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Looking at using DN with a patient with drop foot? He had a knee dislocation 9 months ago and is progressing well following this, but continues to have significantly decreased active dorsiflexion. Any suggestions besides treating posterior chain for stiffness and anterior tib/toe extensors with DN with e-stim?
Hey David!
Wow! This is a tough one no doubt!Everything you have written above is great to try. Hope that is going well.
Other thoughts:
Psoas (3″ needle)
Mid rectus femoris (fascial point 3″ needle)
Common peroneal nerve (2 fingers distal and 2 fingers anterior from fibular head. may be tender to palpate. 2″ needle)
Saphenous nerve (about 3-4 fingers down from tibial platuea. Might be tender. 2″ needle)
Deep peroneal nerve (between 1st and 2nd metatarsals. 1/2″ needle)
Anterior talocrual joint (3-5 1/2″ needles along the joint line)See if that helps!! Keep me/us posted!!
Sue
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