I have very little of the medical information on this particular patient,only what I have been told by the patient.
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Patient is a keen runner and has been suffering from "rupturing cysts" in the plantar fascia. Her description is of a 2 week period of build up of pressure in the arch. When running downhill, there is a bursting sensation and the foot feels wet. Nothing is wet when the socks are removed but the patient can feel fluid in the arch of the foot.
Her orthopaedic surgeon has had MRIs which apparently has shown up some types of cysts on the plantar fascia. He has already done bilateral plantar fascia releases - not sure what exactly was done.
A very brief examination shows midfoot equinous bilaterally. No obvious swellings in the arch. There is no tenderness on palpation of the area of rupture. There is excessive pronation at and after midstance.
At the present moment, treatment is on hold until I have some type of diagnosis. However, I have not found anything on my searches here and on google. I wondered whether anyone had any ideas for differential diagnoses?
Many thanks in advance for any input
Regards,
Robin
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