Ligamentous Articular Strain - Tucson Osteopathic Medical ...Ligamentous Articular Strain Author:...
Transcript of Ligamentous Articular Strain - Tucson Osteopathic Medical ...Ligamentous Articular Strain Author:...
Ligamentous Articular Strain
Lower Extremity
By: Conrad A. Speece, D.O.
Plantar Fascia
First muscle layer
Second muscle layer
Third muscle layer
Plantar Fasciitis
• OMT
• Anti-inflammatory
• Ice
• Supportive shoes
“Stacking” the foot
First Metatarsal head
Calcaneous
Talus anterior/posterior
Talus anterior
Talus posterior
Other conditions of the foot
• Bunion
• Bunionette
• Morton’s neuroma
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
Fibula
Interosseous membrane
Ligaments of the knee
Popliteal Fascia
Meninsci
Posterior meniscfemoral ligament
Cruciate ligaments
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
External rotators of the hip
Sciatic nerve
Internal rotators of the hip
The hip joint and ligaments
Inguinal ligament
Psoas and iliacus muscles
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
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