Freiberg's disease

1.Definition

Freiberg's disease, also known as Freiberg infraction or osteochondrosis, is a condition that primarily affects the metatarsal bones in the foot, most commonly the second metatarsal. It involves the death of a small area of bone tissue (osteonecrosis) in the metatarsal head, which is the rounded end of the bone that connects to the toe.

2.Principal causes:

The exact cause of Freiberg's disease is not fully understood, but it is believed to involve repetitive stress or trauma to the affected metatarsal bone, particularly in adolescents during periods of rapid growth. Other factors that may contribute to the development of Freiberg's disease include foot structure abnormalities, such as a short first metatarsal or a long second metatarsal, as well as genetic predisposition.

3. Symptoms:

Symptoms of Freiberg's disease may include:

1. Pain in the ball of the foot, particularly with weight-bearing activities.

2. Swelling and tenderness over the affected metatarsal head.

3. Difficulty walking or bearing weight on the affected foot.

4. Stiffness and limited range of motion in the affected toe.

Diagnosis of Freiberg's disease typically involves a physical examination, imaging studies such as X-rays or MRI scans, and sometimes additional tests to rule out other possible causes of foot pain.

4. Our Treatment in EvivaPHYSIO:

Treatment for Freiberg's disease depends on the severity of symptoms and the extent of bone damage. In mild cases, conservative treatments such as rest, activity modification, wearing supportive footwear, and taking pain relievers may be sufficient to relieve symptoms and promote healing. Physical therapy may also be helpful to strengthen the muscles around the foot and improve flexibility.

In more severe cases or when conservative treatments are not effective, surgical intervention may be necessary to remove damaged bone tissue, realign the affected metatarsal, or restore joint function. The goal of surgery is to relieve pain, improve mobility, and prevent further damage to the joint.

Overall, the prognosis for individuals with Freiberg's disease varies depending on the severity of the condition and the effectiveness of treatment. With appropriate management, many people with Freiberg's disease can experience significant relief from symptoms and maintain good foot function.