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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