P5140119

Begin by placing an optionaJ layer of protection for the arch area by appiying a prewrap or under-wrap.

Application of to much tension may cause cram« ing or numbness.    P"

Completed combination taping using Kinesio

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Begin a senes of 1 to 1 1/2 inch nonelastic athletic tape on the medial aspect of the arch. The series of strips should begin at approximately the base of the metacarpal phaJangeal joint of the first metatarsal Place a slight tension on the tape as you cross over the plantar surface of the metatarsal arch region | should produce a slight crinkling of the skin on the plantar aspect when applied correctly. Apply | _tot , of 3 to 4 strips depending upon the size of the patient.

Interdigital (Morton's) Neuroma

Morton's neuroma is an enlargement of the myclin sheath which surrounds an inter-digital nerve located between the heads of the metatarsals. The myelin sheath becomes enlarged and entraps the nerve causing intermittent numbness. The most common location for this condition is the 3rd interdigital nerve, which is located between the third and fourth toes.

Treatment usually consists of widening the space between the metatarsal heads thus rcducing ptessure on the interdigital nerve. This can be done by having the patient wear loose fitting shoes, eleyating the metatarsal heads directly under the neuroma, and reduction of inflammation.

The Kinesio technique assists in reduction of inflammation or edema.

Photo on left: Optional, application of modified plantar fascia strip with possible smaller fan strips in the area of the neuroma. For complete description see plantar fasciitis.

Photo on right: Kinesio I strip is cut with a button hole technique. The Kinesio Tex is cut with two or three diamond shaped holes in the middle of the Kinesio strip, large enough to allow for a toe to fit within the space. For complete description of button hole technique see carpal tunnel syndrome.

Apply the Kinesio I strip with 25-50% of available tension on the dorsal surface of the foot while the foot is in toe flexion. This provides for the skin stretch required to create convolutions.

Have the patient movę their toes into extension and apply the remainder of the Kinesio strip onto the plantar surface of the foot, with 25-50% of availabie tension.

An optional anchor may be placed to hołd the button hole strip in place.