Hello,
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I was wondering if anyone has any ideas for help with a patient:
Med Hx: Prostate cancer; aortic aneurysm; AF
Medications: recent chemotherapy; Vitamin B12 injection
The gentleman is suffering from motor & sensory neuropathy of bilateral hallux R>L
The aetiology of the neuropathy is currently unknown - it is thought it may be due to chemotherapy or Vitamin B12 deficiency
He is having nerve conduction studies in a few weeks
His problem is that his halluxes are plantarflexed (like a footdrop, but a toe-drop!). He has altered his gait to compensate for this, and as such has developed a 'high-stepping', slapping-type gait. Even so, his hallux still 'drags and catches' on the ground and has caused him to have numerous falls.
He is a very active gentleman who has lessened his activity reluctantly to reduce likelihood of falls, but would obviously like a solution that would enable him to stay active.
His foot posture, apart from the plantarflexed halluxes, is fairly non-remarkable.
Upon first presentation, I have trialled a dorsiflexion taping of the hallux but I am yet to review how this went.
Just wondering if anyone has come across this in the past, and if anyone has any ideas about how best to address the plantarflexed hallux and enable a more normal gait pattern?
Thanks in advance,
Sarah.
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The foot in patients with calcium pyrophosphate deposition disease
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Lessor metatarsal sesamoiditis
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The foot in patients with calcium pyrophosphate deposition disease
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Lessor metatarsal sesamoiditis
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