Happy new year all.
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Had an interesting patient in today.
13 year old boy
Pain in his left heel.
O/E valgus sag,stj medially deviated,FHL,Gastroc equinus,Intoing gait.
Pain was elicited on direct palpation to heel border on the medial aspect producing a tender sensation which faded into a tingling sensation.The sensation radiated into the arch area.
P/f was tight and pain at medial calcaneal tubercl was produce with hallux dorsiflexion and palpation to site.
Patient is very active participating in jumping and sprinting activities
Poor muscle strength in passive forefoot d/f and inversion.
I have concluded p/fasciitis and compression of the medial plantar nerve secondary to medially deviated stj.
Any comments?
Tags:
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The action of plantar pressure on flexion reflex pathways
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Rearward movement of the heel at heel strike.
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The action of plantar pressure on flexion reflex pathways
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Rearward movement of the heel at heel strike.
>
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