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STUDY TO SEE THE EFFECT OF PHYSIOLTHERAPY WITH OR WITHOUT METATARSAL PADS IN SECURITY GUARDS HAVING METATARSALGIA

Jeeya Paul, Chaman Lal*, Uswa Khan, Ahtesham-Ul-Haq, Amman Tayyaba,

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Abstract

Background The term metatarsalgia is acquired from a Greek word that describes pain beneath metatarsal heads at the plantar aspect of the foot. The pain under one or more metatarsal heads is designated as metatarsalgia. The forces applied to the forefoot can cause metatarsalgia of different severity. Metatarsalgia is a general term used to describe pain under one or more metatarsal heads. Metatarsalgia describes the location of pain rather than underlying cause and type of pain. It is the most common foot complaints in different people. In most of the patients the pain causes exasperation and irritation. The most common causes such as skin problems beneath the metatarsal heads, disorders of metatarsophalangeal joint, interdigital neuroma, systemic and structural disorders, trauma and sesamoiditis are discussed in metatarsalgia

Study design RCT

Methodology Randomize control trial was used to determine the correlation between plantar pressure parameters and subjective treatment effects among security guards of Multan having metatarsalgiaData was collected from security guards of various sectors of Multan. The study was completed in 24 weeks after approval of synopsis. Non-probability convenient sampling technique was to recruit the individuals for study. The sample size was calculated by using Raosoft calculator

Results The socio-demographic variables of the sample population were analyzed and the following information was obtained. Out of the total sample size of 38 participants, individuals (53.5%) reported experiencing metatarsalgea, a condition characterized by pain in the metatarsal area of the foot. Among those who experienced metatarsalgea, participants (46.5%) reported using pads as a means of managing the pain. In terms of gender distribution, there were no female participants in the sample, while male participants (35%) were included in the study. Regarding marital status, individuals (46%) reported being married, whereas participants (54%) stated that they were not married. The participants were also assessed for straight leg raise (SLR) test results on the right and left sides. For the right side, participants (92.5%) had a positive SLR test, indicating the presence of pain or restriction of movement during the test. On the other hand, participants (7.5%) had a negative SLR test, indicating no pain or restriction of movement during the test. For the left side, participants (88%) had a positive SLR test, while participants (12%) had a negative SLR test. These socio-demographic variables provide an overview of the characteristics of the sample population and can be useful in understanding the distribution and associations of metatarsalgea, gender, marital status, and SLR test results in the study.

Conclusion This study was conducted to determine the physical therapy treatment with metatarsal pad is an effective method to reduce pressure loading under the metatarsal head and relief the symptoms of metatarsalgia