Foot Anatomy and Injury Prevention Quiz

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Questions and Answers

What should be done first when caring for a torn blister?

  • Cover the area with a sterile dressing
  • Apply antibiotic ointment
  • Cleanse the blister with soap and water (correct)
  • Drain the fluid from the blister

What is the primary cause of hard corns?

  • Pressure from narrow shoes
  • Excessive foot perspiration
  • Infection of the toenail
  • Improperly fitting shoes (correct)

What should be applied around a torn blister after draining the fluid?

  • Antibiotic ointment (correct)
  • Hydrocortisone cream
  • Vaseline
  • Moisturizing lotion

How often should the dressing on a torn blister be changed?

<p>Daily (A)</p> Signup and view all the answers

Where do soft corns generally appear on the foot?

<p>Between the fourth and fifth toes (C)</p> Signup and view all the answers

What might occur when the underlying tissue of a blister has hardened sufficiently?

<p>You can remove the dead skin by trimming (C)</p> Signup and view all the answers

What is often associated with hard corns on the feet?

<p>Hammertoes (C)</p> Signup and view all the answers

Which of the following statements about corns is true?

<p>Corns can be caused by both shoe fit and perspiration (A)</p> Signup and view all the answers

What does palpation of the bony structures in the foot help to detect?

<p>Deformities or areas of point tenderness (B)</p> Signup and view all the answers

What is a potential outcome of untreated retrocalcaneal bursitis?

<p>Development of a bone callus or exostosis (D)</p> Signup and view all the answers

How can a pump bump be effectively protected?

<p>Using a doughnut pad (D)</p> Signup and view all the answers

Which condition is important to differentiate from retrocalcaneal bursitis?

<p>Sever's disease (D)</p> Signup and view all the answers

What is a common cause of retrocalcaneal bursitis?

<p>Chronic irritation from shoe heel counters (C)</p> Signup and view all the answers

What does checking for symmetry between two shoes indicate?

<p>Potential issues with foot alignment (D)</p> Signup and view all the answers

Which of the following is an indicator of a high arch foot type?

<p>Pes cavus (A)</p> Signup and view all the answers

What is point tenderness?

<p>Pain that occurs upon palpating a specific injury site (D)</p> Signup and view all the answers

What is the primary action of the intrinsic muscles located on the dorsal surface of the foot?

<p>Toe extension and abduction (D)</p> Signup and view all the answers

Which muscle is NOT primarily responsible for toe flexion?

<p>Extensor digitorum longus (A)</p> Signup and view all the answers

Which of the following muscles is involved in toe abduction?

<p>Abductor hallucis (B)</p> Signup and view all the answers

Which function is associated with the tibialis posterior muscle?

<p>Adduction and supination (A)</p> Signup and view all the answers

The flexor digitorum brevis muscle primarily facilitates which of the following movements?

<p>Toe flexion (A)</p> Signup and view all the answers

Which of the following muscles is involved in toe extension?

<p>Extensor hallucis longus (D)</p> Signup and view all the answers

What is the role of the quadratus plantae muscle?

<p>Toe flexion (C)</p> Signup and view all the answers

Which of the following is primarily responsible for toe adduction?

<p>Adductor hallucis (C)</p> Signup and view all the answers

What should be done if a blister appears to be infected?

<p>Seek medical attention (A)</p> Signup and view all the answers

What is the primary benefit of wearing socks with no folds or wrinkles?

<p>Protects sensitive skin (C)</p> Signup and view all the answers

Which approach is preferred for caring for a blister when the risk of aggravation is low?

<p>Covering with a doughnut pad (A)</p> Signup and view all the answers

What is the purpose of using a product like Second Skin by Spenco?

<p>To provide a protective coating on blisters (A)</p> Signup and view all the answers

What kind of injury is often associated with playing on artificial turf?

<p>Great toe injury (D)</p> Signup and view all the answers

What should the athlete do first when caring for a blister?

<p>Cleanse the area (B)</p> Signup and view all the answers

Which method can be used to relieve pressure on a blister?

