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(Foot Health- A bunion or arthritis- Women often get the painful conditions confused)
(Asian stocks mixed, unsettled by Portugal debt, Wall Street drop)
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By Dr. Sarah Voelkel<br>
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Asian shares were mixed Monday with China buoyed by recent data indicating its economic recovery, but other markets were unsettled by drops on Wall Street and the bailout of a crisis-hit <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Tassen</a> Portuguese bank. Traders said the intervention by Portugal's central bank to inject 4.4 billion euros ($5.9 billion) into the crisis-hit Banco Espirito Santo late Sunday had an impact on markets, as did the Dow's substantial sell-off last week.Tokyo's Nikkei fell 0.31 percent or 48.61 points, closing at 15,474.50, Sydney dipped 15.5 points, or 0.28 percent, to finish at 5,540.9, and Seoul rose 0.35 percent, or 7.32 points, to end at 2,080.42.Hong Kong was up 0.25 percent in afternoon trade, while Shanghai jumped 1.74 percent, or 38.03 points, to close at 2,223.33. Shenzhen gained 1.40 percent, or 16.03 points, to 1,164.32."European risk is having an impact on the broader market," Yoshihiro Okumura, general manager of research at Chibagin Asset Management, told Dow Jones Newswires.In China, heavyweight blue-chip stocks led the gains, after an official survey Friday showed <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Kopen</a> manufacturing rose at its fastest rate for more than two years in July.AJ Securities analyst Hou Yingmin told Dow Jones Newswires this was due to a "combination of an economic recovery, ample liquidity and market friendly policies, including Shanghai-Hong Kong stock connect program."In the United States, the Dow Jones Industrial Average lost 0.42 percent despite a solid US jobs report and generally good corporate earnings.Investors took a cautious stance after Thursday's rout, which sent the blue-chip index tumbling more than 300 points, giving up all its gains for 2014.Joshua Mahony, research analyst at Alpari (UK) told Dow Jones Newswires, traders were seeking to "determine whether this is just an anomaly... or a sign of something more significant".In currency trade, the dollar bought 102.66 yen, down from 102.93 yen in Tokyo on Friday, The euro bought $1.3421 in Asia on Monday, down from $1.3430 in US trade late Friday, while fetching 137.80 yen against 137.75 yen.On oil markets, the US benchmark West Texas Intermediate for September delivery was up 10 cents to $97.98 while Brent crude for September gained 23 cents to $105.07 in afternoon trade.Gold fetched $1,294.70 an ounce by 0800 GMT compared with $1,284.40 Friday.-- Dow Jones Newswires contributed to this article --In other markets:-- Manila climbed 1.51 percent, or 104.14 points, to 6,998.37.Philippine Long Distance Telephone Co. gained 1.16 percent to 3,136 pesos, while SM Investments Corp. <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Handtassen</a> 0.89 percent to 797 pesos.-- Taipei rose 0.69 percent, or 63.68 points, to 9,330.19.Taiwan Semiconductor Manufacturing Co gained 2.92 percent to Tw$123.5 while LCY Chemical plunged 7.0 percent to Tw$21.65-- Wellington closed down 0.38 percent, or 19.25 points, at 5,090.69.Fletcher Building fell 1.01 percent to NZ$8.82 and Air New Zealand was off 1.57 percent at NZ$1.875.lto/erf
KyForward columnist<br>
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Women 鈥?are you confusing a bunion with arthritis?<br>
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No woman wants to hear that she has arthritis, especially in her feet.聽 But with the average person taking thousands of steps each day, it鈥檚 no wonder arthritis affects us.聽<br>
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Unfortunately, some women confuse what they think is pain from a bunion with arthritis in the big toe joint. This condition is called Hallux limitus and most commonly affects females. We usually see its onset in a patient鈥檚 30s, and it progresses over time.<br>
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Hallux rigidus (Photo from Wikimedia Commons)
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The reason women may confuse Hallux limitus with a bunion is the fact that this condition also causes a bump and enlargement at your big toe joint that may appear similar to a bunion. As the condition progresses, more degenerative changes to the joint occur. More spurs develop, the range of motion gradually decreases and the joint can become very stiff. When the pain increases and the function decreases, we then refer to this as Hallux rigidus.聽<br>
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How do you get arthritis in your feet?<br>
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Arthritis in the big toe joint can be hereditary but also due <a href=http://www.louisvuitton-pascher.com>Sac Louis vuitton</a> to structural abnormalities of the foot.聽 Most patients notice a gradual enlargement of the big toe joint with bumps on the top and side of the joint.聽 However, many times it鈥檚 only with increased exercise or activity levels that they may notice increased pain, achiness and sometimes swelling of the joint.聽<br>
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The condition can easily be diagnosed in a physical exam by your podiatrist and with X-rays of the foot.聽聽The X-rays are needed to determine the extent of the issue and help guide treatment.<br>
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How do you treat it?<br>
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Non-surgical: Hallux limitus is initially treated conservatively.聽 Depending on your pain level you may need steroid injections to decrease inflammation in the area, oral anti-inflammatory medication or ice/heat therapy.聽 Changing shoe gear is important as well as adding custom orthotic devices to your shoes to help offload the stress at the big toe joint.<br>
