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Showing posts with label Low Back Nerve Compression. Show all posts
Showing posts with label Low Back Nerve Compression. Show all posts

Sunday, January 13, 2013

Foot Nerve Pain: Does It Always Start in the Foot?

Yes, it was my birthday on 1/9. 

My great Medical Assistant Shawanna surprised me with a cake. 

This Standing AP Pelvic Xray shows that the right hip is 6 mm or 1/4 inch short with compression of the right L4/5 disc which can lead to pain in the nerve's distribution in the foot. 

See how the marker at L4/5 disc shows right side compression with lean of the lumbar spine to the right. This patient has Morton's Neuroma pain in the right foot in the 3rd metatarsal area, consistent with L 4/5 nerve pain.

The same patient above has a collapsed metatarsal arch also leading to possible nerve irritation at the foot level. The yellow line from the bottom of the 5th metatarsal to the bottom of the sesamoids should be the lowest points in the metatarsal arch. See how the 3rd and 4th metatarsal heads fall below this plane in your Plantar Axial Foot Xray. This patient could easily be irritating the nerve at the back and at the foot causing a "double crush syndrome."