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Help with a very difficult case

Discussion in 'General Issues and Discussion Forum' started by Pepe, Jul 31, 2012.

  1. Pepe

    Pepe Member


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    Guys - I am posting this to pick the collective brains of all practitioners on the mailbase. This is the whardest case I have ever dealt with - made worse because it is my wife. Brief history - Hit on the back of the right heel by a passing car (oct 2011) - squashed her boot, very swollen and bruised. MRI taken 2 weeks later showed inflammed fat pad and inflammed Post tib. Ortho advised immediate steroid into fat pad under US - which produced evidence of TA bursitis so they injected that also - medial aspect injection. No real benefit - now lots of nodules and very tight medial structures. Ortho referred to physio who did 3 sessions of shock wave therapy at junction of TA and calcaneum. After this (Feb) developed severe multijoint pain - hips and shoulders worse - real crunchinh sensation when moving - fatigue, burning sensation along back of leg into knee and along back into neck and even head.
    Went to new Consultant - new MRI shoed stress fracture calc and more inflammed fat pad - everything else normal. I have tried every variation of orthoses possible all of which seem to aggravate it and InterX therapy which is of little benefit.
    Been to rheumatologist - raised ANA but not beyond normal, ruled out lupus and Rh/a or seronegative. I have included a pic - I hate to hijack this forum but i need help and it is a very unusual case which may generate some good threads. Thanks all for your feedback
     
  2. Pepe

    Pepe Member

    I used to be a regular on this site when doing my research but have not used it in years so forgive my ignorance just once. How do I post a pic of the foot I want to discuss in the thread?
    If you want a pic of the foot I will post it on my facebook page - which i cannot use either. technologyosauraus

    Paul Barrett
     
    Last edited: Aug 1, 2012
  3. admin

    admin Administrator Staff Member

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