Can anyone help with this one?
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I am dealing with a patient in conjunction with a Physio, who is a runner and Ice Hockey player. He complains of left fibula head pain, and, intially, ITB pain.
We have done:
FFOs
Strapping (mainly patellar and fibula head)
ITB etc stretching +++++
Core stability
Proprioception
Localised treatment (friction, U/S, mobilisation)
RICE
NSAIDs
Analgesics
He has ++ internal femoral torsion and when observing him standing with his orthoses in, his 'alignment' is excellent from the foot up, but the knees don't follow and he remains internally rotated at the hips.
The head of the fibula appears to be increasing in 'boney' density.
Can anyone suggest:
a) Any further treatment
b) Any 'diagnosis'?
We are sending for MRI and an orthopaedic opinion.
Thanks!
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