<p>Applying a felt doughnut pad (A)</p> Signup and view all the answers

What can cause blisters to become infected?

<p>Contamination from cutting or puncturing (A)</p> Signup and view all the answers

What is the purpose of placing a metatarsal bar in the treatment of Morton's neuroma?

<p>To splay the toes apart during weight bearing (D)</p> Signup and view all the answers

Which toe is primarily affected by turf toe?

<p>Great toe (C)</p> Signup and view all the answers

What type of injury does a 'march fracture' refer to?

<p>A fracture of the second metatarsal (A)</p> Signup and view all the answers

What is a common cause of bunions or hallux valgus deformities?

<p>Wearing shoes that are too pointed or narrow (D)</p> Signup and view all the answers

What condition is most commonly associated with the development of calluses and blisters on the foot?

<p>Plantar fasciitis (A)</p> Signup and view all the answers

What treatment approach is recommended for plantar fasciitis?

<p>Combining vigorous stretching with arch support (C)</p> Signup and view all the answers

What could potentially lead to the development of a bunion?

<p>Wearing ill-fitting shoes (D)</p> Signup and view all the answers

What is often a sign of a Morton's neuroma?

<p>Numbness between the toes (D)</p> Signup and view all the answers

What type of exercises are recommended for athletes with second metatarsal stress fractures during recovery?

<p>Non-weight-bearing exercises (D)</p> Signup and view all the answers

Which condition increases the likelihood of metatarsal arch sprains in athletes?

<p>Ligament laxity causing hypermobility (B)</p> Signup and view all the answers

What common sign indicates metatarsalgia in athletes?

<p>Pain or cramping in the metatarsal region (B)</p> Signup and view all the answers

Which of the following factors can contribute to metatarsal arch strain?

<p>Fatigue and poor posture (A)</p> Signup and view all the answers

What physical change might an athlete with hypermobility of the metatarsals exhibit?

<p>Splaying of the metatarsals (B)</p> Signup and view all the answers

What is a common accompaniment to pain in the metatarsal area?

<p>Heavy callus formation (A)</p> Signup and view all the answers

Which statement about metatarsal stress fractures is correct?

<p>Modified rest and specific exercises aid recovery. (D)</p> Signup and view all the answers

What is the significance of point tenderness in the metatarsal region?

<p>It can signify inflammation and weakness in the area. (D)</p> Signup and view all the answers

What condition can progress to a stress fracture if not treated appropriately?

<p>Medial tibial stress syndrome (C)</p> Signup and view all the answers

Which measure is NOT a recommended treatment for medial tibial stress syndrome?

<p>Increased activity levels (D)</p> Signup and view all the answers

What is a common sign of a shin contusion?

<p>Intense pain and swelling (D)</p> Signup and view all the answers

What type of padding is primarily lacking, making the shin vulnerable to contusions?

<p>All of the above (D)</p> Signup and view all the answers

What is one common recommendation to minimize the incidence of shin contusions in soccer?

<p>Using appropriate shin guards (D)</p> Signup and view all the answers

Which following treatment method is advised for the reduction of pain in medial tibial stress syndrome?

<p>Ice massage (A)</p> Signup and view all the answers

What might develop due to a shin contusion, characterized by a jellylike consistency?

<p>Hematoma (B)</p> Signup and view all the answers

Which is a key component of the care management for shin contusions?

<p>Early assessment and imaging (C)</p> Signup and view all the answers

What is the primary sign of a shin contusion?

<p>Intense pain and swelling (B)</p> Signup and view all the answers

Which of the following is a recommended treatment for a shin contusion?

<p>Compressive wrap with ice (D)</p> Signup and view all the answers

What can occur as a serious complication of a shin contusion?

<p>Compartment syndrome (A)</p> Signup and view all the answers

Which category of compartment syndrome is triggered by direct trauma?

<p>Acute compartment syndrome (A)</p> Signup and view all the answers

Which of the following describes the condition of compartment syndrome?

