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1st neuropathy after kili climb

Discussion in 'General Issues and Discussion Forum' started by Airlie, Oct 11, 2010.

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  1. Airlie

    Airlie Active Member


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    Hi all

    this thread is concerncing my mother, aged 47 yo, who summitted kilimanjaro at the beginning of september. since the climb the disto-medial quarter of her 1st toe, BF, has been numb. she did not experience any colour change or pain during the climb indicating frost bite, but both big toe nails where quite bruised.

    boots are good, and were worn in training for at least 6 months pre-kili with no blisters, rubbing or problems.

    circulation is not fantastic, pulses fine but SVPFT generally 4 secs, and has a tendency to suffer chilblains in winter

    has very tight ankles and I am constantly working on TNJ to mobilise.
    history of lower back and hip pain with some neuralgia into big toes in the past. not complaining of lower back pain post climb but i suspect pain tolerance is pretty high as has had ongoing physio for years.

    Exam - monofilament undetected disto-medial 1/4 of 1st BF. SVPFT 4 secs all toes. skin colour and temperature NAD. 1st nails slightly bruised and pale.
    ankle ROM 0degrees dorsiflexion, pain with palpation talus. No referred pain to digits.

    I suspect that lower back and proximal nerves are playing the biggest role, as there is history and 8 days with a pack on at altitude would have been hard work. HOWEVER considering the back is not overly uncomfortable and the neuropathy has continued 4 weeks post climb, I wonder if anyone can shed light on what effects the climb may have had. I would have thought there would have been some more obvious signs if frost bite or similar was a problem??

    thoughts are very welcome!!
     
  2. Symptoms of numbness and tingling isolated to the medial-plantar quadrant of the hallux should be considered to be Joplin's neuritis/neuroma until proven otherwise. I see about fifteen cases of Joplin's neuritis per year.

    Hope this helps.
     
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