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Essentials of Athletic Training Cover Image
Essentials of Athletic Training, 5/e
Daniel Arnheim
William Prentice, University of North Carolina

The Foot

Chapter Overview

  • The human foot must function both to absorb forces and to provide a stable base of support during walking, running, and jumping.
  • The twenty-six bones in the foot are held together by an intricate network of ligaments and fascia and are moved by a complicated group of muscles.
  • Foot injuries may be prevented by selecting appropriate footwear and using various orthotic devices inserted into the shoe to protect the foot from abnormal forces, stresses, and strains.
  • A pump bump develops from chronic retrocalcaneal bursitis on the back of the heel.
  • Plantar fasciitis is pain in the anterior medial heel, usually at the attachment of the plantar fascia to the calcaneus. Orthotics in combination with stretching exercises can significantly reduce pain.
  • A Jones fracture is a fracture of the neck of the fifth metatarsal that often results in delayed healing.
  • The most common stress fracture in the foot involves the second metatarsal (march fracture).
  • Metatarsal and longitudinal arch sprains are best treated by inserting appropriate support pads into the shoes.
  • A bunion is a deformity of the head of the first metatarsal in which the large toe assumes a hallux valgus position.
  • To treat a Morton's neuroma, a metatarsal bar is placed just proximal to the metatarsal heads or a teardrop-shaped pad is placed between the heads of the third and fourth metatarsals in an attempt to have these toes splay apart with weight bearing.
  • Turf toe is a hyperextension injury resulting in a sprain of the great toe.
  • The foot within the shoe can sustain forces that produce calluses, blisters, corns, or ingrown toenails.