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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?

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Hi Elaine,

to Podiatry Arena.

Thank you for introducing yourself

RE: your question. If you post again in General Issues and Discussion Forum your question will appear on the right hand side of the home page & is likely to generate a better response.

Although I am usually wandering the corridors of the introductions area not all members regularly view the introductions.



Regards, Mandy

__________________
:)
twirly

Mandy Brooks
Brooks Podiatry
S64 0DE

Suffering a fondness for odd things.

“ Though the mills of God grind slowly;
Yet they grind exceeding small;
Though with patience he stands waiting,
With exactness grinds he all. ”

Hello from another Pod called Elaine.
Welcome to Podiatry Arena.

Hi Elaine:
Where exactly are they numb? Plantar, dorsal, interdigital, all...
Are they anesthetic ?
Pain?

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

Steve

__________________
DrSArbes
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

Cheers

__________________
Heather J Bassett
137 Wheatsheaf Road
GLENROY VICTORIA 3046
AUSTRALIA
03 9306 8557