- Joined
- Jun 20, 2013
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Hi Physiatrists,
I've a clinical scenario: 30 yo M, only PMHx is type 1 diabetes for 8 years, extremely well controlled (highest HbA1C is 7.2). Was in for fractured radius due to trauma (bike accident), day of d/c I see him and he's uncomfortable. Complains of his toe 'locking up', I look at it and it is indeed plantarflexed, the plantar surface of his foot feels tight. He tells me that this is something that has been going on for 5 years, lasts about 5-10 minutes and goes away by itself, and happens about once every 2 weeks. Happens to his 1st and second toe. I thought this was an odd symptom, not really requiring pain meds or intervention. Is this normal? I told him to try warm compresses and told him to f/u with a physiatrist if he wanted a better evaluation. Thanks for any help
I've a clinical scenario: 30 yo M, only PMHx is type 1 diabetes for 8 years, extremely well controlled (highest HbA1C is 7.2). Was in for fractured radius due to trauma (bike accident), day of d/c I see him and he's uncomfortable. Complains of his toe 'locking up', I look at it and it is indeed plantarflexed, the plantar surface of his foot feels tight. He tells me that this is something that has been going on for 5 years, lasts about 5-10 minutes and goes away by itself, and happens about once every 2 weeks. Happens to his 1st and second toe. I thought this was an odd symptom, not really requiring pain meds or intervention. Is this normal? I told him to try warm compresses and told him to f/u with a physiatrist if he wanted a better evaluation. Thanks for any help