Have just had a 91 year old male patient p/w ' a pain in my right foot'
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only hx of 'low back pain' and only on anti-hypertensives
2005'ish had r/1st metatarsal (distal) exostectomy by podiatric surgeon; also 'did something to my (r/plantar fascia)"
presenting complaint; c/o r/1st medial interphalangeal joint pain when weight-bearing; no lesion no erythema
gait; does not plantarflex r/1st > no ground contact >> passive rom r/1st mpj seems adequate and certainly has strength in the r/1st plantarflexorsl
r/2nd apex erythematous and swollen, mallet like appearance
supination resistance test; very hard b/feet
have fitted a r/cluffy wedge and replaced section of sock lining beneath r/2/apex with a poron/plastazote plug; also fitted bilateral rearfoot varus wedges; >> pt ecstatic walking out of clinic but have had many with symptoms returning 'after a few weeks/months" so would appreciate any suggestions, mark of canberra
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Tarsal Somatic Dysfunction
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Examining injury risk and pain perception in runners using minimalist footwear
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Tarsal Somatic Dysfunction
|
Examining injury risk and pain perception in runners using minimalist footwear
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