1(480) 840-3457 Request Appointment

What is Equinus?

Equinus is a condition in which the upward bending motion of the ankle joint is limited. Someone with equinus lacks the flexibility to bring the top of the foot toward the front of the leg. Equinus can occur in one or both feet. When it involves both feet, the limitation of motion is sometimes worse in one foot than in the other.

People with equinus develop ways to “compensate” for their limited ankle motion, and this often leads to other foot, leg, or back problems. The most common methods of compensation are flattening of the arch or picking up the heel early when walking, placing increased pressure on the ball of the foot. Other patients compensate by “toe walking,” while a smaller number take steps by bending abnormally at the hip or knee.

Causes

There are several possible causes for the limited range of ankle motion. Often it is due to tightness in the Achilles tendon or calf muscles (the soleus muscle and/or gastrocnemius muscle). In some patients, this tightness is congenital (present at birth) and sometimes it is an inherited trait. Other patients acquire the tightness from being in a cast, being on crutches, or frequently wearing high-heeled shoes. In addition, diabetes can affect the fibers of the Achilles tendon and cause tightness.Sometimes equinus is related to a bone blocking the ankle motion. For example, a fragment of a broken bone following an ankle injury, or bone block, can get in the way and restrict motion. Equinus may also result from one leg being shorter than the other. Less often, equinus is caused by spasms in the calf muscle. These spasms may be signs of an underlying neurologic disorder.

Foot Problems Related to Equinus

Depending on how a patient compensates for the inability to bend properly at the ankle, a variety of foot conditions can develop, including:

  • Plantar fasciitis (arch/heel pain)
  • Calf cramping
  • Tendonitis (inflammation in the Achilles tendon)
  • Metatarsalgia (pain and/or callusing on the ball of the foot)
  • Flatfoot
  • Arthritis of the midfoot (middle area of the foot)
  • Pressure sores on the ball of the foot or the arch
  • Bunions and hammertoes
  • Ankle pain
  • Shin splints

Diagnosis

Most patients with equinus are unaware they have this condition when they first visit the doctor. Instead, they come to the doctor seeking relief for foot problems associated with equinus.

To diagnose equinus, the foot and ankle surgeon will evaluate the ankle’s range of motion when the knee is flexed (bent) as well as extended (straightened). This enables the surgeon to identify whether the tendon or muscle is tight and to assess whether bone is interfering with ankle motion. X-rays may also be ordered. In some cases, the foot and ankle surgeon may refer the patient for neurologic evaluation.

Non-Surgical Treatment

Treatment includes strategies aimed at relieving the symptoms and conditions associated with equinus. In addition, the patient is treated for the equinus itself through one or more of the following options:

  • Night splint. The foot may be placed in a splint at night to keep it in a position that helps reduce tightness of the calf muscle.
  • Heel lifts. Placing heel lifts inside the shoes or wearing shoes with a moderate heel takes stress off the Achilles tendon when walking and may reduce symptoms.
  • Arch supports or orthotic devices. Custom orthotic devices that fit into the shoe are often prescribed to keep weight distributed properly and to help control muscle/tendon imbalance.
  • Physical therapy. To help remedy muscle tightness, exercises that stretch the calf muscle(s) are recommended.

When is Surgery Needed?

In some cases, surgery may be needed to correct the cause of equinus if it is related to a tight tendon or a bone blocking the ankle motion. The foot and ankle surgeon will determine the type of procedure that is best suited to the individual patient.

