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Hello, My name is Elaine, I am new to working alone in Private Practice and am baffled by the symptoms of a male patient in his late 40's. He is presenting with 3 numb lateral didgits on his right foot. He has pess cavus feet, is a keen golfer and is healthy and takes no medications, he is a moderate drinker. He has had blood tests from his doctor and seen a neuropathy expert and has been told nothing can be found?
Where exactly are they numb? Plantar, dorsal, interdigital, all...
Are they anesthetic ?
If it's unilateral it most likely is not systemic.
Next you need to r/o any etiologies historically (cold injury, lumbar pathology, post knee surgery, etc....)
Clinically one needs to determine what dermatome or peripheral nerve is affected and go from there.
Depending on his area of "numbness" here's a quick list to rule out.
R/O sural and or common peroneal N (secondary to pes cavus)
R/O sup peroneal Neuritis
R/O Morton's neuroma
R/O Tarsal Tunnel syndrome
R/O lateral plantar N entrapment
Hope that helps
Fellow American College of Foot & Ankle Surgeons
Board Certified Foot & Ankle Surgery, ABPS
Adjunct Professor OCPM
Green Bay, Wisconsin, USA
I agree with Twirly, Hi Twirly, sometimes just best to let us know about yourself, where your from etc on this forum and then be brave and post again under a specific forum.
Good that Dr Sarbes has joined in with his experience thanks.
Good Luck with your diagnosis
Heather J Bassett
137 Wheatsheaf Road
GLENROY VICTORIA 3046
03 9306 8557