Orthopedic Case Studies of the Foot and Ankle
Presented by Eric Robertson and Jodi Young
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In these studies our panel will discuss two patients. Our first patient, a 34-year-old female, has utilized direct access to be seen in physical therapy after she slipped on some ice five days ago while running to catch the bus and turned her right ankle inward. The pain is located on the outside of the ankle and she indicates that the swelling has improved some with the compression sock, but overall it is still swollen and she has significant bruising.Our other patient, a 62-year-old female, was referred to physical therapy for pain on the bottom of her left foot that started four weeks ago when she began training for a breast cancer walk where she will be walking up to ten miles a day for three days. If she stands for more than ten minutes, she develops a burning sensation in the medial arch on the left side.
Meet your instructors
Eric Robertson
Eric Robertson, PT, DPT, MFA, is associate professor at the University of Utah in Salt Lake City, UT, and associate professor of Clinical Physical Therapy at the University of Southern California, in Los Angeles, CA. Previously he served as Director of Graduate Physical Therapy Education for Kaiser Permanente Northern…
Jodi Young
Jodi Young, PT, DPT, PhD is the Director of Research for the Bellin College Doctor of Science in Physical Therapy program. She is also a fellow of the American Academy of Orthopaedic Manual Physical Therapy. Jodi completed her PhD through the University of Newcastle in Australia where she researched physical therapy dosing in…
Chapters & learning objectives
1. Ankle Sprain
A 34-year-old female has utilized direct access to be seen in physical therapy after she slipped on some ice five days ago while running to catch the bus and turned her right ankle inward. She was wearing three inch heels at the time. She missed the bus, “limped home” and put ice on it and also started wearing a compression sock that she uses for running. The pain is located on the outside of the ankle and she indicates that the swelling has improved some with the compression sock, but overall it is still swollen and she has significant bruising. She had some crutches from a prior right knee injury, so she has been using them and stays completely non-weight bearing at all times. She has not returned to work at a retail clothing store because of her weight bearing status. She has difficulty going up/down stairs into her apartment.
2. Plantar Heel Pain
A 62-year-old female is referred to physical therapy for pain on the bottom of her left foot that started four weeks ago when she began training for a breast cancer walk where she will be walking up to ten miles a day for three days. If she stands for more than ten minutes, she develops a burning sensation in the medial arch on the left side. The pain is the worst when she first gets up and moves around (8/10), causing her to limp, but after she stands or walks on it, it will decrease to 3/10 and she is able to “walk normally”. The 3/10 pain is her consistent level of pain throughout the day.