Chronic Foot Pain from Osteoarthritis and Multiple Metatarsal Fractures Relieved in 1 Treatment

Client Info

Age: 33

Occupation: Forestry Management

Exercise / Type and Frequency: walks dog 3 x daily

Currently Receiving Treatment from Another Health Care Provider: Medical Specialist informed patient that he could no longer do anything for their condition.

Reason(s) for Seeking Treatment: Diagnosed with osteoarthritis pain in both feet and ankles. Patient had pain in both feet for months, and kept going to the doctor. X-rays did not show anything out of the ordinary. Eventually with persistence the patient was sent to a specialist who did imaging with die. The patient had fractured the 3rd metatarsal. However, the factures happened to both feet multiple times. Each time the cast came off one foot, the other foot fractured, and this repeated back and forth several times over a period of 8 months. At the last check-up the doctor reported that the fractures in both feet had healed. However the patient was still in constant pain.

Frequency / Onset: Pain when sitting and not weight bearing on feet 2-3 (scale 0 = no pain and 10 = maximum pain), when standing 3-4, walking 4-6, when walking on uneven surfaces or when raising up onto her toes to reach for something pain increases to 7-8 ("sometimes the pain takes my breath away"). When attempting to rotate the ankles, the right ankle is painful, but not the left.

Injuries or Motor Vehicle Accidents & Dates: none

Surgeries & Dates: Appendix removed at age 5.

1st Appointment

Tests:

Range of Motion (ROM) normal on both feet in plantar and dorsi flexion.

Manual pressure on dorsal surface of all 5 metatarsals (+) produced pain, however more intensely on the 3rd metatarsal.

Manual pressure on plantar surface of all 5 metatarsals (-) produced no pain.

Manual pressure on posterior surface of right and left calves (-) produced no pain.

Manual pressure and mobilization of right fibular (+) produced pain, no pain on the left.

Manual pressure along length of Tibialis Anterior muscle (+) produced pain.

Manual pressure on right and left sacroiliac joints, and on posterior surface of sacrum (+) produced pain.

Treatment Techniques:

Prone: