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:) Hi there,
Have a patient with a two yr history of pain on 3rd and 4th MTP's after jumping into shallow water in her pool.Pain on flexion of the mid tarsal joint,no loss of range in her left ankle.Reproduces sharp pain on palpation of MTP's,have tried frictioning the ligs and ultrasound-no improvement.Would like some input please

 

Reply to Chronic Metatarsalgia of 3/4 MT

Mechanical pressure inside the joint capsules involving the phalanyx, metatarsals and tarsals often created muscle splintng/contraction that is very responsive to foot manipulation using high velocity/low force manipulation designed to restore mobility and reduce capsular pressure. The involved joints are determined thru:
1. Motion palpation
2. Activator Method Neurologic Reflexes (passive Applied Kinesiology)
The cerebellum has an amnestic memory of the trauma, 3 to 8 repetitive interventions over a 1 to 6 week period will help 80% recover quite rapidly in spite of traditional treatment measures failing. Please refer to my website and my peer review published papers on the feet at: footchiropractic.com
Paul Kell DC (9year co-practice with podiatrist)

 

This patient mayneed a xray or MRI to R/O old fracture.A non or mal union may be present.If not,i would try physical therapy.