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Journal of Physical Therapy and Sports Medicine
Volume 1, Issue 1
December 07-08, 2017 Rome, Italy
4th Euro-Global Physiotherapy Congress 2017
Euro Physiotherapy 2017
Permanent ankle left joint distortion by
drivers and right joint by passengers in
countries with right rules of traffic- new
syndrome- case report
Typical deformations and pain syndromes of feet
deformations of feet in children and feet pain
syndromes in adults are very common in many people,
mostly in women in many countries. There are: static
valgus or plano – valgus feet deformity in children
and youth, insufficiency and pain by adults in frontal
part of feet as result of limited plantar flexion of the
toes, valgus deformity of the big toes (hallux valgus),
Köhler’s disease among girls wearing not proper shoes
and congenital deformation of feet, needed special
orthopedic program, often surgery, 6/deformations of
feet, knee, pelvis and spine in children with Minimal
Brain Dysfunction (MBD).
Materials: Presented in lecture - together: 28 patients
and 24 cases with left ankle joint pain syndrome and 4
cases with right ankle joint pain syndrome. Material is
from the years 2012 – 2016.
Instability & Secondary Pain Syndrome of Ankle
Joint: The article describe this special type of foot
insufficiency – “instability of ankle joint” and pain
syndrome because of “permanent distortion of this joint”
– the left ankle joint in drivers and right ankle joint in
passenger in countries with “right traffic rules”. Till now
never was described the “insufficiency of ankle joint”
because of instability of this joint as result of causes
described by authors – its mean – getting out from the
car on one leg. The symptoms of such illness can be
not only in left or right foot but also in left or right knee.
In our patients we observe: swollen foot, limited dorsal
flexion of foot, painful region of Achilles and sinus
tarsi. The gait was with limping or some patients were
even not able to walk longer distance. Such instability,
because of permanent distortion of ankle joint and can
occur also among people doing some jobs – when exist
permanent rotation movement of the whole body on
full stabilized feet longer time, for example among the
women working in kitchen.
Treatment: In our material we noticed, that the treatment
in this group of patients, before contact with us, was
mostly not proper and not leading to full recovery. This
improper treatment was among presented patients
even 4–5 years! In lecture we present cases of the
feet problems and we discuss method of therapy and
rules of prophylaxis. The article about this problem and
proper therapy was publishing in USA in June 2017.
Discussion & Conclusions: We described the
pathology syndrome of the ankle joint, the chronic
distortion caused by rotation movement made during
getting out the car. This is the new “Syndrome of
Distortion and Following Instability of Ankle Joint.
Unfortunately in all our patient the previous diagnosis
was not proper and the therapy not leading to recovery.
The illness can be the long time lasting problem - 4
or even 5 years. It is important - the proper diagnosis
Tomasz Karski
Vincent Pol University, Poland
Tomasz Karski, J Phys Ther Sports Med 2017