Thank you all for your input regarding this topic.
I thought I would let you all know how things are coming along. The
Pedder's disease was actually Paget's disease and the results were negative.
As mentioned in my initial posting, Xrays indicated nothing sinister,
however I have taken Grahame's advice and referred for an ultrasound. She
returned to my clinic the day after my posting for review. She stated that
after swimming the previous day, the pain had been worse. This finding
seemed to fit the diagnosis of DMICS as when kicking there is a
plantarflexion force on the forefoot relative to the rearfoot. I performed
the forefoot plantarflexion test and got a positive result for the 3rd and
4th rays. As I didn't have Kevin's advice I used some lateral thinking and
decided to perform some mobilisation of the midfoot area to reduce these
compression forces and sent her on her way.
She returned 4 days ago with massive improvement. After mobilisation she
was in agony for a day, however, she has now gone from waking up 7-8 times a
night and having to actually get out of bed and walk to relieve the pain, to
now waking once a night and only having to move the foot slightly to reduce
the discomfort. I am still awaiting the u/sound results, but all seems like
it is sorting itself out. Paul I examined her footwear and they are all
wide lasted lace-up shoes. There is no evidence of tightness in the shoes.
I will take your advice Kevin and get her onto those stretching exercises,
and she is already icing.
Thanks again for all of your input.
Kind Regards
Andrea
-----------------------------------------------------------------
This message was distributed by the Podiatry JISCmail list server
All opinions and assertions contained in this message are those of
the original author. The listowner(s) and the JISCmail service take
no responsibility for the content.
to leave the Podiatry email list send a message containing the text
leave podiatry
to [log in to unmask]
Please visit http://www.jiscmail.ac.uk for any further information
-----------------------------------------------------------------
|