resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Raditation & Your Smartphone: Is it Worth the Risk?
If radial arteries could talk (and in my experience they can to some extent), they would say, "Step away from the smartphone." At least that is the message I am receiving loud and clear as I feel the pulses of many patients.
The Visual Error Scoring System: A Concussion Tool
Postural stability and oculomotor function are the most easily recognized physical indicators of neurologic motor dysfunction associated with concussions.
Women's Hormones: A Western & Eastern Perspective
Sometimes it may seem that you require a degree in medicine to understand hormones and how they function.
Eczema & Acupuncture: A Sound Solution (Part 1)
Eczema affects approximately 3.5 percent of the global population and is one of the most common skin complaints seen by dermatologists.
Is the New Medicare Reporting Exemption Right for You?
What you've heard is not a rumor – there will be exemptions for providers of Medicare patients, with no penalties assessed for offices that do not do Quality Payment Program (EHR, PQRS, MACRA and MIPS) reporting.
An Unexpected Diagnosis: The Result of Lacking Communication
A couple years ago I had a case that showed me the importance of open communication between health practitioners. We need to show up with less fear, and let go of our judgments so we can do better for the patient.
Creating Good Business Buzz
What do patients really think about working with you? Rarely do you hear the whole truth. Those who improve may be candid in their gratitude.
Why I Quit Doing House Calls
My father was a chiropractor who did house calls, so when I became a DC, I figured doing house calls was part of the job. My March article recalled my experience as a small boy, accompanying my dad while he went to patients' homes to treat them.
A Major Role in Back Pain: The Multifidus
Back pain affects roughly 80 percent of the population at one time or another and is one of the leading causes of doctor visits.
A Daily Strategy for Heavy-Metal Detox
In modern society, we are constantly exposed to heavy metals such as cadmium, lead and mercury. These heavy metals have no essential biochemical roles in our body, and conversely, can cause us a great deal of harm if they build up to toxic levels.
Universal Design: Principles & Practice
In many respects, universal design serves as the core of ergonomics. It's also a good tool to use when designing a return-to-work program for injured and/or ill patients. Let's take a closer look at universal design and why it should matter to you and your patients.
Balancing Spring Challenges
As the winter months come to a close and warmer spring weather appears, patients may begin to present with new challenging pattern presentations.
New Relationships, Old Trauma: AOM & Other Healing Strategies
Being in love is one the most beautiful and enjoyable experiences. Most of us are willing to pay almost any price to have that experience, and still often find it elusive or fleeting. Navigating the ups and downs of loving relationships are often challenging — even for the most psychologically balanced among us.
Bill With Confidence: Learn What to Collect
Q: I am trying to understand what I may collect from my patient when there is insurance. Do I have to accept the amount allowed by the plan or may I collect up to my billed amount? Please note, I am not a member of any insurance plan.
Clearing Blocks: A Way to Improve Cosmetic Acupuncture
As a Five Element acupuncturist who teaches facial acupuncture classes nationally, I was surprised to learn that one of the basic principles I was taught in school is unfamiliar to most acupuncturists.
Taking the Chiropractic Message to the Press
"There is no better place on earth to have a news event," the National Press Club boasts, and it's easy to understand why: Every year, the 108-year-old Washington, D.C.-based organization hosts countless press conferences on the hottest topics impacting America and often the world.
Is It Time to Rethink Mental Illness? (Pt. 1)
Invariably, patients will ask their chiropractor about depression or various mental illnesses. Some practitioners will reflexively offer a cervical adjustment, suggest St. John's wort or contemplate a referral to a specialist.
An Integrated Approach to Chronic Pain
Findings from a unique Medicaid pilot project in Rhode Island involving high-use Medicaid recipients from two health plans were recently presented to the state's Department of Health, demonstrating stellar outcomes with regard to medication use, ER visits, health care costs and patient satisfaction.
Give Yourself the Digital Advantage
When you see this article in the print version of this issue and swear you read it already, don't be alarmed: you probably did. That's because by that time, the May issue will have been available online in digital format for three weeks.
June, 2006, Vol. 06, Issue 06
Eversion of the Foot
By Ben Benjamin, PhD
Question: What are the primary muscles that control eversion of the foot?
Answer: Peroneus longus and Peroneus brevis.
These muscles are located on the lateral aspect of the lower leg (Figure 1).The peroneus longus is a superficial muscle that originates at the head and upper two-thirds of the lateral surface of the fibula, as well as the adjacent intermuscular septa. Lying underneath the longus, the peroneus brevis is a shorter, smaller muscle originating from the lower two-thirds of the lateral surface of the fibula. The tendons of these two muscles run together behind the lateral malleolus. They are held in place by the superior peroneal retinaculum, a fibrous band anchored to the lateral malleolus and the calcaneus. If you evert your foot, you can feel the tendons pop out as they pass behind the ankle bone. They feel like one at this juncture because the longus is cradled into the brevis so they travel together as one unit. After this point, they go their separate ways. While the brevis inserts at the base of the fifth metatarsal bone, the longus extends obliquely through the foot to insert at the base of the first metatarsal bone and the first cuneiform bone.
When the foot is in dorsiflexion, the peroneus brevis is the prime mover in eversion; in plantar flexion, the longus plays the larger role. In addition to controlling eversion, these two muscles also perform other important functions. They contribute to plantar flexion of the foot, and they work together to provide lateral stability - keeping us from falling over on the lateral side of the foot and spraining the ankle. Working in conjunction with the posterior tibialis, which helps stabilize the medial side of the foot, they help us maintain our balance as we walk, stand, dance and run.
Question: What orthopedic assessment test is used to determine whether these muscles have been injured?
Answer: Resisted eversion.
To perform this test, place one hand on the medial aspect of the calcaneus and the other hand on the lateral aspect of the forefoot. Ask the person to resist your pressure as you push the forefoot medially. Note that in dorsiflexion, resisted eversion tests the peroneus brevis (Figure 2), and in plantar flexion, it tests the longus (Figure 3).
Click here for more information about Ben Benjamin, PhD.
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