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torn interosseous

Discussion in 'Ask your questions here' started by footyfever, Oct 22, 2009.

  1. footyfever

    footyfever Guest


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    Has anyone ever heard of this muscle getting torn in your foot? and how long will it take to get better? There is some swelling and I can't put pressure on my foot when walking. The space between he big toe and the second is so sore to touch.
     
  2. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    The two soft-tissue structures which cross joints to assist in their movement and mechanical function are ligaments and muscles, or at least their tendons. When ligaments are forced beyond their capacity to stretch, the resulting condition is termed a "sprain" . . the most extreme being a torn or severed ligament. When a muscle (made up of fibril bundles) is stretched beyond its capacity, the resulting condition is termed a "strain" . . . the most extreme being a torn muscle.

    The major movers of the foot are muscles located in the lower leg, with their tendons acting on the foot. The muscles which both arise and insert within the foot itself are relatively small and have mainly helper functions and/or create subtle movements with generally very limited ranges of motion. To tear a muscle generally takes substantial force and generally requires a substantial lever arm which can supply such a force. Therefore, in order to tear a muscle in the foot, substantial trauma would be necessary, perhaps such as might be encountered in an auto accident where the foot might be mangled. The muscles to which you allude by your post's title are rather tiny muscles which arise on each side of the distal portion of the lesser metatarsals and insert into to phalanges allowing for subtle medial and lateral movement of the lesser toes at their metatarso-phalangeal joints. It would be difficult in my opinion to exert sufficient force on them under normal circumstances to cause their tearing, and I don't know how you might have determined that that is the nature of your problem, though it is possible that you either strained the muscle or inflamed its tendon in some radical and forceful motion. In any event, there's probably not much to be done for it other than rest and supportive treatment. But it might be something entirely different from what you think, and a real diagnosis by hands-on examination is in order. See a podiatrist.
     
    Last edited: Oct 22, 2009
  3. footyfever

    footyfever Guest

    Thanks so much Foot Doc,

    I have had xrays and an ultrasound. Another doctor had to come in to view the ultrasound and they both looked a little stunned. I was diagnosed and the results read "The medial attachment of the dorsal interosseous muscle appears illdefined raising the possibility of a partial tear of the muscle insertion, The MTP joints appear normal"

    When I took the results back to my doctor, he seemed very surprised and ended up looking online as I did later that day. He said he'd never seen anyone with a tear in this muscle before, and this is why I thought I'd go on this forum and see whether or not there was more information I could gather.

    I was working on stage and during the last couple of shows I'd noticed my foot was aching. The stage is Raked which means it's on an angle of about 40 degrees. We are wearing no shoes, I am not dancing, however I am walking and running on it. My feet also pronate a little and so I gather I was putting extra force on these muscles.
    It's for an opera as I am an opera singer. There was no particular moment I hurt it , I just think it's wear and tear. I am concerned though and thank you for your insight in all this.
     
    Last edited: Oct 23, 2009
  4. FootDoc

    FootDoc New Member

    DISCLAIMER:
    THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS-ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
    ***********************************************************
    One of the downsides of having advance medical technology tests is that there is a tendency if not a necessity to look for any suggestion of abnormalities to report and often these are inconsequential and irrelevant to the diagnosis of the symptoms being checked out. In THIS case, the most damning thing that can be said is that the ultrasound RAISED THE POSSIBILITY of a partial tear of the muscle's insertion. I'm not saying that that is not your problem, but too often the test, rather than the condition, is treated. Furthermore, unless some definitive treatment can result from such a finding, how is one better off for a test which may have precipitated more questions than answers. Your history seems inconsistent with such an injury. and I have to wonder whether such a diagnosis doesn't make the doctor feel better and more on top of things than the patient. So based on this finding, what is your doctor recommending as treatment other than rest and time?
     
    Last edited: Oct 23, 2009
  5. footyfever

    footyfever Guest

    I agree with you Foot Doc, in fact I went to a physio and they said it's nearly impossible to rip the interosseous muscle (like you said) and that I most probably have a fracture instead. I will get an MRI tomorrow and hopefully THEN I will have some answers. It has been very frustrating as you can imagine. If I do have a fracture I will be quite angry that no one (except the physio) has made this observation.

    I'll let you know.
     
  6. Unregistered

    Unregistered Guest

    Hi,
    I found this thread through a google search and I was just wondering....did it turn out to be a fracture? I have similar symptoms and I wanted to know what ended up happening with you.

    thanks
     
  7. FootDoc

    FootDoc New Member

    When, as you have done here, you are directing a questioner to a previous poster who is the only one who could possibly respond, please take note of the date on which that poster last posted in the thread. In this case, it was 10 months ago, and I would sincerely hope that he/she has not been returning daily or even weekly since that time in hopes that someone might either add to the answer given or ask a question of him/her.
     
  8. Unregistered

    Unregistered Guest

    I have a torn muscle in the arch of my foot and no blunt force trauma to the foot. My dr and the radiologist both said impossible but MRI tells differently.. No solutions except ice and heat and stay off of it. Onto my third opinion next week, but see much hope. Am also having stimulus and infra red sessions.. Not a fun situation and is making my back a mess also.
     
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