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If the condition continues to progress, causing pain and decreased function, despite the conservative treatment, surgery is then recommended.聽 The severity of the condition at that time will determine which surgical procedure to do.聽<br>
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For more minor conditions we can perform a cheilectomy where the spurs are resected from the joint area.聽 This can help improve the joint motion and decrease pain.聽 It is known as a joint-salvaging procedure so the joint is preserved.<br>
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For more advanced conditions where the joint is significantly degenerated, the joint-salvaging procedures are not <a href=http://www.louisvuitton-pascher.com>LOUIS VUITTON Site Officiel</a> the best option.聽 We then need to look at replacing or fusing the joint surfaces.聽<br>
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Depending on your foot structure and the level of joint involvement you may be a candidate for joint replacement where one or both surfaces are replaced with a joint implant.聽 This allows for continued joint range of motion, decreased effect on activity level and improved patient satisfaction.聽<br>
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There are risks of the implant loosening or failing over time, possibly requiring future <a href=http://www.louisvuitton-pascher.com>LOUIS VUITTON Homme</a> surgical revision.聽<br>
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If you are not a candidate for joint replacement, the next option is joint fusion.聽 This is done by removing the damaged cartilage and fixating the area with screws and possibly a plate.聽 This is a permanent correction of the condition with elimination of the arthritis and improved pain.聽<br>
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Most patients do very well with this despite having a fused joint and most are able to resume some type of physical activity.聽 Recovery from surgery is quicker for the cheilectomy and joint implant-approximately four to six weeks, but a little longer for the fusion so as to allow adequate time for the bones to fuse-up to eight to 10 weeks.聽<br>
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Again, conservative treatment is the best option, but if left unchecked, surgery may be the only option left. If you are unsure if you have arthritis in your feet, contact your podiatrist and have a full examination.<br>
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Dr. Sarah Voelkel is a foot and ankle surgeon at . <br>
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For more Foot Health columns, click .<br>
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Revision as of 08:31, 15 August 2014

@@@ Asian shares were mixed Monday with China buoyed by recent data indicating its economic recovery, but other markets were unsettled by drops on Wall Street and the bailout of a crisis-hit <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Tassen</a> Portuguese bank. Traders said the intervention by Portugal's central bank to inject 4.4 billion euros ($5.9 billion) into the crisis-hit Banco Espirito Santo late Sunday had an impact on markets, as did the Dow's substantial sell-off last week.Tokyo's Nikkei fell 0.31 percent or 48.61 points, closing at 15,474.50, Sydney dipped 15.5 points, or 0.28 percent, to finish at 5,540.9, and Seoul rose 0.35 percent, or 7.32 points, to end at 2,080.42.Hong Kong was up 0.25 percent in afternoon trade, while Shanghai jumped 1.74 percent, or 38.03 points, to close at 2,223.33. Shenzhen gained 1.40 percent, or 16.03 points, to 1,164.32."European risk is having an impact on the broader market," Yoshihiro Okumura, general manager of research at Chibagin Asset Management, told Dow Jones Newswires.In China, heavyweight blue-chip stocks led the gains, after an official survey Friday showed <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Kopen</a> manufacturing rose at its fastest rate for more than two years in July.AJ Securities analyst Hou Yingmin told Dow Jones Newswires this was due to a "combination of an economic recovery, ample liquidity and market friendly policies, including Shanghai-Hong Kong stock connect program."In the United States, the Dow Jones Industrial Average lost 0.42 percent despite a solid US jobs report and generally good corporate earnings.Investors took a cautious stance after Thursday's rout, which sent the blue-chip index tumbling more than 300 points, giving up all its gains for 2014.Joshua Mahony, research analyst at Alpari (UK) told Dow Jones Newswires, traders were seeking to "determine whether this is just an anomaly... or a sign of something more significant".In currency trade, the dollar bought 102.66 yen, down from 102.93 yen in Tokyo on Friday, The euro bought $1.3421 in Asia on Monday, down from $1.3430 in US trade late Friday, while fetching 137.80 yen against 137.75 yen.On oil markets, the US benchmark West Texas Intermediate for September delivery was up 10 cents to $97.98 while Brent crude for September gained 23 cents to $105.07 in afternoon trade.Gold fetched $1,294.70 an ounce by 0800 GMT compared with $1,284.40 Friday.-- Dow Jones Newswires contributed to this article --In other markets:-- Manila climbed 1.51 percent, or 104.14 points, to 6,998.37.Philippine Long Distance Telephone Co. gained 1.16 percent to 3,136 pesos, while SM Investments Corp. <a href=http://www.louisvuittontassenkopen.com>Louis Vuitton Handtassen</a> 0.89 percent to 797 pesos.-- Taipei rose 0.69 percent, or 63.68 points, to 9,330.19.Taiwan Semiconductor Manufacturing Co gained 2.92 percent to Tw$123.5 while LCY Chemical plunged 7.0 percent to Tw$21.65-- Wellington closed down 0.38 percent, or 19.25 points, at 5,090.69.Fletcher Building fell 1.01 percent to NZ$8.82 and Air New Zealand was off 1.57 percent at NZ$1.875.lto/erf

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