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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We explain the differences between walking and running shoes and how to determine which one is best for your feet. When it comes to buying a new pair of shoes, most people walk into a store expecting to just “find something comfy.” Then, suddenly, you’re asked: Are you looking for
walking shoes or running shoes? And that’s where the confusion begins. Because for many people, the answer isn’t that simple.
You could walk a lot – to work, around the block, chasing after the kids, or while catching up with friends. You could have also just joined
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shoe do you pick?
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Otherwise known as radial pressure wave therapy, shockwave therapy is a device held by our podiatrists and positioned against your foot or leg at the site of your injury.
We can transform the appearance of toenails to look healthy and clear in three ways, and as fast as in one appointment. Here's how.
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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.
Heel pain is our specialty here at Perform Podiatry. We now have Low-Level Laser Therapy (LLLT) and Shockwave Therapy to
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We treat a lot of ingrown toenails here at the Auckland Ingrown Toenail Clinic. So, with approximately 10% or more of the adult population harbouring a fungal nail infection, it’s not uncommon that we see many ingrown toenails where a stubborn nail fungus has also infiltrated the nail. So how can you tell, what can […]
Shockwave therapy is a gold standard treatment used to help achieve the best clinical outcomes for musculoskeletal injuries and pain – and we’re very proud to now offer it to our patients here at Perform Podiatry.
While many of the cases we see here at the Auckland Ingrown Toenail Clinic are fairly standard, there are a few that vary greatly from the ‘norm’, and could have resulted devastating consequences if they had been left untreated under the hopes that the ingrown nail would “go away on its own”, something many people […]
They may be small, but verrucas, also known as plantar (foot) warts, are much more than just a minor annoyance. They can be painful to walk on and extremely persistent, making your day to day life a lot less pleasant or comfortable. As one of Auckland’s leading podiatry clinics that specialise in ingrown toenails, we […]
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.
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122 Remuera Rd, Remuera
Auckland 1050, New Zealand
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