79 y/o w/fLateral ankle/foot pain radiates proximal posteriorly from sinus tarsi area to lower back. Distal radiation to plantar medial heel and medial foot. Pain on pressure to fibular malleolus and sinus tarsi. Xrays negative for fracture some arthritis present. patient given lower back nerve block by pcp and on minidose pack prednisone with no relief. Mri pending. I gave patient plain lidocaine nerve block sinus tarsi area and all symptoms resolved after a few minutes. Sinus tarsi syndrome ? Nerve entrapment? What is the anatomical connection / nerve course for dorsal lateral to plantar medial radiation - peroneal to posterior tibial? Seems to be fairly consistent pattern of anesthesia post injection. Any suggestion for diagnostic ultrasound reference images of sinus tarsi area? Thanks
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Down's Child treated using Rothbart Proprioceptive Therapy
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Health professionals and the pharmaceutical industry
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Down's Child treated using Rothbart Proprioceptive Therapy
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Health professionals and the pharmaceutical industry
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