Dear Stanley et al.

Thank you for making an extremely important point anatomically.

Morton describes the medial and lateral plantar nerves send branches to
the third interspace. I say this is important because I believe that
nerves follow movement patterns and thus there is a meeting of the
standing foot (lateral nerve) and the walking foot (medial plantar nerve.

If one studies themotion of the wrist between adduction and abduction/
flexion ane extension the same crossover occurs.

I am certain it is designed to tell the other half what is going on and
thus stop false information going to the spine and brain etc.

The dysfunction. I should have made this clear. These are poersons who
walk on their standing foot. These people wear their shoes out on the
lateral side and when one studies their shoes they have lateral wear and
no great toe marks and when places their fingers into the shoe there are
heavy marking for the 5,4 (+-3) toes and very little to nil for the 1, 2
toes.

These people cannot walk on uneven ground without difficulty, have poor
balance and have pain in their feet when they walk. Very often a 5Kg
passive dorsiflexion pressure (when the foot is in talus neutral) has a
plantar flexion of 10 to 20 degrees.

Thus when they walk their endevours to get to their walking side is
impossible and this the 3/4 toe (the distal foot) suffers and the nerve
becomes squashed at every stride.

Your work at mobilising/manipulating the 4th metatarsal lateral cunieform
joint is exactly what I have been preaching for 15 years. What you are
obtaining is a method for the patient to get from their standing foot to
their walking foot and this there is immediate movement between the 3/4
joints and thus there has been a form of decompression at this point where
the neuroma is compressed and thus the pain stos then and there.

I would like to meet you and show you what is occuring via a hands on tpye
of demonstration. Maybe a sunny trip to Australia or me going over there.
Your ideas and knowledge have made me think even more.

Thanks for the discussion.

Regards,

PAul Conneely
www.musmed.com.au

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