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Osteopathic manipulative treatment in tarsal somatic dysfunction: a case study
1Department of Emergency Medicine, Arrowhead Regional Medical Center, 400 N Pepper Ave, Colton, CA 92324-1801. joshua@batt.com.
The Journal of the American Osteopathic Association
|November 1, 2013
Summary
A 24-year-old woman experienced significant left foot pain following an inversion injury. High-velocity, low-amplitude manipulation successfully treated her tarsal subluxation, providing immediate pain relief.
Area of Science:
- Orthopedics
- Sports Medicine
- Manual Therapy
Background:
- Tarsal subluxation can cause persistent foot pain after inversion injuries.
- Conservative treatments like NSAIDs may offer limited relief for this condition.
Observation:
- A 24-year-old female runner presented with left foot pain after an inversion injury.
- Clinical examination indicated midfoot bony changes consistent with tarsal subluxation.
- Palpable bony abnormalities were noted in the midfoot region.
Findings:
- The patient underwent cuboid reduction using high-velocity, low-amplitude manipulation.
- Immediate and near-complete pain relief was reported post-manipulation.
- This technique effectively addressed the tarsal subluxation.
Implications:
- Manual therapy, specifically cuboid reduction, can be an effective treatment for tarsal subluxation.
- This case highlights the importance of considering manual therapy for specific foot injuries.
- Further research into manipulation techniques for tarsal subluxation is warranted.
