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mild or severe hallux valgus, in shoe. Severe metatarsalgia aad painful bunion. bunions, overriding toes, clubbed toes, hallux rigidus or stift' great toe. The x ray shows a thinned bone cortex, increased cancellous tissue, a dumbbell atrophy of the proximal phalanx, dis- elavil mg torted joint surfaces and bent bones. The great mass of muscles on the plantar surface — five layers of plantar flexors built into the arch — are almost functionless. Withered by disuse, crushed by braces and high, unyielding arches built in the shoes, we have seemingly lost track of these muscles in our mad scramble to brace, prop, and support the foot while walking on our toes. There is elavil 10 al- ways a loss elavil 25 of the mus- cular control which is necessary to an elastic progression, ability to maintain an upright posi- tion and a good carriage, and strength to succeed in this strenuous life. The entire anatomy of the part elavil 10 mg is afifected. Weak ankles, loss of bal- ance, fallen longitudinal arch, weak foot, strained foot, sprained foot, sensi- tive, painful foot, flat foot, rigid foot, elongated foot, pronated foot, abducted foot, and valgus foot are some of the terms designating the ills we bear and the price elavil 10mg we pay for unphysiological walking and standing. These conditions are accompanied by swollen, pufl:'y ankles, with referred pains in calf, knee, thigh, and back. Frequently there are elavil uses severe intermittent cramps, preceded by numbness of the Fig. I.— Plantigrade foot at ten years of age. Inner line of foot is straight, i, Great toe is but elavil for anxiety slightly bent outward. 2, Little toe has suffered more — pointed in and upward. 3, Joints clear, surfaces appear not in con- tact (normal). 4, Bone strong. 5, Metatarsals. 6, Phalanges. Toes dislocated upward elavil 50 mg May 29, 191 5.] l.^HLEV: NEW HUMAN SPECIES. 1097 Fic. elavil used for 3. — Deformed foot of woman twenty -eiglit years old, elavil 50mg suffering from effects of digiti- grade progression. Now wearing elavil 25 mg sfiort shoe with heel considered by wearer to be very low. Heel of shoe extends too far back. Toes permanently flexed in position of hammer toe. Mitscular control of anterior online elavil foot lost. to^s and elavil 50 a burning sensation referred to elavil 25mg the anterior foot. There may be severe pain, so persistent as to break cheap elavil the spirit and constitution, make Hfe a burden, and render the sufferer nervous and irritable to a degree. This digitigrade pro- gression i s conducive to sprained ankles and broken bones. The tendo Achillis becomes permanently shortened, preventing the normal range of ankle motion and necessitating a pronated position o f buy elavil online the elavil amitriptyline foot, va%us great toe, and bunion, due to the unphysiological body thrust imparted to the foot. W h e n standing in low heels or bare feet, these peo- ple often elavil buy complain of a sensation o elavil for f falling backward. While bearing the discomfort of these diseases, what wonder that this digitigrade of the genus homo is sometimes cross or has n e r V o u s prostration ! Tliis individual is suf- fering with weakened, inefficient feet, de- formed f r o m long wearing o f viciously planned shoes. If this toe walker stands little

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