Hi there,
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I have a patient who experiences constant semi-numbness (protective sensation intact) at the deep peroneal dermatome - the area of the 1st and 2nd toes and the interdigital area. This has been the case for a few months.
Other than being concerned that it might be a sign that she has diabetes, it does not concern her. It does not get painful. Shoes do not aggravate it, even if shoes do get a bit tight on the dorsum of the foot (eg: do laces up too tight), it does not change the degree of numbness.
I have seen a few dorsal nerve irritations which either respond to reduced pressure or cortisone injection (done by the surgeon) but they are always painful and aggravated by shoe pressure and I can reproduce the pain with palpation. This case satisfies none of the above.
She has a 'bad spine lower back'. On questioning, some time ago, there was a tingling / creeping sensation down the leg which was very mild and only very short term - patient a bit vague about it.
Any ideas? Thanks in advance.
Rebecca
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