PHYSIOTHERAPIST: BALDACCHINI MANUELE<\/p>\n
Mr. Marco, 40 years old, office worker, regularly practices walking daily. He does not take any medications.<\/p>\n
The patient reports maximum pain located in the PE LA-AN left for the past 5 months, with a VAS score ranging from 4 to 8.<\/p>\n
The pain is described as burning and stabbing, occasionally radiating beyond the metatarsal heads toward the lateral three toes. Symptoms worsen when wearing formal\/tight shoes, when the foot is exposed to cold, after walking (pain increases from VAS 4 to 8). Despite this, the pain does not limit activities of daily living (ADLs).<\/p>\n
The patient reports intermittent LU-PV RE LA left for the past 10 years. Triggered by heavy activities (e.g., gardening), with a Pain intensity: VAS 0\u20135, manageable and never previously treated, the patient attributes it to a low muscular strength.<\/p>\n
The patient had a right ankle trauma (TA DX) 16 years ago, treated surgically, followed by 1 month of non-weight bearing with crutches and a left varicocele surgery (AN ME PV SX) at age 17<\/p>\n
Clinical Hypothesis<\/p>\n
The body has developed a maladaptive compensatory strategy following the right ankle trauma, leading to overload initially in the left lower limb (LU SX) and subsequently in the left foot (PE SX).<\/p>\n
Mulder\u2019s test: strongly positive (+++)<\/p>\n
Movement Verification (Verifica Motoria)<\/p>\n
TA: Frontal plane: right **, left **<\/p>\n
PE: Frontal plane: right *, left ***. Sagittal plane: right **, left *<\/p>\n
LU: Frontal plane: right *, left ***. Sagittal plane: right *, left *<\/p>\n
Palpatory Verification<\/p>\n
TA: RE left *, AN right *; LA-ME left *, ME right ***; LA right *<\/p>\n
PE: LA left ***, ME left *; ME right *<\/p>\n
LU: LA left * (uncertain finding \u2192 pelvic area also assessed)<\/p>\n
PV: LA right ***, LA left *<\/p>\n
Treatment<\/p>\n
Based on the assessment, treatment focused on the frontal plane, starting from: ME-RA DX and LA-PV DX. After treating these two points, pain decreased from VAS 4 to VAS 2 then the treatment continued with left LA PE,<\/strong> specifically: Expansion between the 3rd and 4th rays, proximally near the metatarsophalangeal joint toward the 3rd ray , Adjacent intertarsal space, also proximal to the metatarsophalangeal joint<\/p>\n Outcome<\/p>\n At the end of the session: VAS score was 0; significant improvement in movement verification of the lower limb and ankle; Slight residual positivity in frontal plane movement of the left foot and Mulder\u2019s test became negative<\/p>\n Follow-up<\/p>\n A second session is recommended to evaluate the clinical progression and stability of results.<\/p>\n","protected":false},"excerpt":{"rendered":" PHYSIOTHERAPIST: BALDACCHINI MANUELE Mr. Marco, 40 years old, office worker, regularly practices walking daily. He does not take any medications. The patient reports maximum pain located in the PE LA-AN left for the past 5 months, with a VAS score ranging from 4 to 8. The pain is described as burning and stabbing, occasionally radiating […]<\/p>\n","protected":false},"author":10,"featured_media":38087,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[16],"tags":[],"class_list":["post-45115","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45115","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/comments?post=45115"}],"version-history":[{"count":2,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45115\/revisions"}],"predecessor-version":[{"id":45123,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/posts\/45115\/revisions\/45123"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media\/38087"}],"wp:attachment":[{"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/media?parent=45115"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/categories?post=45115"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fascialmanipulation.com\/en\/wp-json\/wp\/v2\/tags?post=45115"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}