Hi there I am after some advice on a pt I am currently seeing in the NHS, a middle aged woman, average weight/height came to see me complaining of a sharp pain to the styloid process L/F, no history of trauma only hurts on weightbearing exercise, and when she goes to her spinning class - after the class she says that it throbs for a few hours. After assessing her there was definate pain on palpation to the stylois process insertion of peroneus brevis, resisted eversion and plantarflexion didn't exarcerbate symps. Rectus feet no mechanical problems noted standing or through gait apart from soft tissue gastroc equinus which I have given strethes for. I belieive that the problem is the insertion of peroneus brevis but apart from inversion stretching can't think of any treatment which maybe able to help - plain films are clear, and lateral posting to offload is too uncomfortable??????
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Any ideas welcome, also If I have missed any information that is required I'll try my best to inform
regards
Barty
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