I've got a 52 year old male patient who within three weeks has developed a rigid hyperpronated left foot. This was noticed by his chiropractor (seeing for shoulder pain). He had appointments 3 weeks apart. In this time, he had been on holiday with his son involving trekking through the Kimberley (West Aus)for one week. Although he found it tiring to keep up with his son, he managed to keep up. Ordinarily, he drives machinery most of the day.
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Symptoms: There is mild pain around the lateral sinus tarsi area and anterior ankle with walking.
Observations:
Left Foot
- no STJ motion
- fixed in excessively pronated position
- no change to arch contour, moderately planus
Right foot no change.
Previous to this, he had adequate and symmetrical STJ range. He has had foot orthoses for many years for pronatory symptoms which have been successful in eliminating symptoms (I last saw him 2004).
Family history: Father has similar foot structure unilateral
There was no injury within that 3 weeks or before. No diabetes. No arthritic disorder, no other joint pain.
Xrays show no abnormailty.
I see quite a number of people with similar unilateral or bilateral deformity but there has either been an injury or I have assumed that it has progressed slowly from a relatively planus / hyperpronated foot type that has not been supported with orthoses over the long term.
Any ideas on the cause of this rapid onset rigid excessively pronated foot would be appreciated.
Regards
Rebecca
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