In the Beginning Was the Big Toe
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Metatarsalgia
just the symptoms. What can I expect from treatment? With a proper diagnosis, and a well-rounded treatment plan including orthotics, the prog- nosis is excellent. With Sole Supports™ foot or- thotics you can expect either a dramatic loss The Truth About . of pain within the first weeks of use or a more gradual reduction of symptoms, depending Metatarsalgia on how long the problem has existed, normal body weight or how well you follow other ther- For more information and a apeutic regimens prescribed by your provider. professional consultation regarding Did you know that, with Sole whether Sole Supports may be Supports, metatarsal pads are rarely helpful for you, please contact the needed? following certified Sole Supports practitioner: What is it? Metatarsalgia is a term used to describe a pain- ful foot condition in the area just before the Arch Flattened small toes (more commonly referred to as the ball of the foot). The condition is characterized by pain and inflammation on the sole in the region of the metatarsal heads, which are the ends of the long bones in your foot. The joint This handout provides a general overview on this capsule or tendons may also be inflamed. topic and may not apply to everyone. To find out if this handout applies to you and to get more infor- mation on this subject, consult with your certified Sole Supports practitioner. Arch Restored The pain is generally aggravated by putting ments but your doctor is likely to recommend pressure off the metatarsals should also be pressure (as in walking) through the ball of a conservative approach first including: followed. -
Wound Classification
Wound Classification Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to assess and measure a wound. 2 A Little About Myself… • Associate professor at Montana State University • Executive editor of the Journal of the World Council of Enterstomal Therapists (JWCET) and WCET International Ostomy Guidelines (2014) • Editorial board member of Ostomy Wound Management and Advances in Skin and Wound Care • Legal consultant • Former NPUAP board member 3 Today We Will Talk About • How to assess a wound • How to measure a wound Please make a note of your questions. Your Quality Improvement (QI) Specialists will follow up with you after this webinar to address them. 4 Assessing and Measuring Wounds • You completed a skin assessment and found a wound. • Now you need to determine what type of wound you found. • If it is a pressure ulcer, you need to determine the stage. 5 Assessing and Measuring Wounds This is important because— • Each type of wound has a different etiology. • Treatment may be very different. However— • Not all wounds are clear cut. • The cause may be multifactoral. 6 Types of Wounds • Vascular (arterial, venous, and mixed) • Neuropathic (diabetic) • Moisture-associated dermatitis • Skin tear • Pressure ulcer 7 Mixed Etiologies Many wounds have mixed etiologies. • There may be both venous and arterial insufficiency. • There may be diabetes and pressure characteristics. 8 Moisture-Associated Skin Damage • Also called perineal dermatitis, diaper rash, incontinence-associated dermatitis (often confused with pressure ulcers) • An inflammation of the skin in the perineal area, on and between the buttocks, into the skin folds, and down the inner thighs • Scaling of the skin with papule and vesicle formation: – These may open, with “weeping” of the skin, which exacerbates skin damage. -
Park University Clery Annual Security Report
PA RK U N I V E R S I T Y CLERY ANNUAL SECURITY REPORT 2017 ARKANSAS • Little Rock AFB 2017 SPECIAL MESSAGE FROM PARK UNIVERSITY DIRECTOR OF CAMPUS SAFETY Each year, in compliance with the Jeanne Clery Disclosure of Campus Safety Policy and Campus Crime Statistics Act, Park University publishes the Park University Security and Fire Safety Report. This document, posted online at park.edu and distributed via hard copy upon request, provides local crime statistics, details the University’s regulations and procedures for emergency response, and lists on- and off- campus resources for safety assistance. Although all colleges and universities participating in federal financial aid programs are required to share this data with the public, we provide it with intention beyond simply obeying the rules and hope that doing so demonstrates Park’s commitment to the well-being of students, faculty and staff members, business tenants and visitors. The annual production of the Report is just one element of our larger, sustained strategy around security and safety. In 2017, we have taken measures to promote a safe and desirable college experience for all students, faculty and staff by implementing contingency plans for incidents such as active shooter and bomb threat through cooperative training with local police, fire and ambulance services. The Park University Department of Campus Safety is proud to help foster a safe University environment that is conducive to collaboration, development and growth for all who live, learn and work on Park’s campuses. Thank you for your interest in our processes and outcomes. Sincerely, Will London Director of Campus Safety, Park University [email protected] 1 Founded in 1875 in Parkville, Mo., a suburb of Kansas City, Park University has developed into a comprehensive, independent institution that is a national leader in higher education. -