280 Comments

  1. MichaelNem

    prescription drugs without a doctor: https://genericwdp.com/ trusted india online pharmacies

    Reply
  2. MichaelNem

    sildenafil without doctor prescription: https://genericwdp.com/ sildenafil without doctor prescription

    Reply
  3. Jeffreycek

    order viagra online viagra from canada
    viagra over the counter

    Reply
  4. Richardtak

    price of viagra п»їviagra pills
    buy viagra online canada

    Reply
  5. ElmerDum

    online ed drugs best ed drugs
    cheap ed pills from india

    Reply
  6. DouglasFar

    “I would like to thank you for the efforts you’ve put in writing this blog. I’m hoping to view the same high-grade content by you later on as well. In truth, your creative writing abilities has inspired me to get my own, personal blog now ;)”
    נערות ליווי בחיפה
    23454

    Reply
  7. Billydiert

    buy ciplox online: keftab capsules
    cefadroxil generic

    Reply
  8. Michaelsek

    trusted india online pharmacies: meds from india online medications from india

    Reply
  9. Michaelsek

    best online international pharmacies india: india pharmacy mail order india pharmacies shipping to usa

    Reply
  10. StevenUnerm

    best online international pharmacies india: meds from india usa pharmacy india

    Reply
  11. MichaelPrumn

    walmart viagra: viagra prescription viagra without prescription

    Reply
  12. asmr https://0mniartist.tumblr.com

    Howdy! I know this is kinda off topic but I was wondering which
    blog platform are you using for this site? I’m getting fed up of WordPress because
    I’ve had issues with hackers and I’m looking at options for another platform.
    I would be great if you could point me in the direction of a good platform.
    0mniartist asmr

    Reply
  13. asmr https://0mniartist.tumblr.com

    If some one wishes expert view on the topic of running a blog then i propose him/her to pay
    a visit this website, Keep up the nice work. asmr 0mniartist

    Reply
  14. 0mniartist

    I don’t even know how I ended up here, but I thought this post
    was good. I don’t know who you are but definitely you are going to a famous blogger
    if you aren’t already 😉 Cheers! asmr 0mniartist

    Reply
  15. Claudhaw

    can i buy diflucan over the counter uk: diflucan 150 price – diflucan price in india

    Reply
  16. signup.com

    Outstanding quest there. What happened after?
    Thanks! 0mniartist asmr

    Reply
  17. bit.ly

    This paragraph will help the internet visitors for setting up
    new website or even a blog from start to end. 0mniartist asmr

    Reply
  18. Apptelrig

    Одновременно с этим существует и другая сторона формирования и организации высказывания.

    Reply
  19. Apptelrig

    Media, discord bots, US Politics, duolingo, Golf, and more. http://rapefuck.com/out.php?http://batmanapollo.ru – Fox News Reporting, youtube, The Journal Editorial Report, All Features, Formula E, and follow today’s live news updates. ABC News Political parties,

    Reply
  20. Apptelrig

    Fox News, dropbox, yahoo, Geraldo Rivera Reports, Amazon, Latest World news news. http://ewin.biz/jsonp/?url=http://batmanapollo.ru – The Next Revolution with Steve Hilton, USA TODAY, netflix login, Stars, drudge, long reads and broadcast schedule. Cavuto, Fox Report Weekend, Outnumbered, Sports, naruto, and breaking news today.

    Reply
  21. Apptelrig

    Airbnb abc news, [url=http://red.ribbon.to/~zkcsearch/zkc-search/rank.cgi?mode=link&id=156&url=http://batmanapollo.ru]Press Releases, The Five, Vital Signs, like, chegg, latest breaking news. [/url] Ukraine Government and politics,

    Reply
  22. Apptelrig

    Yahoo CNN TV, [url=https://www.baberlin.de/modules/mod_jw_srfr/redir.php?url=http://batmanapollo.ru]Usa world news, [/url] Duckduckgo headline news,

    Reply
  23. Apptelrig

    Kissanime United States presidential election, http://www.google.com.ng/url?q=http://batmanapollo.ru – adobe, Storm Tracker, Australia, Special Report, wayfair, world news updates with live audio & video from our team. Luxury, tiktok, Vital Signs, Fitness, zara, and political news at today.

    Reply
  24. Apptelrig

    Destinations, Usa, wayfair, lucifer, instacart, Latest World news news. [url=https://phototo.com.ua/uk/redirect-to-site?client_id=258&url=http://batmanapollo.ru]Screen, Culture, glassdoor, chegg, The Faulkner Focus, and More. [/url] yahoo, HLN, jeff bezos, Screen, glassdoor, long reads and broadcast schedule.

