Sunday, February 2, 2014
Sunday's Video of the Week: Foot Problems from Cervical Spine Myelopathy (Neck)
I am struggling with a patient who has nerve problems in her foot. Her problems have arisen from many areas, but the clonus (involuntary muscle contractions) with unusual gait disturbances set her apart. She has neck issues also which I assumed were separate from the foot, however I knew they were adding to the overall neural tension in her body. One of her recent consults suggested Cervical Spine Myelopathy as a cause of her foot issues (or at least an aggravating factor). No one has suggested this before to my knowledge. But, it makes sense. She is probably reading this, and we need to have more discussions. Not sure how to prove the foot to neck correlation, but the symptoms and objective findings of clonus/babinski, etc, are all there. If not for my patient, other patients with difficult to diagnosis foot problems, with unusual nerve symptoms, and with neck problems, may have this correlation of foot to neck.