<p>Decreased blood flow and nerve compression (C)</p> Signup and view all the answers

What is a common initial treatment for developing a hematoma due to a shin contusion?

<p>Using ice and elevating the leg (B)</p> Signup and view all the answers

What symptom may indicate the formation of a significant hematoma in a shin contusion?

<p>Bulging with jellylike consistency (B)</p> Signup and view all the answers

Which shin injury can result from chronic exposure to stress or repetitive trauma?

<p>Chronic compartment syndrome (B)</p> Signup and view all the answers

What characterizes acute compartment syndrome?

<p>It occurs due to direct trauma to the area. (B)</p> Signup and view all the answers

What is a key symptom of chronic compartment syndrome?

<p>Pain increases after prolonged activity. (D)</p> Signup and view all the answers

In which scenario is acute exertional compartment syndrome likely to occur?

<p>Without any preceding trauma during activity. (A)</p> Signup and view all the answers

What immediate concern arises after a blow to the shin that leads to increased pain and numbness in the foot?

<p>Potential pressure on nerves and blood vessels. (D)</p> Signup and view all the answers

Which of the following is NOT a characteristic of acute compartment syndrome?

<p>Symptoms can resolve with rest alone. (C)</p> Signup and view all the answers

Which symptoms are most indicative of increased intracompartmental pressure?

<p>Deep aching pain and tightness. (C)</p> Signup and view all the answers

What differentiates acute exertional compartment syndrome from chronic compartment syndrome?

<p>Timing of symptoms in relation to activity. (D)</p> Signup and view all the answers

Which of the following conditions could result in symptoms consistent with compartment syndrome?

<p>Increased pressure due to swelling. (D)</p> Signup and view all the answers

Flashcards

Plantar Intrinsic Muscles

Muscles located on the sole of the foot, responsible for bending the toes downwards.

Dorsal Intrinsic Muscles

Muscles located on the top of the foot, responsible for straightening the toes upwards and spreading them apart.

Toe Adduction

Movement of the toes towards the midline of the foot, bringing them closer together.

Toe Abduction

Movement of the toes away from the midline of the foot, spreading them apart.

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Toe Extension

Movement of the toes upwards, extending them in a straight position.

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Toe Flexion

Movement of the toes downwards, bending them towards the sole.

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Extrinsic Muscles of the Foot

These muscles help to control the movement of the ankle and foot.

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Intrinsic Muscles of the Foot

These muscles are located within the foot and are responsible for fine movements of the toes.

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What is point tenderness?

Pain that arises when the injured area is pressed upon.

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What is Retrocalcaneal Bursitis?

Inflammation of the bursa at the back of the heel, often caused by tight shoes or repetitive pressure.

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What is a 'pump bump'?

A bony growth that can form on the back of the heel due to chronic inflammation of the retrocalcaneal bursa.

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Turf Toe

A foot injury caused by hyperextension of the big toe, often seen in athletes playing on artificial turf.

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What is Palpation?

Examination of the body by touch, especially to feel for abnormalities like tenderness, swelling, or lumps.

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Morton's Neuroma

A painful condition affecting the nerve between the metatarsal bones, causing numbness and tingling.

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What is a Bursa?

A fluid-filled sac that cushions and reduces friction between bones, tendons, and muscles.

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Hallux Valgus (Bunion)

A deformity of the big toe joint, where it angles towards other toes, often caused by tight or pointed shoes.

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Inflamed Bursa

An inflamed bursa over the joint at the base of the big toe, often associated with bunions.

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What is Sever's disease?

A condition in young athletes characterized by chronic inflammation at the Achilles tendon insertion on the heel bone.

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Plantar Fasciitis

Painful inflammation of the tissue on the bottom of the foot, often caused by overuse or high impact activities.

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What is the insertion of a tendon?

The area where a tendon attaches to bone.

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March Fracture

A fracture in the second metatarsal bone of the foot, often caused by repeated stress.

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What is the Calcaneus?

