What is Mueller Weiss syndrome in the foot?
The Mueller Weiss disease is a infrequent source of pain in the midfoot in adults that was also called Brailsford disease. Mueller Weiss Syndrome is a sudden onset osteonecrosis of the navicular bone in the foot. You will find there's a more well-known problem of the navicular bone in young childen known as Köhler disease, which is also an osteonecrosis in the tarsal navicular bone, however they are totally different entities as a result of the characteristics of the developing bones in youngsters. The disease was first documented by Schmidt back in 1925. It had been W Muller who later suggested how the pathophysiology in the disease was due to an unnatural compression force upon the mid-foot area. Around the same time, K Weiss, noted that the look on radiographs were comparable to those found in a disease known as Kienbock disease, which is also an osteonecrosis. The two of these accounts resulted in the most commonly used term for this disorder, Mueller Weiss syndrome.
Mueller Weiss disease frequently affects adults between forty and sixty years of age (Köhler disease has a peak beginning around 5 years of age). Mueller Weiss Syndrome is more prevalent in women. It can have an affect on just one foot, or it may have an affect on both feet. The classic symptoms are the progressive oncoming of pain in the midfoot and hindfoot that may turn out to be localised to the most painful place being around the navicular. A flat foot is also more prevalent in people that have this issue. The gold standard to diagnose Mueller Weiss disease is by using radiology. On x-ray there will look like a collapse of portions of the navicular and a whiteness along with comma-shaped deformity on the outside part. A CT scan may display the same issues and could be used to evaluate the stage with the condition in far more depth. A MRI could be a lot more responsive to assist with the diagnosis since it is capable of identify variations in the bone tissue
Mueller Weiss syndrome is typically progressive and may produce significant pain and become somewhat disabling, so treatment ought to be started as quickly as possible in order to avoid the bone from becoming impaired too much. Initial treatment methods are to restrict activities, maybe some pain alleviation medications and make use of supportive shoes or boots. Often foot orthotics are widely used to help further stabilise the region and support the arch of the feet. This prevents a lot of load off of the navicular. If that is not necessarily helping, then a additional limitation in activity amounts is required which means that there is much less stress on the painful region. A moon boot or walking splint can be the next step to help protect and immobilise the area if the signs and symptoms aren't getting better. If all of these conservative strategies do not help, there are also surgical options that will help with the pain but do frequently leave some minor disability, which can be a lot better than the persistent pain of an active disease. The particular surgical procedure may be a decompression of the bone using drilling. An alternative choice in case there are areas of bone destruction can be a surgical fusion of the joints around the damaged bone..