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J.Redford
J.Redford, Doctorado
Categoría: Medicina
Clientes satisfechos: 117
Experiencia:  Doctor en Medicina y Cirugía (Sobresaliente cum laude)
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stage 3 freiberg desease .any specialist known for this pr

Pregunta del cliente:

stage 3 freiberg desease .any specialist known for this problem
Enviada: hace 5 año.
Categoría: Medicina
Experto:  J.Redford escribió hace 5 año.
Hello, welcome to JustAnswer and thank you very much for your question.
I´m orthopaedic surgeon, and i´ll try to help you

This problem is a pain in the fore part of de foot ("anterior metatarsalgia") that involves head of second metatarsal (a bone ). It´s caused by avascular necrosis of the metatarsal head (lack of irrigation) due to repetitive stress with microfractures.
This disease is more common in persons whose 1st metatarsal is shorter than 2nd metatarsal.

The main clinical manifestations are:
- As i told you before, pain in the forefoot, usually localized to head of the second metatarsal;
- wearing of high heeled shoes makes condition worse;
- localized swelling and limitation of motion in joint.
In the 3rd stage (there are 4) metatarsal head becomes irregular, widened, and flattened at articular surface (this is a no-return point)

Talking about treatment, initial management includes proper foot wear with metatarsal bar or pad placed beneath the involved bone, limit activity for four to six weeks. If severe symptoms consider immobilizing foot in short leg walking cast until symptoms subside, usually in 3-4 weeks.
Surgical indications are
- failure of conservative treatment;
- surgery may be warrented to remove metatarsal heads (now is possible without "hard surgery")

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Kind regards XXXXX XXXXX you get better.
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