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ginger -> Burning feet (April 25, 2006 3:56:00 PM)
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Interesting case currently attending for treatment.
A 48 year old male office worker , largely sedentary, overweight, 185 cms tall 92 kgs.Unfit, not inclined to exercise at all.
Complained of intense burning feelings to both feet , extending to mid calf posterolateraly. This had been slowly increasing in intensity and duration over a six month period. Prior to first attending here was also bothering him at night. Also more recent episodes of similar burning sensations to palms L=R and to the bottom lip.
Had been sent to a neurologist by his GP , who performed various nerve conduction tests with mixed results. A conclusion not reached by the neuro , further tests scheduled and a preliminary diagnosis of un-named neuro pathology suggested.
patient in a state of distress , mostly about the prospect of disabling disease.
Not bothered by pain , mentioned a stiff back "for years". Was not inclined to walk far or stretch as he feared this may exacerbate the symptoms.
Observations of his vertebral spine and state of extensibility included, at first assessment,
Unable to reach toward toes beyond mid calf with legs straight in standing.
Guarding behaviours noted with most movements, antalgic gait pattern with delicate foot falls.
Stiff ++ lumbar vertebral spine assessed with active and passive movements.
Treatments have been thus far 5 sessions of mobilisations to individual facet joints and stretches, including ballistic stretches to lumbopelvic dura.
Results began to appear after two treatments, with decreased burning sensations to feet, with this decrease noted after each treatment session so far. Now walking without antalgic gait , improved flexibility and confidence with most movements.
Began mobs to C spine at session three, with similar reductions to palm and lip burning.
Recent assessment showed he now complained of short periods of burning to feet , though to a greatly reduced degree and area, confined mainly to soles of both feet.
I anticipate further improvemnts as his range of facet joint mobility improves along with dural length.
All mobs performed in prone according to the continuous method, although AP mobs are planned for the C spine as time and progress alllows.
No reassessments done by Neruologist as yet , one scheduled for late April.
Keep you posted.
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