Foot and ankle biomechanical assessment is a process used by health care professionals to assess the structure and function of the lower extremity and identify biomechanical problems that may contribute to pain and dysfunction. The purpose is that. Evaluation usually includes a combination of physical examination, gait analysis, and range of motion and muscle strength measurements.
Boutonniere deformity is a condition that affects the fingers, typically the middle and ring fingers, causing a bending deformity at the middle joint (proximal interphalangeal joint or PIP joint) and hyperextension at the end joint (distal interphalangeal joint or DIP joint).
Symptoms of boutonniere deformity include difficulty straightening the finger at the PIP joint, pain and swelling in the affected finger, and a visible deformity in the shape of the finger. If left untreated, the deformity can worsen over time and lead to permanent damage.
Treatment of a boutonniere deformity may involve splinting or casting the affected finger to immobilize the joint and allow the central extensor tendon misalignment to heal. Hand therapy may also be recommended to improve the range of motion and strength of the affected finger. In some cases, surgery may be needed to correct the deformity and restore finger function.
Conservative treatment options include:
Splint or cast: The affected finger can be immobilized with a splint or cast to straighten the PIP joint and correct misalignment in the middle of the extensor tendon.
Hand Therapy: Hand therapy may be recommended to improve the range of motion and strength of the affected finger. Your therapist can also teach you exercises you can do at home to improve finger function.
Medications: Over-the-counter pain relievers such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to treat pain and inflammation.
Injection therapy: Injections of corticosteroids or other drugs can be used to reduce inflammation and pain.