Ligaments connect bone to bone. Tendons connect muscle to bone. Ehlers-Danlos syndrome affects the body's connective tissues. Find out what causes this condition and and how it's treated. We look at seven of the best capsaicin products you can buy online, in the store, or with a prescription. Here's everything you need to know about cortisone shots, including how they work, how much they cost, and what conditions they're meant to treat. Learn about the potential causes of sudden pain without an injury, as well as treatments and when to see a doctor.
Health Conditions Discover Plan Connect. What Is Ligamentous Laxity? Medically reviewed by William Morrison, M. What are the symptoms? What causes it? Are there any risk factors? How is it diagnosed? How is it treated? We need both mobility and stability at each joint for proper movement and activity. Figure 2: A standing child shows a pronated left hind foot. There are 28 bones and 30 joints and more than tendons, muscles and ligaments in the foot and ankle, making movement at the foot and ankle complex.
See Figure 1. Laxity of the ligaments at the ankle and foot is one reason those with Down syndrome stand with flat feet. We refer to this foot position as pronation. A pronated foot see Figure 2 does not have the support to maintain adequate balance and stability. Overpronation also results in increased stress at the knee joint, which can lead to medial knee and low back pain as a person ages. Figure 3: Orthotics can correct pronated feet.
You may notice a person turns their feet out to the side or grips with their toes for balance when they have loose ligaments. Callouses, metatarsus adductus, decreased ankle mobility and pain are other compensations that may occur.
Therapists frequently recommend orthotics or braces to support the foot in the absence of adequate ligament support. The goal of wearing an orthotic is to provide support and optimal alignment to the muscles and joints see Figure 3 while allowing movement. No matter the exact type of orthotic your child wears see Figure 4 , it should provide the ability to move with the correct motor pattern, a more efficient gait pattern and improved balance. Figure 4: Examples of orthotics often prescribed for individuals with loose foot and ankle joints Ligaments of the spine may also be loose, which can lead to scoliosis and neck instability.
This neck instability is commonly referred to as atlanto-axial instability. The first vertebrae or bone in the neck is the atlas C1 and the second is the axis C2. The ligamentous laxity places those with Down syndrome at risk for neck injury. Consequently, the doctor may directly know whether the ligaments are loose or not and prescribe the proper treatment. It tests both the translation and rotation stability of knee. As the tests are fully motorized, these tests can be done before and after surgery.
Knee Ligamentous Laxity does not always require treatment. Indeed, when it does not cause pain, physical therapy may help to fortify the muscles surrounding the knee joint. However, in severe cases, knee ligament surgery may be required.
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