Hi, Rick!
I may be way off base, but since everything he does is quite active and
weight-bearing, has his back been ruled out as a cause?
Just a bit of a different perspective...
Good luck,
Heather
In a message dated 8/29/99 12:15:20 AM Eastern Daylight Time, [log in to unmask]
writes:
> OK, heres one I could use help on.
>
> 42 y.o male, very active with soccer, skiing, etc. Works as a surgeon,
> so is standing/walking quite a bit. Complains of ant. tib. pain x 2yrs
> mostly following orthotics he got from a Podiatrist because he noted that
> he supinated when walking. He work those orthotics x 6months then
> got new ones made by a Kinesiologist. He has attempted chiro., massage,
> kinesiology. No attempts with injections or PT. Brief curbside exam
> reveals usual tenderness in ant. tib. central, some tenderness in peroneus
L.
> ,
> stretching with forced P flexion. Problem is that he did not feel ant.
tib
> pain
> until the use of the original orthotics and now cannot get relief.
> He is no longer wearing any orthotics and found some cheap shoes to
> wear in O.R. but still gets pain even walking to his office not to mention
> playing ball.
> I am thinking of the obvious; Stretch, STM/TPP and Iontophoresis or do we
> go the dractic route and attempt night splints?
> OK, I'm all yours.
>
> Rick
>
>
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