2020 DEPARTMENT of PUBLIC SAFETY Annual Security Report
WEBSTER UNIVERSITY 2020 DEPARTMENT OF PUBLIC SAFETY Annual Security Report Little Rock Metro Campus QUICK REFERENCE RESOURCES Emergency Contacts Emergency 911 Little Rock Police Dept. (non-emergency) 501-371-4829 Webster University – Little Rock Metro 501-375-1511 Webster University Department of Public Safety 314-246-7430 (non-emergency) Sexual Offense Advocate (main campus) 314-649-8474 (24 hours a day) The Department of Public Safety and Sexual Offense Advocate are located on the main campus in Webster Groves, Missouri; however, staff members can assist callers remotely or make appropriate referrals to local resources. Webster Alert System This is the University’s free mass notification service which is used to alert all students, faculty & staff regarding important information regarding campus crimes, emergencies and other potentially life threatening events at their webster.edu email address. Users are strongly encouraged to add a personal email address and mobile number to their account by logging into Connections and clicking on the Webster Alerts banner. The following telephone numbers connect callers with personnel at the main campus; however, staff and administrators at the main campus can either assist callers at branch campuses remotely or make appropriate local referrals. University Title IX Coordinator University Title IX Coordinator 314-246-7780 Other Campus Resources Dean of Students Office 314-968-6980 Academic Resource Center 314-246-7620 Financial Aid Office 314-968-6992 Counseling Services 314-968-7030 Immigration/Visa Information 314-246-7860 Webster University 2020 Annual Security Report – LITTLE ROCK METRO 1 LITTLE ROCK METRO CAMPUS ANNUAL CRIME STATISTICS This section of the Annual Security Report explains what type of crimes institutions are directed to include under the Clery Act, as well as how the University obtains and tabulates these statistics each year. -
Metatarsalgia
Metatarsalgia Definition Metatarsalgia is a generic term for pain or discomfort in the sole of the forefoot (the ball of the foot). It is an inflammatory condition of the metatarsal heads due to a drop or collapse of the metatarsal arch. The arch flattens and the bone ends (metatarsal heads) move closer together causing the soft tissue to be pinched or trapped between the bones. With every step, the arch rises and falls causing repeated stress to the area. More specific type of Metatarsalgia can be: • Morton’s Neuroma ( nerve issue) • Bursitis • Arthritic joint change • Stress Fractures Symptoms • Vague pain, ache or burning in the sole of the forefoot, during weight-bearing activities • Tingling / numbness in toes • Sharp or shooting pain in toes • Aggravated when dorsi-flexing (lifting) toes • Callousing under 2nd, 3rd and 4th toes • Feeling of “walking on pebbles” Causes Anything that puts extra stress on the forefoot can cause Metatarsalgia. Common examples are: • Use of improper footwear (i.e. high-heeled shoes and boots) • High-arched or “cavus” foot or flat arch feet “pes planus” which causes the bones in the front of the foot (metatarsals) to point down into the sole to an excessive extent, or a long metatarsal bone which takes extra pressure • Claw or hammer toes which press the metatarsals down towards the ground • A nerve problem near the 3rd and 4th toes • A stretched or irritated nerve in the ball of the foot (inter-digital neuroma) or behind the ankle (tarsal tunnel syndrome) can produce pain in the ball of the foot • A bunion or arthritis in the big toe can weaken the big toe and throw extra stress onto the ball of the foot. -
Treatment of Spastic Foot Deformities
TREATMENT OF SPASTIC FOOT DEFORMITIES penn neuro-orthopaedics service Table of Contents OVERVIEW Severe loss of movement is often the result of neurological disorders, Overview .............................................................. 1 such as stroke or brain injury. As a result, ordinary daily activities Treatment ............................................................. 2 such as walking, eating and dressing can be difficult and sometimes impossible to accomplish. Procedures ........................................................... 4 The Penn Neuro-Orthopaedics Service assists patients with Achilles Tendon Lengthening .........................................4 orthopaedic problems caused by certain neurologic disorders. Our Toe Flexor Releases .....................................................5 team successfully treats a wide range of problems affecting the limbs including foot deformities and walking problems due to abnormal Toe Flexor Transfer .......................................................6 postures of the foot. Split Anterior Tibialis Tendon Transfer (SPLATT) ...............7 This booklet focuses on the treatment of spastic foot deformities The Extensor Tendon of the Big Toe (EHL) .......................8 under the supervision of Keith Baldwin, MD, MSPT, MPH. Lengthening the Tibialis Posterior Tendon .......................9 Care After Surgery .................................................10 Notes ..................................................................12 Pre-operative right foot. Post-operative -
