Hi All
Members do not see these Ads. Sign Up.
Just thought i would post this interesting chap i have just had in to see if anyone had any ideas.
49 year old man, guest house owner. Relatively tall, slim build.
4 year history of generalised foot pain. Which began with a lot of cramping in the leg muscles in various places. He now complains of pain around the anterior ankle area where EDL crosses.
On palpation both Tib post are tender, lateral/anterior ankle/STJ area tender.
Also some tenderness under some MTPJ's.
Right plantar fascia and TA insertion tender.
You can also see faint bruising along the line of Tib ant and EHL tendons anterior to the ankle joint.
In stance left foot increasingly pronated compared to left and during gait. On examination right LLD evident about 12mm. Also both considerable plantarflexed 1st rays.
He has had blood tests and was messed around an awaful amount with referrals etc and took months to get any appointments. he has seen rheumatology and had nerve conduction studies etc carried out, still with no diagnosis.
His last blood test in Oct 2010 showed raised CPK levels and patient aware of associated muscle wasting all over the body.
He has had a very poor patient experience and is obviously very worried about his health and is in pain. I have treated him mechanically today the best i can.
But would like to know if anyone has any other suggestions.
Many thanks everyone
Cheryl
Tags:
Loading...
- Similar Threads - Unknown diagnosis neuro
-
- Replies:
- 0
- Views:
- 2,232
-
- Replies:
- 0
- Views:
- 5,290
-
- Replies:
- 1
- Views:
- 5,069
-
- Replies:
- 11
- Views:
- 12,013
-
- Replies:
- 0
- Views:
- 1,079
-
- Replies:
- 7
- Views:
- 6,014
-
- Replies:
- 0
- Views:
- 295