Differential diagnosis and treatment of XXXX : a case report.

@entity1 @entity2244 @entity821 @entity409 @entity158
OBJECTIVE: To describe the examination and intervention strategy utilized in the differential diagnosis and treatment of a @entity1 with @entity158 . BACKGROUND: The @entity1 was a 44-year-old @entity1 with an 8-month history of left @entity158 . He presented with a chief complaint of limited standing and walking tolerance secondary to @entity158 in the left heel. He had not responded to previous treatments of rest, anti-inflammatory medication, @entity821 injections, and exercise prescription. MATERIALS AND METHODS: The @entity1 's @entity158 was reproduced utilizing the straight leg raise (SLR) in combination with ankle dorsiflexion and eversion to sensitize the tibial nerve. These findings suggested a @entity2244 . Because restricted ankle dorsiflexion, excessive pronation, and posterior tibialis weakness were also found, @entity409 also likely contributed to the etiology of @entity158 . The @entity1 was treated for 10 visits over a period of 1 month. Treatment consisted of active and passive motions aimed at restoring @entity158 -free soft-tissue motion along the course of the tibial nerve. In addition, low-dye taping and therapeutic exercises were utilized to control excessive pronation and reduce stress on the plantar structures of the foot. RESULTS: The @entity1 's SLR increased from 42 degrees to 54 degrees and became @entity158 -free. Dorsiflexion range of motion increased from 3 degrees to 8 degrees in the left ankle, and left posterior tibialis strength was normalized. Over a period of 1 month the @entity1 's symptoms were resolved, and his standing and walking tolerance was fully restored. CONCLUSION: Assessment and potential contribution of @entity409 should be considered in @entity1 with @entity158 .
