The patient is a 18-year-old female, presently taking 3 aero…
The patient is a 18-year-old female, presently taking 3 aerobic classes per week and reports pain and aching along her left posterior medial leg/ankle of a three week duration. She began running ‘about 2 miles’ one time per week, 2 months ago, in addition to her 3 fitness classes each week. Pain: (0-10 VAS) described as sharp with jumping/running (7/10) and aching at rest (2/10). Imaging: None Meds: Birth control, Tetracycline for acne. Social/Work: fitness/exercise. Outcome Measures: LEFS 65/80 PSFS: Working out 5/10, dancing 5/10 Examination Findings: Posture: Increased L Femoral IR L>R Genu recurvatum Right Left Hips/ Knees WNL WNL Ankle Plantarflexion 55/60 55/60 Ankle Inversion 40/45 40/45 with pain Ankle Eversion 10/15 10/15 Toe Flexors WNL WNL MMT: Right Left Ankle Plantarflexion 10 reps 10 reps pain at rep 6 reps w/out pain Ankle Inversion 5/5 4/5 with pain. Ankle Eversion 5/5 5/5 Toe Flexors 5/5 4/5 Gait: Excessive and prolonged pronation L>R during stance phase Palpation: tender posterior medial malleolus region and medial side of gastroc tendon