Dear Adam,
Just a couple of more things, sorry very early in the morning here.
Ice is very much contra indicated for myofascial pain as it tightens the
muscles up rather than loosening them, so the temporary numbness from the
ice has a poor long term effect.
Also, forgot to mention mobilising ankle and related structures. Even though
there may seem to be a general hypermotility, there are very likely some
blocked joints in the complex.
Cheers
Shane
----- Original Message -----
From: "Adam Bassed" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, December 07, 2004 3:09 PM
Subject: Shin pain unknown
> Hi all
>
> Looking for differential diagnoses for shin pain in a 10 year old girl.
> The shin pain, is anterior and lateral, extending into the foot. I was
> unable to reproduce her pain with palpation. The history was interesting
> her mother said she had complained of this problem from a young age (1-2),
> only really affecting her at night. X-ray of tibia and fibula is normal.
> Foot posture is normal to mildly pronated her rearfoot alignment is normal
> and she is mildly intoed during gait.
>
> Mother has tried ice, masssage, heat, paracetamol, motherly love etc with
> limited to no success, thses treatment were mainly reuired at night.
>
> Any ideas? Referred pain??
>
> Thanks Adam
>
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