Ankle Pain and the Neck Part 2

Part 1 discussed why a patient’s sinus tarsi syndrome may have been due to cumulative trauma, driven by over pronation.  Then how the patient’s anteriorly rotated pelvis on the same side may have been causing this over pronation. This part will discuss how the upper cervical spine can influence the pelvis and thus the feet. You will recall from part 1 that this patient had an anteriorly rotated left pelvis. The question then is why? Undoubtedly there was a muscle imbalance holding it in place as shown by his tighter muscles on the front of the left leg and low back. This was coupled...

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Ankle Pain and……the Neck! (Part 1)

A couple of weeks ago a patient was referred to me with sinus tarsi syndrome. The sinus tarsi is a small boney canal under the talus, the bone below your two shin bones. Sinus tarsi syndrome is considered by some to be an inaccurate diagnosis in that it can be further refined (Frey et al 1999). For example the term ‘sinus tarsi syndrome’ is diagnosed on the basis of pain in the sinus tarsi. This can be further diagnosed by checking pain during movement or whether injection of an aesthetic to the sinus tarsi eliminates the symptoms. However the diagnosis essentially means ‘pain...

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