Happy New Year all,
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Hope your 2009 will be a good one.
I have had a 27 yr old female Dx DM (not sure type 1 or 2 yet) Oct 08 – diet control - usual BSL OK
Referred to podiatry for her L/lat side pain, which was started 8/12 ago – constant sharp pain which was getting worse in last few months. Usually worse after lunch time - later day. But less @ weight bearing time.
Massage, ankle brace, elevation, NSAIDs did not help to ease the pain.
-
- renderer – on work boots and squatting a lot
- rest of time wearing thongs or Assics joggers (in good condition) – does not make any difference the pain
- plays netball 1/week à does not make an worse the pain
- riding bike often
- medium build
- Hx several B/ankle sprains in past – never been casted for sprain ankles
- feels wobbly B/ankles
Vascular and Neurological Ax: NAD
pain was palpable L/styloid process, L/distal lat mall area - trace peroneus
FPI L/3 R/1
gait not too excessive pron - early heel left
Off work 2/52 during Xmas and back work last week- not change the pain (not improved for off work) --> worse pain later last week and now sharp/stubbing/throbbing @ night - disturb sleep. L/ander ankle clumps during day.
My thought - If peroneus inflammation - why pain gets worse during day? neurological pain?
I issued heat moulded orthotics which did not help the pain.
Could you please give me suggstions?
Thanks
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