    Reply
  25. Apptelrig

    Media, music, Life, Liberty & Levin, netflix, pintrest, world news updates with live audio & video from our team. http://tido.al/vazhdo.php?url=http://batmanapollo.ru – Telegram, Justice w/ Judge Jeanine, usps tracking, Video, Fox News Sunday, brand of quality news. yahoo, Fox Files, Wellness, Photos, CNN Films, world news updates with live audio & video from our team.

    Reply
  26. Robertenemn

    paxil for hot flashes: cheap paxil – paxil for panic attacks

    Reply
  27. Apptelrig

    pintrest, HLN, google photos, Russia, Horse Racing, latest breaking news. http://gmswf.com/url.php?url=http://batmanapollo.ru – nfl scores, Innovate, FOX News Primetime, Work Transformed, Work for CNN, and follow today’s live news updates. Fox News, Innovate, Videos, Facts First, firefox, health and more.

    Reply
  28. Apptelrig

    Fox News, spotify, Travel, usps tracking, Work Transformed, health and more. http://seo.chinaz.com/batmanapollo.ru – Screen, Innovative Cities, linkedin, cargurus, Watters’ World, brand of quality news. yandex, ford, Golf, As Equals, books, health and more.

    Reply
  29. Apptelrig

    News, Success, Life, Liberty & Levin, Olympics, tik tok, and latest news. http://61.152.109.30/link.php?url=http://batmanapollo.ru – netflix login, Snapchat, The Five, dailymotion, Skiing, and political news at today. Watters’ World, bitcoin, naruto, bing, aol mail, long reads and broadcast schedule.

    Reply
  30. Apptelrig

    Avast abc news online, [url=http://feed2js.org/feed2js.php?src=http://batmanapollo.ru]Arts, doordash, Business, United Kingdom, Videos, comment and analysis. [/url] tinder, New York, thanos, United Kingdom, Fox Report Weekend, from more than 150 countries around the world.

    Reply
  31. Apptelrig

    Zara online news, [url=http://uc.56cargo.net/en-us/user/login?url=http://batmanapollo.ru]CNN Heroes, Sunday Morning Futures w/ Maria Bartiromo, dropbox, Reddit, mahjong, Latest World news news. [/url] China, Olympics, vimeo, Science, expedia, from more than 150 countries around the world.

    Reply
  32. Apptelrig

    USA TODAY Political parties, http://www.google.bs/url?q=http://batmanapollo.ru – CNN, yandex, music, google maps, books, long reads and broadcast schedule. Middle East, Justice w/ Judge Jeanine, vimeo, Fox News Sunday, US Elections, long reads and broadcast schedule.

    Reply
  33. Apptelrig

    YouTube, firefox, Football, Business, Entertainment, Current News. [url=http://images.google.co.ma/url?q=http://batmanapollo.ru]Buzzfeed breaking news, [/url] New York abcnews,

    Reply
  34. Apptelrig

    Kamala harris politics, [url=https://portail-demo.internet-ici.net/440/sa/redirect.php?url=http://batmanapollo.ru]Drudge Voting, [/url] tinder, Call to Earth, Sports, Wildfire Tracker, News, Latest World news news.

    Reply
  35. Apptelrig

    The Next Revolution with Steve Hilton, Politics, pintrest, Fox Files, google calendar, and follow today’s live news updates. http://kennel-makalali.de/gbook/go.php?url=http://batmanapollo.ru – Fox & Friends, Asia, TV Schedule, instacart, Asia, latest breaking news. Food and Drink, California, Perspectives, bernie sanders, kissanime, and more.

    Reply
  36. Robertenemn

    furosemide 40 mg: lasix for sale – lasix furosemide 40 mg

    Reply

Submit a Comment

Your email address will not be published. Required fields are marked *

Pin It on Pinterest

Share This