Dear All
Members do not see these Ads. Sign Up.
Today I had a customer a male of 60years old who complained of ankle pain and swelling and tightness and lumbar pain. About 8 years ago he has a fall where he landed heavily on the left foot causing ankle trauma (he doesn't remember exactly what, where, why.) Anyhow eversinve his ankle has been painful and swollen. Recent X rays show no notable damage or degeneration. The ankle is equinus and I was going to mobilise it when I noticed that while he was in the sitting position and knee extended IE hip flexed 90dgs, ankle dorsiflexion to end RoM caused sharp lumbar pain at about L5 level. He had previously noted that walking up hill increased back pain. Clearly (I assume) there is a stretching of the Sciatic nerve (lasegues sign) which is restricted from sliding thru the spinal vertebral foramen. Interestingly no other therapist had picked this up. The customer said that straight leg raises tried before did not ellicit the pain. I suspect they did not simultaneously dorsiflex the ankle.
So my question is:
I was reluctant to mobilise the ankle before further investigations. Do you think mobolising the ankle and improving dorsiflexion RoM would also release tension on the sciatic nerve or is there any danger of further complicating the condition?
Are there any tests/imaging you would recommend before proceeding further.
many thanks Dave
Tags:
Loading...
- Similar Threads - Ankle dorsiflexion causes
-
- Replies:
- 1
- Views:
- 1,516
-
- Replies:
- 0
- Views:
- 1,948
-
- Replies:
- 3
- Views:
- 4,198
-
- Replies:
- 0
- Views:
- 3,563
-
- Replies:
- 0
- Views:
- 2,328
-
- Replies:
- 5
- Views:
- 6,059
-
- Replies:
- 7
- Views:
- 10,430