Skin pain: Who might be more at risk

An important global health problem turns out to be the , since it affects 20% of adults. The person who appears specifically at the foot of the foot is estimated to be suffering 13-36% of the general population, having an impact on patient mobility and quality of life. Finding risk factors could protect part of them and certainly those in whom pain is the result of modified factors. A recent study published in the BMC Musculoskeletal Disorders showed that prognostic factors in the adult population include gender, age, prehism existence (a way in which the foot, when walking, turns to the interior when it comes into contact with the soil), body mass index, personal perception of the level of health and mobility of each. Half of them could be eliminated, with appropriate lifestyle adjustments, such as maintaining a healthy weight and regular exercise. “The legs, from the ankle to the fingers, are the most neglected part of the body, while its movement to perform even the most insignificant tasks depends on them. Pain in them can cause motor disability, affect balance, and increase the risk of falling. Research has proven that his chances of appearance are increasing with age. People with high Body Mass Index and women are more prone, as are those with anatomical malformations. There are reports that the volume of the foot is also responsible, which increases when it is at rest, to long standing and during exercise. In addition to the above risk factors there are anatomical reasons that lead to the condition, such as flat feet and the intense arch of the foot. The poor choice of shoes has also been framed,” explains Osteon Ortho & Spine Clinic’s orthopedics. According to the recent study, female gender is a predictive factor in developing pain in the substragal region. A possible explanation could be the structural differences between the sexes, as women most frequently present pathologies in different anatomical areas. Another possible reason why in the studies it seems that women are more likely to suffer from foot pain is because they are most often addressed to doctors when they have symptoms and seek treatment. It also appeared from its results that hyperprinism (when the heel turns outward), as did hypotension (when the heel turns inward) can become reasons for developing pain in it, because they change the distribution of powers to the extreme foot. This pain may extend to other joints above the ankle. The study confirmed that the Body Mass Index is indeed an important risk factor for various pathologies that cause pain in the heel, including pneumatic denervitis. “This is the most frequent cause of heel pain that requires medical attention. In the United States, about two million people show symptoms annually, due to excessive and repeated charge of pelmatian peritoney, a fibrous coherent tissue film that connects it to the heads of five metatars. Characteristic of the condition is that pain occurs after rest and initially only for the first steps – then retreats. Also, the patient is more likely to experience him after exercise rather than during exercise. If the pneumatic febrile is not treated, it can become chronic and reduce the level of activity, but also cause symptoms on the knees, hips, still in the spine, because pain changes the way of walking”, explains Orthopedic Dr. Vassilis Sakellari. Initially, the pneumatic febrile is treated conservatively. Treatment begins with ice therapy, stretching, muscle strengthening of the foot. It’s likely to continue with splints, shock wave therapy, and insurgency. In particular, the application of ice offers a remission of inflammation, while the stretches of Achilles tendon and pellat peritoney help to reduce pain until inflammation is resolved, and to prevent recurrence. Non-steroidal anti-inflammatory drugs are prescribed if necessary. A special taping is also helpful in a way that holds the foot in a specific position. Nine out of ten patients experience significant improvement after two months of treatment. In those who do not disappear the symptoms there is the choice of injection and the placement of splints at bedtime or during the day for a few weeks, in order for the foot to remain in dilation. Although these measures do not find relief, surgery is recommended to patients, during which the pain-caused part of the plematic peritonia is released or removed. Given the direct relationship of the shoes with the pneumatic denerositis, the choice of shoes with proper application is recommended. “This particular study failed to include inappropriate footwear in risk factors, but it is confirmed that the right shoes protect the foot, providing fetal support and allowing for redistribution of foot pressure, eventually reducing the occurrence of pathologies and pain in it. It is found that the majority of patients wear shoes that do not meet the specifications for the minimum or maximum height of heel, are not anatomical, are not the right size or have very thin soles. In the worst position are women who prefer high heels shoes. Wearing them on a regular basis, the length between heel and metatarsian heads decreases, the arch grows, most weight is transferred to the fingers and the range of contact of the middle part of the tread with a fixed straight surface decreases. All of this eventually leads to stomatic febrile and pain. To avoid it, therefore, shoes should be selected that the height of the heel is between 2-3 cm, which are quite wide (not only around the heel but from the whole tread), with wide anatomical sole, which do not have internal seams and allow for adjustment with cords or velcro, which provide adequate support and counter-refective protection”, concludes Orthopedic Mr.