Freiberg’s
infarction, or disease, describes the death of bone tissue at the head of the metatarsal (long bone of the foot) because of an
interrupted blood supply to the area. This is medically known as avascular necrosis. While the second metatarsal head is
most often affected, avascular necrosis can affect the third and fourth metatarsals. It most often affects young girls during a growth
spurt, so between the ages of 8 and 15 years. Adults can also be affected by Freiberg’s, though this is unrelated to growth spurts and
growth plates as it often is in kids. To learn more about kids’ foot problems, click
here.
Generally, it is the repetitive stress and microtrauma to the growth plate of the at the end of the second metatarsal that results in a Freiberg’s infarction. The impact can cause the joint to collapse and lose its structural integrity, disrupting the blood supply to the area. Other contributing factors include:
Symptoms of a Freiberg’s infarction can include:
The first step in treatment is to offload the affected metatarsal head at the ball of the foot. This may be done through a cast, a moonboot, or an orthotic depending on the level of off-loading required. This will help to reduce the initial painful symptoms. Following this, long-term management will look at footwear modifications and using orthotics with metatarsal pads and other features to off-load the forefoot. For severe cases that do not respond well to conservative treatment, surgery may be indicated.
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It’s important to not only use an evidence-based treatment plan to help you get the best outcomes for your foot and leg pain, but to help you see the best results in the shortest time. That’s the reason we’ve invested in shockwave.
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Dealing with an ingrown toenail can be a painful and frustrating experience, with many people opting to have ingrown toenail surgery to find lasting relief. But is ingrown toenail surgery painful? And if it is, is it really worth the discomfort? Do You Really Need Ingrown Toenail Surgery? The first thing you must consider when […]
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For many Kiwis, ingrown toenails are a persistent and painful condition that significantly impacts their daily life. While some cases can be managed with conservative measures like trimming back the nail carefully, either at home or with the help of your podiatrist (recommended) there are instances where a more permanent solution is required. The Partial […]
Foot and ankle pain can not only be debilitating, but also affects both our mobility and our overall quality of life.
As we get older, certain tasks get that little bit harder – whether it’s getting your shoes on, opening a jar, or reaching your feet to trim your toenails.
Whether you’re in the office or working remotely, a lot of our workforce spends a significant portion of their day sitting at a desk, often in front of a computer.
Engaging in sports and physical activities can bring joy and numerous health benefits. However, just because you’re staying active, regardless of whether you’re doing it at a professional level or recreationally, does not mean that you’re immune to foot conditions like ingrown toenails. Ingrown toenails can be particularly bothersome when you live an active lifestyle, […]
Snow sports in New Zealand, like skiing and snowboarding, are thrilling. Prepare your body to minimize risk, whether in Queenstown or North Island fields.
Ingrown toenails are a painful and frustrating condition, and while this holds true for everyone, this is particularly applicable to the elderly population. As we grow older, the risk of developing ingrown toenails increases due to various factors such as changes in nail growth, foot structure, and reduced flexibility which leaves us unable to reach […]
Keeping your family on their feet and helping them to walk, run, play and exceed their goals is why we love getting up in the morning.
We're located inside the One Health medical centre at Building 122 Remuera Rd, Remuera, Auckland 1050, New Zealand
| MON - SAT | 8:30am – 6:00pm |
| SUN | Closed |
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