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Ligamentous Articular Strain
Lower Extremity
By: Conrad A. Speece, D.O.
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Plantar Fascia
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First muscle layer
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Second muscle layer
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Third muscle layer
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Plantar Fasciitis
• OMT
• Anti-inflammatory
• Ice
• Supportive shoes
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“Stacking” the foot
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First Metatarsal head
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Calcaneous
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Talus anterior/posterior
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Talus anterior
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Talus posterior
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Other conditions of the foot
• Bunion
• Bunionette
• Morton’s neuroma
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Body Mechanics
• Never stand on outside of feet/ankles
• Don’t pound on heels
• Don’t prop heels up on furniture
• Wear properly fitted shoes
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Fibula
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Interosseous membrane
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Ligaments of the knee
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Popliteal Fascia
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Meninsci
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Posterior meniscfemoral ligament
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Cruciate ligaments
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Body Mechanics
• Never stand with foot planted and twist body
• Never pry the knee out to the side
– Don’t sit indian style
– Don’t do butterfly stretch
– Don’t cross legs
• Don’t stand on outside of feet/ankles
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External rotators of the hip
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Sciatic nerve
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Internal rotators of the hip
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The hip joint and ligaments
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Inguinal ligament
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Psoas and iliacus muscles
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Body Mechanics
• Don’t use leg out to the side
– Get in and out of car properly
• Don’t externally rotate the hip
– Don’t sit indian style or cross legs
• Don’t pry leg behind you
– Quadriceps stretch
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Potassium
• Psoas muscle spasm; think hypokalemia
• Muscle cramps
• Depression/anxiety, constipation, low stomach acid, slow digestion, insomnia
• RDA of K is 4,700 mg or 63 mEq
• Lose it through sweating, vomiting, diarrhea, medications
• Magnesium is important for absorption of potassium