Untold Physio Stories 143 - An Interesting Case of Foot Drop
In this podcast, Jason joins Erson again for their semi quarterly podcast! Foot drop is normally difficult if it's spinal in origin. When your screens are inconclusive and your treatment is ineffective, what's next? Listen to this quick and interesting story for a great differential diagnosis.
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Duration
5m
Broadcast on
17 Nov 2019
Audio Format
other
This episode appears to contain dynamically inserted ads. Transcript timestamps may be approximate.
Welcome to Untold Physio Stories, a podcast that informs and educates by connecting you to rehab industry leaders who share their candid successes and failures in business and practice. Welcome back to Untold Physio Stories, I'm one of your hosts, Dr. E, with Modern Manual Therapy, Edge Mobility System, Modern Rehab Mastery, and Untold Physio Stories podcast. Also Edge Rehab and Sport Science in Buffalo, New York, my practice, my cash PT practice, my co-host from last episode, and from the first 100 episodes, is Jason Shane from Shane Physio Therapy. I feel like we just did this. We did, didn't we? It feels like, what was it, a year ago? Probably a year ago. We only come back once a year. How about that? Next year, you're going to have Uber. Thank God. Oh, yeah. Vancouver, BC. We do not have Uber and Lyft. We are like the only city, I think, in North America that does not. Yeah. After church last night, I had to wait 30 minutes for a cab to come get me. Yeah, with Uber. Okay. I got to tell you my story. This is a quick one because I was about to go teach. Yeah. So I had a patient come in in her 40s, history of lumbar issues. I think she'd had some disc herniations, never any surgery. She'd had some radiculopathy. I think it was literally like a small bulge, an L3, moderate one, L4, a bit bigger at L5, but completely resolved. She came into me and she'd lost quite a bit of weight in a good way because she'd been dancing a lot at home like an hour every day, happy as can be, but she comes in, she goes, so I got this issue and we kind of look and it's drop foot, meaning she's not able to lift her foot up towards her shin. So like it's dragging along. Now I don't want to alarm her because it could be, you know, in a cute episode. So you know, I give her some sort of some back expense. Cause she wasn't even freaking out or anything. She wasn't even freaking out about this, right? But you know, drop foot to me is one of those kind of red flags where, hey, like we don't want pressure on this nerve kept on for too long. This might be a lumbar issue. I'm like, I know she'd seen a neurosurgical consult in the past when she had her other lumbar issues and I knew she could go back and see this neurosurgeon. So she goes back, he's a bit concerned as well. He repeats imaging. It looks kind of the same as before. No nerves being pressed on. So why does she have this drop foot?
Transcription truncated.
In this podcast, Jason joins Erson again for their semi quarterly podcast! Foot drop is normally difficult if it's spinal in origin. When your screens are inconclusive and your treatment is ineffective, what's next? Listen to this quick and interesting story for a great differential diagnosis.
Check out our sponsors
EDGE Health and Tech Solutions - we level up your website with full SEO optimization, turn it into a referral generating machine and do full G Suite and Telehealth integrations
Modern Manual Therapy Insiders - over 650 Exclusive videos, Research Reviews, Webinars, Online Discussion - learn easy to apply Clinical Practice Patterns, integrate Pain Science with Manual Therapy and Patient Education
