The Mueller Weiss syndrome is a rare reason for pain within the midfoot in adults which was also called Brailsford disease. It is a spontaneous onset osteonecrosis of the navicular within the foot. There is a a lot more well-known condition of the same bone in children known as Köhler disease, and this is an osteonecrosis of the tarsal navicular bone, but they are distinctive disorders because of the nature with the growing bones in children. The problem was first documented by Schmidt in1925. Then it was W Muller who later recommended that the underlying mechanism with the disease was resulting from an irregular compression power on the midfoot region. Around the same period, K Weiss, described which the appearances on x-ray were just like those seen in a disorder referred to as Kienbock disease, and this is an osteonecrosis. The two of these reports led to the most commonly used term for this condition, Mueller Weiss syndrome.
Mueller Weiss syndrome typically occurs in adults in between 40 and 60 years of age (Köhler disease has a typical beginning around 5 years of age). Mueller Weiss disease appears to be more common in females. It might have an affect on only one foot, or it may have an effect on both your feet. The common signs and symptoms include the progressive onset of pain in the midfoot and hindfoot which could often be localised to the most agonizing place being around the navicular bone. A flat foot is in addition more common in people that have this condition. The best method to identify Mueller Weiss syndrome is by the use of radiology. On a x-ray there will seem like a crush of parts of the navicular and a whiteness with comma-shaped deformity on the outside part. A computerized tomography scan can also demonstrate the same irregularities and can be used to assess the stage of the problem in more detail. A MRI is usually a lot more sensitive to aid in the diagnosis as it is able to find a change in the bone tissues.
Mueller Weiss disease is typically progressive and can produce serious pain and become really debilitating, therefore treatment ought to be began as quickly as possible in order to avoid the bone from becoming damaged too much. Primary treatment methods are to restrict weight bearing, maybe some pain relief drugs and make use of supporting footwear. Generally foot orthoses are used to help further stabilise the bones and support the arch of the foot. This prevents a lot of pressure off the navicular. If that's not necessarily making a difference, after that even more limitation in weight bearing levels is essential which means that there is a lesser amount of pressure around the painful region. A moon boot or walking brace will be the next phase to help protect and immobilise the region if the pain aren't getting better. If most of these conservative strategies usually do not help, there are also surgical choices that can help with the pain but may frequently leave a little modest disability, which can be a lot better as opposed to the continual soreness of an active condition. The actual surgery could be a decompression of the bone tissue with drilling. Another option if there are areas of navicular bone deterioration would be a surgical fusion of the joints around the bone.