drop foot secondary to stenosis.

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drop foot secondary to stenosis.

Postby Jbeas » Tue Feb 07, 2012 3:24 pm

Should I be focused on more lumbar spine techniques and maximizing foraminal space and lumbar mobility than trying active or assistive ex for ankle D flex? This case has shown that the stenosis in the lumbar spine is a major contributor to the patient's drop foot.
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Re: drop foot secondary to stenosis.

Postby Sillevis » Wed Feb 08, 2012 10:37 am

Does this patient have active DF of the foot? What are the muscle grades for the TA and EHL? Can you identify if you are dealing with a nerve root issue? If stenosis was the cause you should adress this to perserve muscle function as is. I would suggest that if active contraction is possible that you should try to improve opon this. What is the reason you are seeing the patient: Drop foot, or pain in the spine? What are the functional limitations? Can you adress those? Does this patient need an AFO to help him functionally?
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