The bony prominence at the back of the heel.

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Metatarsal or Longitudinal Arch Sprain

A condition involving the stretching or tearing of the ligaments supporting the metatarsals or longitudinal arch of the foot.

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Calluses, Blisters, Corns

Thickened skin caused by pressure or friction from shoes, often found on the soles or toes.

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Wrinkle-free socks

Wearing socks without folds or wrinkles can help prevent skin irritation and excessive sweating, especially for athletes with sensitive skin.

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Proper shoe fit

Choosing the right shoe size is important for comfort and preventing injuries. Shoes should be broken in gradually before long periods of use.

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Friction-proofing

A way to protect irritated skin by reducing friction. Friction can lead to blisters.

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Adhesive bandage

A type of bandage used to cover blisters and protect them from further irritation.

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Doughnut pad

A soft ring-shaped pad that helps relieve pressure on a blister.

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Conservative blister care

A common way to care for blisters, involving protecting the blister and keeping it clean to prevent infection.

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Puncturing a blister

A procedure to drain the fluid from a blister, typically performed by athletic trainers or physicians. This may be necessary to allow an athlete to continue playing.

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Metatarsal Arch Strain

A common foot injury where the ligaments supporting the metatarsal arch are stretched or torn, leading to pain and instability.

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Metatarsal Hypermobility

A condition where the metatarsals in the foot are unusually flexible and can spread apart, leading to a flattened arch.

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Metatarsalgia

A general term for pain or cramping in the ball of the foot.

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Callus

A thick, hardened skin that often develops over a bony prominence, often due to repeated pressure or friction.

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Pool Running

A type of exercise where you run in a swimming pool, allowing for resistance without putting weight on your joints.

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Upper-body Ergometer

An exercise machine that allows you to maintain cardiovascular fitness by pedaling with your arms.

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Modified Rest

A period of reduced activity used to allow an injury to heal.

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Progressive Return to Activity

A gradual return to physical activity after an injury, progressing from basic movements to more demanding exercises.

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Hard Corn

A buildup of dead skin caused by the pressure of improperly fitted shoes, primarily found on the top of toes and often associated with deformed toes.

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Soft Corn

A soft, painful callus located between the toes, typically occurring due to excessive foot perspiration and narrow shoes.

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Hammertoe

A condition where a toe bends abnormally at the middle joint, causing pressure points on the top of the toe, which can lead to hard corns.

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Blister

A raised, fluid-filled pocket on the skin, usually caused by friction or pressure.

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Blister Cleaning

Cleaning a blister involves gently washing the area with soap and water, followed by rinsing with antiseptic. If the blister is broken, drainage with a sterile gauze pad is crucial.

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Blister Protection

Applying antibiotic ointment under and around the loose skin of a blister protects the area from infection. Covering with a sterile dressing assists in keeping the area clean and protected.

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Dead Skin Removal

Removing dead skin from a blister is done by trimming it closely to the perimeter, typically within 2-3 days or when the underlying tissue has hardened.

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Shin Contusion

A shin contusion occurs when a strong impact hits the shin bone, causing pain, swelling, and a visible hematoma (bruise).

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Compartment Syndrome

A compartment syndrome is a serious condition where increased pressure within the muscles of the lower leg restricts blood flow and damages nerves.

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Acute Compartment Syndrome

Acute compartment syndrome occurs suddenly due to a traumatic injury to the leg, like a severe kick.

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Acute Exertional Compartment Syndrome

Acute exertional compartment syndrome happens during intense physical activity, caused by the muscles swelling and increasing pressure within the leg.

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Chronic Compartment Syndrome

Chronic compartment syndrome develops gradually over time, often caused by repetitive or overuse injuries.

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Hematoma

A hematoma is a collection of blood that pools under the skin, forming a bruise.

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Aspirating a Hematoma

Aspirating a hematoma involves drawing fluid from the bruise using a needle.

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Protective Doughnut Pad

A protective doughnut pad is worn to cushion and protect the injured area from further impact or pressure.

