy. The purpose of this article is to clarify the definitions, clinical diagnosis and therapeutic strategies to these partial ACL tears. (read more ...)
Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk seems more important during the pre-ovulatory phase of the menstrual cycle than during the post-ovulatory phase. The main objective of the study was to describe the distribution of ACL injuries during the menstrual cycle in a large recreational skiers population.
The main goal of this study Was to compare the results of the GNRB arthrometer To Those of Telos TM in the diagnosis of partial thickness tears of the anterior cru- ciate ligament (ACL). A prospective study Performed January- December 2011 included all patients presenting with a partial or full-thickness tears ACL without ACL recon- struction and with a healthy contralateral knee. Anterior laxity Was Measured in all patients by the Telos TM and GNRB├ĺ devices.
It is necessary to distinguish:
- The fracture lesions which are always found with certainty notion traumatic (new or old)
- Chronic lesions with onset of osteonecrosis subchondral more or less extensive, described in the literature under different terminologies (osteochondrosis, osteochondritis, osteonecrosis).
This distinction seems to us essential because etiology, radiographic appearance, treatment and prognosis of such lesions are sometimes totally different.