Tuesday, January 4, 2011
Putting the Pieces Together
I had a great discussion today with a patient Valerie. She appeared from the onset to have Hallux Limitus (limited range of motion of the big toe joint) as her primary source of pain, but as we discussed her situation and the onset of pain it seemed like her symptoms correlated more with nerve irritation. The nerve that runs on the top of the instep can get irritated from shoe laces and eyelets real easily. So again her and I as a team will try to Put The Pieces of the puzzle Together. Today was her initial visit, so we had the first rock today. Not sure how high it will go. We started by icing the big toe joint 3 times daily with a 10 minute ice pack and avoiding activities that bend the toe too much (lunges with her trainer, and high heels). But we also started with lace skipping to remove pressure on the eyelets that are the most painful, tongue padding with felt to spread out the pressure over a larger area, and gentle nerve stretching with ankle range of motion movement. I told Valerie to email me in 2 weeks to see how she is doing, and we can add another rock if needed.