I have been treating a patient for several months whom I have diagnosed with post tibial tendon dysfunction. He is a 50 year old postal carrier, with a history of plantar fasciitis. He has been wearing orthotics. From about Novemeber last yaer he developed significantly graeter pain under the medial arch, and into the leg. His greatest pain was walking downstairs. He is unable to stand on tiptoe on this painful right foot. The pain is also on the dorsum of the foot.
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I recasted for orthotics, advised RICE, discussed Ritchie ankle brace and orthos, and also advised him to get MRI, and if needed an air cast boot. Other than RICE, orthotics, and trying to do less activity, no other treatment has been done.
My three questions: 1: Is this the right diagnosis? 2: Any other treatment that I could consider, which the patient may respond to and comply with? 3: What is the recovery time for this condition? I intimated 6 - 9 months?
Comments and criticisms welcome.....
Thanks,
Gill
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