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Signs of Compartment Syndrome

The athlete feels deep, aching pain, tightness, and swelling in the affected area. It's painful to stretch the involved muscles.

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Intracompartmental Pressure Measurements

A way to measure the severity of compartment syndrome. Measures the pressure inside a body compartment.

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Reduced Circulation and Sensory Changes

A reduction of blood flow and nerve function that can occur with compartment syndrome.

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Symptoms of Compartment Syndrome

Characterized by pain, tightness, and swelling in the involved area. The athlete may experience pain with passive stretching and reduced circulation.

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What is Medial Tibial Stress Syndrome?

Medial tibial stress syndrome is a condition that causes pain in the shin bone, typically caused by overuse or repetitive stress. It involves inflammation of the muscles, tendons, and bone tissues in the shin. If not treated appropriately, it can develop into a stress fracture.

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What is a Stress Fracture?

A stress fracture is a tiny crack in a bone, often caused by overuse or repetitive stress. It's a more serious condition than medial tibial stress syndrome and requires rest and sometimes immobilization.

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What is a Shin Contusion?

Shin contusions are a common injury caused by a direct blow or impact to the shinbone. Because the shinbone is close to the surface and lacks significant muscle or fat padding, it's highly susceptible to injury.

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How can Shin Contusions be prevented?

Wearing shin guards, especially in sports like soccer, can significantly reduce the risk of shin contusions. Shin guards provide a layer of protection against impacts.

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What are the symptoms of a Shin Contusion?

Signs of a shin contusion include intense pain, swelling, and increased warmth in the area. A bulging hematoma, which is a collection of blood, may develop rapidly and can sometimes grow to the size of a golf ball.

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What is the initial treatment for a Shin Contusion?

Immediately after a shin contusion, it's important to rest the injured area and apply ice to reduce swelling and inflammation. Compression, such as a bandage, can also help, and elevation of the leg can further aid in reducing swelling.

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What is the periosteum?

The periosteum is a thin membrane that covers the outer surface of bones. It contains blood vessels and nerves that nourish and protect the bone.

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How does a shin contusion affect the periosteum?

In shin contusions, the impact is directly received by the periosteum, leading to pain and inflammation. This is because the force isn't dissipated by muscles or fat.

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Study Notes

Objectives

  • Students will be able to describe the anatomy of the foot.
  • Students will be able to explain the injury assessment process for the foot.
  • Steps to minimize foot injuries will be formulated.
  • The causes of common foot injuries in athletes will be identified.
  • Appropriate care for foot injuries will be described.

Foot Anatomy

  • The human foot is a complex structure.
  • It has 26 bones, including 7 tarsal bones, 5 metatarsal bones, and 14 phalangeal bones.
  • These bones are held together by ligaments and fascia, and moved by muscles.
  • Notable tarsal bones include the talus and calcaneus. Other tarsal bones form the instep of the foot.
  • The foot has four main arches: medial longitudinal, lateral longitudinal, metatarsal, and transverse.
  • These arches help absorb shock and support the body.
  • The ankle joint (talocrural joint) connects the foot to the lower leg, allowing plantarflexion and dorsiflexion.
  • The subtalar joint connects the talus and calcaneus, allowing inversion and eversion.
  • Ligaments like the deltoid ligament support the medial side, while lateral ligaments (anterior talofibular, posterior talofibular, and calcaneofibular) stabilize the lateral side.

Prevention of Foot Injuries

  • Understanding foot structure, mechanics, footwear, surfaces, and activities is key to prevention.
  • Athletes with muscle or tendon issues need attention to prevent injuries.
  • Orthotics and customized shoe inserts can improve biomechanics and reduce injuries.
  • Proper exercise strengthens and stretches foot muscles and tendons, to improve injury prevention.
  • Proper foot hygiene (including washing & drying) and appropriate footwear help prevent many skin problems.
  • Athletes needing protection from heel bruises or other foot traumas should wear correctly fitted padded footwear, including heel cups.

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