The Indications for Toe Transfer After ''Minor
ARTICLE IN PRESS Invited personal view article THE INDICATIONS FOR TOE TRANSFER AFTER ‘‘MINOR’’ FINGER INJURIES F DEL PINAL* From the Institute for Hand and Plastic Surgery, Private Practice, and Mutua Montan*esa, Santander, Spain Toe-to-hand transfer is widely considered to be unjustified for ‘‘minor’’ finger injuries. In this invited personal view article the indications for toe-to-hand transfer for finger amputation and neurocutaneous and major pulp defects are discussed, and a classification of multidigital injury that has both prognostic and decision-making value is presented. In the author’s opinion a toe transfer should always be considered as an option when reconstructing ‘‘minor’’ finger injuries, as it can reproduce significant long-term benefit to the hand and the patient’s sense of well being. The procedure should be carried out in the acute period, not only because it is technically easier and better for hand function, but above all because the surgeon can save structures that will be lost if the transfer is delayed. Journal of Hand Surgery (British and European Volume, 2004) 29B: 2: 120–129 Keywords: microsurgery, toe-to-hand, finger amputation Since the hand is always naked and exposed, even if reconstruction. In this personal view article only the only the fingertip is lost, it presents a very large most ‘‘typical’’ indications will be discussed. The handicap for the patient. (Hirase! et al., 1997) metacarpal hand (Tan et al., 1999; Wei et al., 1997, 1999; Yu and Huang, 2000), congenital reconstruction There was a time when only loss of the thumb was (Kay and Wiberg, 1996; Shibata et al., 1998; Van Holder considered an acceptable indication for toe-to-hand et al., 1999), joint transfer (Dautel and Merle 1997; transfer (Buncke et al., 1973; Cobbett, 1969). -
How to Self-Bandage Your Leg(S) and Feet to Reduce Lymphedema (Swelling)
Form: D-8519 How to Self-Bandage Your Leg(s) and Feet to Reduce Lymphedema (Swelling) For patients with lower body lymphedema who have had treatment for cancer, including: • Removal of lymph nodes in the pelvis • Removal of lymph nodes in the groin, or • Radiation to the pelvis Read this resource to learn: • Who needs self-bandaging • Why self-bandaging is important • How to do self-bandaging Disclaimer: This pamphlet is for patients with lymphedema. It is a guide to help patients manage leg swelling with bandages. It is only to be used after the patient has been taught bandaging by a clinician at the Cancer Rehabilitation and Survivorship (CRS) Clinic at Princess Margaret Cancer Centre. Do not self-bandage if you have an infection in your abdomen, leg(s) or feet. Signs of an infection may include: • Swelling in these areas and redness of the skin (this redness can quickly spread) • Pain in your leg(s) or feet • Tenderness and/or warmth in your leg(s) or feet • Fever, chills or feeling unwell If you have an infection or think you have an infection, go to: • Your Family Doctor • Walk-in Clinic • Urgent Care Clinic If no Walk-in clinic is open, go to the closest hospital Emergency Department. 2 What is the lymphatic system? Your lymphatic system removes extra fluid and waste from your body. It plays an important role in how your immune system works. Your lymphatic system is made up of lymph nodes that are linked by lymph vessels. Your lymph nodes are bean-shaped organs that are found all over your body. -
Hammer Toe Information Sheet
Fitter Feet For Life Hammer toe information sheet. (ref. A15) A hammer toe is a deformity of the first small toe joint with in toes. (proximal inter-phalangeal joint) This deformity can occur in the second, third, fourth or fifth (relatively rare) toes, causing it to be permanently bent, resembling a hammer. This abnormality can create pressure on the foot when wearing shoes and cause discomfort and problems walking. The joints themselves can be arthritic and painful. There is a choice of different procedures to straighten a hammer toe. This information sheet has been written to help you choose which procedure is best for you. Fig 1 Hammer toe . Fig 2 Arthrodesis with K wires . Fig 3. Smart toe implant An arthrodesis is a surgical procedure to treat hammer toes. The deformed joint is fully removed and the apposing bone ends fused together in a corrected position. The joint will no longer move. The joint closer to the end of the toe will still move. The joint where the toe joins the foot will also continue to move. 1 Fitter Feet For life. 34 North Street. London SW40HD 0207 627 4901 Fitter Feet For Life 1. K-Wire Arthrodesis. Traditionally hammer toe correction is performed by arthrodesis surgery using K-Wires. The procedure is successful in most cases and has been performed for many years. The deformed joint is removed and the bone ends are secured together with a K-wire which protrudes though the tip of the toe. The foot must be kept dry, dressed and the k-wire protected in a post operative shoe for six weeks after the operation. -
Comparison of the Upper and Lower Limbs-A Phylogenetic Concept
