Physiotherapist : M.C
A 29-year-old professional pole vaulter presented for treatment, complaining of diffuse pain over her left calf and foot, sometimes radiating up to the hip. The pain worsens after jumping and training sessions and requires approximately two days to recover. The pain intensity ranges from 1/10 to 9/10 and started approximately one year ago.
There is also a tremor of the left foot in specific positions, which has been present for one year. At the beginning of the appointment, the athlete reported experiencing mild pain continuously.
She also suffers from low back pain and neck pain, which have been present for 15 years and started after an accident during training.
Additionally, she experiences right wrist pain during maximal external rotation and has right hip arthrosis.
Seven years ago, she underwent surgery on her nose. She also underwent tympanic membrane surgery twice, one and two years ago, respectively.
Two and a half years ago, she had an accident in which she fractured the right navicular bone of the foot and simultaneously sprained her left ankle. This accident resulted in a long break from training.
Movement verification of the CL, LU, and TA segments did not show any major limitations, apart from some restriction in neck extension. During global testing, we were able to identify an ascending character of the problem originating from the lower extremities.
Palpation verification of CC in the LU and TA segments was also inconclusive. After adding the CFs, we found an-me ta 2 lt *** point and an-me ta 2 rt ** point.
An active spiral from re-la-pe 3 lt to an-me-ca 2 rt was found, as well as a diagonal an-me in the right leg.
After treatment of an-me-ca 2 rt and re-la-pe 3 lt, no further tension in an-me ta 2 lt was found. Adding an-me-lu 3 lt completed the spiral and decreased the tension in the diagonal of the right leg.
The an-me ta 2 rt point was then treated, resulting in the patient being able to develop full force during the global retest.
The neck extension also improved, and the left leg was pain-free.