Hi guys, I have a colleague has a tricky patient and was just wanting to know if anyone has any more thoughts on what the patients condition could be.
Members do not see these Ads. Sign Up.
She is a woman aged 45, has spinal stenosis at L5 and has had pain in her foot for 2 years. The swelling started on the medial side of the foot posterior to the medial malleolus and slowly spread over the entire dorsum of the foot.
Initially she had a full blood test done, with negative results, and has had massage, physiotherapy, acupuncture and vascular testing performed. All have not yeilded any results or helped.
On examination there is non-piting edema on the entire dorsum of the foot, with no pain palpable anywhere, no pain on resistance of any muscles or passive joint movement. The swelling becomes uncomfortable sometimes after walking for prolonged periods of time, and at night it can sometimes throb.
X-ray results revealed osteophytic changes on the dorsum of the navicular and the middle cuneiform. We have sent her for another full blood as the last one was done 2 years ago, otherwise we will send for an MRI.
Does anyone have any ideas?
Thanks!
Loading...
- Similar Threads - Swollen foot ddx
-
- Replies:
- 0
- Views:
- 1,339
-
- Replies:
- 0
- Views:
- 1,623
-
- Replies:
- 0
- Views:
- 1,827
-
- Replies:
- 0
- Views:
- 1,947
-
- Replies:
- 0
- Views:
- 3,186
-
- Replies:
- 0
- Views:
- 2,322
-
- Replies:
- 0
- Views:
- 1,362