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 8 Ver. I (Aug. 2015), PP 14-16 www.iosrjournals.org Comparison of the Upper and Lower Limbs-A Phylogenetic Concept Dr.Vandana Sinam1, Dr.Thonthon Daimei2, I Deven Singh3, N Damayanti Devi4 1.Medical officer,2. Senior Resident,3. Assistant Proffessor,4. Professor and Head, Department of Anatomy Regional Institute of Medical Sciences, Imphal, Manipur Abstract: The upper and lower limbs of the human body are phylogenetically homologues of the forelimbs and hind limbs of the quadrupeds. Primates started lifting of the forelimbs off the ground for various functional adaptations as evolution progressed and this led to the deviation of the forelimbs from lower limbs. With the gradual diversification of the functions, morphological evolution of the two limbs follows closely leading to the differences in upper and the lower limbs in the human. Since the inception of the Anatomy as one of the curriculum in medical subjects, the anatomical position has been termed as one that the body stand erect with the eyes looking straight forward and the two upper limbs hanging by the side of the body with the palm facing forward. Therefore in this position the upper limb looked forward with the palm also accordingly faced forward too whilst with the thumb on the lateral side whilst in the lower limb, the big toe which is homologous to the thumb, is placed on the medial side. The anatomical position in the upper limb is not normally a comfortable position as it is kept in this position with effort. -
Proposed Amendment to Zoning Ordinance for Adult Oriented
Proposed Amendment to Zoning Ordinance Adult Oriented Business Authority and Jurisdiction The provisions of this article are adopted by the Town Board of Commissioners under the authority granted by the General Assembly of the State of North Carolina. From and after the effective date hereof, this article shall apply to every building, lot, tract, or parcel of land within the Town of Grifton and its extraterritorial jurisdiction. Purpose For the purpose of promoting the health, safety, morals and general welfare of the citizenry of the Town of Grifton, this article is adopted by the Board of Commissioners to regulate adult and sexually oriented businesses, as hereby defined, located in the Town of Grifton and its extraterritorial jurisdiction. Further the regulations of this article have been made with reasonable consideration among other things, as to the character of the town and its areas. Abrogation These regulations shall not repeal, impair, abrogate, or interfere with any existing easements, covenants, deed restrictions, setback requirements, rules, definitions, regulations previously adopted pursuant to law in any established zoning district in the Town of Grifton. However, where these regulations impose greater restrictions, the provisions of these regulations shall govern. Definitions Relating to Adult Oriented Businesses Adult Oriented Business. An adult arcade, adult bookstore, or adult video store, adult cabaret, adult motel, adult motion picture theater, adult theater, escort agency, nude model studio, sexual encounter center (including adult massage parlor and adult heath club), sexually oriented device business or any combination of the foregoing or any similar business. As used in this Ordinance the following definitions shall apply: Adult Arcade (also know as “peep show”). -
Ordinance Regulating Adult Establishments Sexually Oriented Businesses
PLANNING & DEVELOPMENT SERVICES ----------------------------------------- ORDINANCE NO. 2 ORDINANCE REGULATING ADULT ESTABLISHMENTS SEXUALLY ORIENTED BUSINESSES WHEREAS, the provisions of this Ordinance are adopted by the Pitt County Board of Commissioners under the authority granted by GS § 153A-(45-50); 153A-121; 153A-(134-135); and 160A-181.1;. and 160D-902. WHEREAS, the Board of Commissioners recognizes that important and substantial governmental inter- ests provide a constitutional basis for reasonable regulation of the time, place and manner under which adult and sexually oriented businesses operate; and WHEREAS, for the purpose of preventing harmful secondary impacts such as neighborhood blight, increases in crime and decreases in property value, this Ordinance is adopted by the Board of Commis- sioners to regulate adult and sexually oriented businesses, as hereby defined, located in the County. From and after the effective date of this Ordinance, this Ordinance shall apply to every building, lot, tract or parcel of land within unincorporated Pitt County, in all municipalities where the Pitt County Sheriff pro- vides law enforcement patrol, and in any incorporated municipality that by Resolution requests enforce- ment of this Ordinance within its jurisdiction; and WHEREAS, the Board of Commissioners has determined that persons seeking to operate sexually ori- ented businesses shall be required to observe specific location requirements before they commence business; and WHEREAS, the regulations contained in this Ordinance shall not repeal, impair, abrogate or interfere with any existing easements, covenants, deed restrictions, setback requirements, rules, definitions, or regula- tions previously adopted pursuant to law in any established zoning district in Pitt County. However, where these regulations impose greater restrictions, the provisions of these regulations shall govern.