Saturday, 30 May 2009

Subcutaneous hematoma in distal part of left leg

A 10 months old toddler was brought by his mother yesterday with a painful lump in the distal part of her left leg. She apparently fell 4 days earlier but his mother noticed the swelling only after 2 days when she was attending to her.

She was still able to hobble from one end of the table to the other end while hanging on to the sides. She only grimaced slightly when we examined the swelling. We did an Ultrasound scan for her showing a cystic swelling adjacent (but separate) to the Achilles tendon. He plain X-ray of the andkle and leg was normal.

The swelling subsided significantly with RICE treatment and topical Reparil gel. Her mother was advised to continue the same treatment for another few days. She was not given any NSAIDS.

Monday, 18 May 2009

Right 1st metatarsalgia in Ballet dancer

A young lady in her (28 yrs old) came to see me with chronic pain (3 yrs) in the Right big toe. The pain would worsen with repetitive jumping and landing during ballet and modern contemporary dance. Despite getting better shoes, she still seemed to suffer from the pain. Her toes was also 'crowding' in her shoes with the big toe moving towards the 2nd toe (Hallux valgus).

She had tenderness at the base of the right 1st metatarsal bone and moreso adjacent to the 2nd toe. Upon treatment with ultrasound she felt better and we taught her some strengthening exercises and taping. She should be feeling much better if she takes adequate precaution and implements RICE treatment when she feels sore after training.