This middle aged man has 18 months duration of sharp pain at Tendo Achilles insertion. GP thought bursa andsaid to patient it should go away.
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What is strange is that it is intermittent lasting about a week and goes away again.
Only seen pt once and will do biomech assessmt next.
Patient can not recall doing anything different in his activities.
So far;
no pain on palpation of TA insertion, no pump bumps.
Tight TA
Forefoot Varus/supinatus
Pronated feet
Question? Why sharp pain and why so spasmodic in symptoms over long time?
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