Hi All,
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One of my patients had a very strange thing after I did a low dye taping on both feet. The patient is a 62 yr old lady, works as a nurse, no medical history apart from sore feet and a sore shoulder, no allergies, takes no medications. When I chatted to her today she did report lower pack pain on occasion, she must have not heard me ask about that!
She reported long standing foot pain, both feet, worse in the right foot, both ankles ache all the time.
On assessment, navicular drop present - both feet. Jacks test 0 - both feet, supination resistance high - both feet, calc 's slightly everted - both feet. Post tib both weak but the right, unable to rise on toes.
Lunge test was awful, both gast and soleus were very tight. When palpating the muscles, they were tense to touch, no pain. Tenderness could be felt when a palpated along the medial slip of the plantar fascia and post tib insertion points.
She wore good new balance joggers to work. I gave her stretching exercises, she was to return for soft tissue work: massage or dry needling and I applied post tib taking to both feet. The tape ran from the lateral border of the foot by the heel, under the foot and in medial to lateral direction up the leg, she also had some strips running across the plantar aspect of the foot. Immediate reaction, was comfortable.
She rang me the next day to ask if the legs should hurt with the tape, I said no and to remove the tape from the legs, but keep the strips on the feet.
I rang her today and she reports that both legs : calfs/thighs and half her bottom had swollen, she had been in so much pain she couldn't work. She had removed the tape the next day. The GP sent her for emergency dopplers thinking she had DVT;s, she had liver function, renal tests but all cam back clear. There was no rash. She described the legs as feeling like they would burst, couldn't stand anything on them and it looked like lymphodema. Her ankles, knees and hip joints - no pain.
The GP is flummoxed, gave her diuretics, but no difference. The swelling is coming down slowly, but still very tense.
Any ideas, did the tape cause this?? Feeling very out of my depth here, plus her feet still hurt!
Cheer
Esher
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