I had a 17yo male present to me complaining of long standing foot pain.
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Pain began approx 5mths ago and is only apparent when playing sport not when walking or normal every day activities
Pt plays basketball 1x week and rugby 1x week and trains for rugby 2x a week.
Pain is "strong tingling, sharp but also achy" at the plantar surface of foot posterior to the styloid process. Palpation of the area revealed no pain at the MTPJ or metatarsal or attatchments of any tendons but strong tingling approx 7-10mm posterior to the styloid process. Pain is bilateral.
There is also pain at insertion of Tibialis Posterior and the muscle belly.
Pt has had a physio taping his feet which is not making any difference to the pain on the lateral side of the foot.
Gait is pronated at the mid- tarsal area and the navicular drops to approx 1cm from the ground.
I trialled inversion and eversion taping of the foot, both of which made the tingling apparent. I also trialled D-filler padding and padding of the 5th ray to help stabilise. 5th ray padding felt "ok".
I am now at a dead end, would anyone have any ideas to enlighten me?:confused:
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