Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Unusual presentation

Discussion in 'Biomechanics, Sports and Foot orthoses' started by WillMo, Mar 20, 2018.

  1. WillMo

    WillMo Member


    Members do not see these Ads. Sign Up.
    Hi all,

    I have a patient presenting with severe tightness, but not pain, in his plantar fascia. He gets frequent cramps in the foot muscles too (takes magnesium). He is 81 years old. Details:
    - PFascia palpably tight
    - Tightness sensation extends from heel into the arch
    - Cavus foot with PF 1st ray
    - Reduced AJ ROM
    - 1st MPJ ROM restricted
    - He also has biceps femoris tendonitis and tib ant mm fatigue on one side

    Management so far (over 2 apptmts):
    - Daily massage of PFascia
    - Spiky ball massage
    - Low Dye taping
    - AJ mobes
    - DTMR calf mm's
    - Calf stretches
    - Intrinsic control exercises

    His 'tightness' sensation has gotten marginally better, but not as better as I would have liked. Is there anything I could be missing here? My main issue is that the pain isn't the main presentation, it's the tightness. Any ideas woulf be appreciated!

    WM
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    All I can suggest is to keep doing what you are doing ... it might be a long road given his age.
     
Loading...

Share This Page