Differential examination, diagnosis and management for tingling in toes: fellow's case problem.

ABSTRACT:

Background

The diagnosis of chronic exertional compartment syndrome can be challenging as other pathologies involving bone, muscle, nerve and vascular structures can mimic the syndrome. The purpose of this Fellow's Case Problem is to describe the clinical decision-making and physical therapy differential diagnosis regarding a 25-year-old patient with un-resolved neurovascular complaints following chronic exertional compartment syndrome surgical release.

Diagnosis

After surgery, the patient's previous complaint of numbness and tingling in the plantar surfaces of her first and second toes of right foot was still present. The patient's concordant symptoms in toes were reproduced proximally in the lumbar spine and distally in the tarsal tunnel.

Discussion

The lumbar spine

SUBMITTER: Mansfield CJ 

PROVIDER: S-EPMC5810784 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature