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Related post: pendulous oscillation of the tibia over the
astragalus, and true physiological walking can
only be accomplished if How To Get Acyclovir the foot motion is
free on the leg. Such motions in walking if unre-
stricted should enable a flexion or bending of
the foot on the leg to about 75° and an extension
of about 135°. The free flexion or bending up
of the foot to the leg is essential at that stage of
the walk when the leg is completing the arc over
the astragalus by Purchase Acyclovir Online way of the hinge joint as already
mentioned.
A review of the two foregoing considerations
furnishes two conclusions, namely: i. That every
organ or part of an organ can functionate nor-
mally only if it is not displaced from its natural
position by factors not inherent in true physiologi-
cal function. 2. That ease of equilibrium and gait
6. 7.
Fig. 6 — Arrow A marks location of ankle joint and where flexion
is being now f.-\cilitated Acyclovir 5 Ointment by flexion at the knee joint (Arrow C).
Fig. 7. — Shows effect of forced flexion of ankle joint without ac-
comodative flexion at knee joint (.\rrow C) in a foot where the
posterior leg muscles have shortened. The tendo Achilles, the os
calcis and astragalus are now acting in a united mass to permit
flexion by a secondary break a.nd astragalar displacement at the
mediotarsal joint (Arrow B), thereby producing a flat foot.
depend on a normal relation in the length and posi-
tion of the muscles of the legs and feet particularly
those that cause a flexion in walking of J^" witb
the leg, and permit an extension of about 135°.
Perfect balance in standing and walking can only
occur with the bare foot when all the delicate in-
trinsic motions of the feet are not hampered. When,
however, we apply these conclusions to the changes Order Acyclovir
that take place in feet wearing high heeled shoes
with a view to studying the effects of such shoes,
we perceive a source of danger in these shoes
because the essentials of perfect equilibrium Acyclovir Order Online and
gait have been violated. As to the first considera-
tion, that organic function demands normal or-
ganic position. In Fig. i we observe perfect equil-
brium. Online Buy Acyclovir the perfect standing posture. The feet
are at right angles with the body. Acyclovir Cheap The muscular
tension of the entire body, to maintain the skeletal
components, is equally distributed and is function-
ating unrestrictedly to correct constant swaying.
The dotted line through the middle of the figure
indicates a normal distribution Where To Buy Acyclovir and location of the
h.eart, lungs, stomach, intestines, kidneys, uterus
and other important internal structures. No organ
is unduly malposed or hindered by pressure of
neighboring organs. In Fig. 2, high heels have been
placed under the os calcis and the prop, theoreti-
cally of course, has altered the angular relation
between the feet and the longitudinal axis of the
body with a resulting tendency to fall unless some-
thing is done to check Online Acyclovir this tendency by a recovery
nf balance. It is a physical impossibility Acyclovir Cream 5 to attain
and maintain this attitude and before the person
reaches this degree of inclination, a readjustment
occurs to produce the socalled slouch attitude, as
shown in Acyclovir 5 Cream Fig. 3. An examination of the dotted Buy Acyclovir Cream
line through this Buying Acyclovir Online figure furnishes interesting infor-
mation. It indicates that in Where Can I Buy Acyclovir order Acyclovir Order to recover bal-
ance the curvature of the lumbar region has been
unduly increased and the abdomen naturally dis-
tended to an increased convexity ; the knees have
beeit flexed to compensate for the increased angu-
lation over the normal 90° angle at the ankle joint.
If a detailed analysis of the changes in the body
were carefully accounted for, it would reveal a
shift from normal alignment or some strain of
practically every organ in the body. The abdominal
viscera are now functionating in an unnatural
physiological Acyclovir Online relationship. If pathological disturb-
ances occur in any of these organs through other
causes, such disturbances are enhanced. As many
women become corpulent in later life the corse*^ is
laced more tightly to hide the increased protrusion
of the abdomen and also to compensate for the
ever 800 Acyclovir Mg increasing weakness of the muscles of the
back whose strength has correspondingly been
disturbed. This tighter lacing, adds another element
of danger and together with the high heels only
serves to weaken the musculature of the trunk by Buy Acyclovir Cheap
immobilization. As a result, little benefit is derived
by the abdominal viscera from walking. Which
has become an inelastic strut. The disorders
occasioned or enhanced by skeletal distortion
due to high heels become in their nature
more chronic and insidious because the re-
sultant symptoms are obscured in general diagnosis,
and do not call for immediate relief.
Perfect balancing and walking, as previously
stated, demand a normal relationship in the length
and position of the muscles of the legs to permit
pliant foot function. We find that an application of
this essential reveals the fallacy of the Acyclovir Ointment 5 assertion that
high heels are beneficial. Figs. 4 and 5 show that
the posterior leg muscles are affected unfavorably
l)y such heels. This type of shoe causes a contrac-
ion of the calf muscles determined by the respective
height of the heel and with it a corresponding
lengthening and weakening of the anterior muscles.
A normal play of opposing muscles can no longer
exist. In time the slack, created by the shortening
of the posterior muscles, is taken up by Nature
with injurious results.
Another danger in the high heeled shoe from
the strain imposed by a contraction of the posterior
leg muscles is that it discourages the healthful and
natural exercise of walking. It is needless to state
that our female patients do not avail themselves
'if the benefits of outdoor walking as there is Where Can I Get Acyclovir no
3/2
SCHEIMBERG: HIGH HEELS AND HEALTH.
[New York
Medical Journ.'
incentive when a disturbed muscular mechanism
engenders fatigue and strain. When an attempt is
made to walk, the resulting fatigue, with the re-
ferred nervous disturbances, do not encourage it.
The symptoms and the farreaching effects of a
shortened Achilles tendon has caused many orthope-
dic surgeons to regard the condition as a distinct
clinical entity. In the literature of orthopedic surgery
the condition has been referred to as a nondeform-

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