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Current perception threshold in evaluating foot pain. Two case presentations.

R S Hill, A Lawrence

    Journal of the American Podiatric Medical Association
    |March 1, 1991
    PubMed
    Summary
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    Current perception threshold testing aided in diagnosing radiculopathy causing foot pain. Chiropractic manipulation of the lumbar spine effectively relieved lower extremity symptoms in these cases.

    Area of Science:

    • Neurology
    • Orthopedics
    • Diagnostic Medicine

    Background:

    • Radiculopathy can present with unexplained foot pain, often requiring advanced diagnostic tools.
    • Current perception threshold (CPT) testing is a reliable, non-invasive method for evaluating sensory nerve function and suspected neuropathies.
    • Previous studies have established CPT's utility in diagnosing conditions like diabetic neuropathy and carpal tunnel syndrome.

    Observation:

    • Two patients presented with foot pain, and clinical suspicion of radiculopathy was supported by CPT testing.
    • Chiropractic manipulation of the lumbar spine was performed on both patients.
    • Patients experienced alleviation of lower extremity symptoms following spinal manipulation.

    Findings:

    • CPT testing effectively supported the clinical suspicion of radiculopathy in patients with foot pain.

    Related Experiment Videos

  • Lumbar spine chiropractic manipulation provided symptomatic relief for lower extremity neuropathic pain.
  • CPT testing demonstrates value in identifying peripheral neuropathy contributing to foot pain.

    • Implications:

    • CPT testing is a valuable adjunct for diagnosing peripheral neuropathy and unexplained foot pain.
    • Chiropractic care may offer a therapeutic option for radiculopathy-induced lower extremity symptoms.
    • Further research into CPT's role in diagnosing spinal nerve impingement is warranted.