fbpx

PATIENT CASE

Patient case – Plantar Fibroma

Here is a patient story about a condition called Plantar Fibroma, or Dupuytren’s contracture.
A patient case that came in 6 weeks earlier and was on a return visit for this condition. At the first visit, the right foot was most troublesome, so that the patient avoided walking, and even the left foot had an irritation that the patient felt.
When the patient returned, the right foot was completely hassle-free and without fibroma/thickening under the foot. There was still a slight irritation and thickening on the left foot.
I then took pictures of the left foot before and after the treatment, immediately after seeing that the fibroma’s height has dropped and the patient feels that the last discomfort has disappeared.
A telephone contact five days after the treatment the patient feels completely hassle-free.

This picture shows the changes that the foot slowly adapts to.

It is because there is a lack of big toe movement, an entity called Functional Hallux Limitus. That means that the big toe is blocked when walking over it, and it doesn’t bend. The foot is stressed to compensate for the lack of movement and stresses the big toe joint, where it starts to build up a lump on top or the inside towards the other foot. The lump will slowly restrict the movement, and it becomes a Hallux Rigidus, a stiff toe without movement. Or you turn the heel inward so that the toe comes out of the way, like walking with flippers. This compensatory gait pushes the toe outwards, and it becomes a Hallux Valgus. As the big toe doesn’t bend, the support underneath will disappear as the windlass system is blocked. You will walk and overload the second toe to a Hammertoe. As you avoid walking on the big toe, the lesser metatarsals will be over-stressed with stiff end weak muscles that pull them inwards, as you can see on the 4th and 5th toe.

PETER JIHDE TREATED WITH PRONATOS

The examination was to see no disturbance in the foot that could affect the increased formation of calluses in the sole.

Because a person with diabetes as Peter, has a greater risk of foot ulcers that arise from the formation of calluses that rupture.
The examination revealed that Peter had Hallux limitus on his right foot and Hallux Rigidus on his left foot. This movement restriction in the big toe joint does not allow the toe to bend when walking, there is a higher pressure under the big toe, and you change the gait because you cannot go over the big toe. When you walk at an angle, it creates calluses on the sole, and the mechanics of the knee and hip also change.

After 6 minutes of treatment, Peter regained his mobility to an average level in both toes.

Diabetes can cause damage to the feet through changes in blood vessels and nerves. Nerve damage is the most common complication of the feet. Nerve damage makes it difficult for the person to perceive feeling and pain in the feet. In the long run, there may be problems with feeling small injuries and abrasions on the feet.

Changes in the small and large blood vessels and atherosclerosis increase the risk of vascular damage with decreased circulation in the legs and feet.
It is essential to pay attention to redness, swelling, dry skin, and calluses to avoid complications.

Now there is research that says that diabetic patients with FHL have an increased risk of foot ulcers leading to amputation. When the big toe has to be amputated, the risk of further amputation and premature death increases by 12%.

Predictors of Diabetic Foot Reulceration beneath the Hallux
https://www.hindawi.com/journals/jdr/2019/9038171/

“Conclusions. Obesity and the presence of functional hallux limitus increase the probability of developing hallux re-ulceration in patients with diabetic neuropathy and a history of ulcers.”

 

 

RIGHT FOOT BEFORE TREATMENT

RIGHT FOOT AFTER TREATMENT

LEFT FOOT BEFORE TREATMENT

LEFT FOOT AFTER TREATMENT

SAID ABOUT US

“A second treatment with StretchPower, what a development! Finally, back to the softness I had before as a swimming athlete. Now that I have stepped out of the water and trained more running, cycling, and strength training in my attempts to become a good triathlon exerciser. During the last run of 7 km, the running step felt much more effortless and softer.”

Kenneth Eriksson

“Hello. Thanks for the treatment Vesa! I had problems with the outside of my knee this spring. I go to the gym often but could no longer do some knee exercises. I have been to naprapath, where they did treatment with laser and various knee exercises, but nothing has helped. But then Vesa introduced Stretchpower to me, and already after the first treatment, I noticed results. I went there twice more, and now I have not had any more problems with my knee. Now I can continue with floorball without worries. Thank you, Vesa!”

Joel Söderström

“Thank you for the treatment. What an effect! I got a slight training pain after the treatment, and it may be from the crosstraining session I did after the treatment. It was a long time since I felt so soft and light. I will run my first running session after the treatment today. It will be exciting to see what effect it will have. I will return. Thank you, Vesa.”

Kenneth

“Since I have done many long walks in recent years, including Camino in Spain and Nijmegen in Holland, the outside of my knee, calf and ankle began to ache. I got a statement that it was an unstretched calf muscle, Peroneus, that was the problem. I got the chance to try Stretchpower, and already after the first time, I felt a noticeable difference. After the second treatment, I have better mobility, and the pain on the outside of my knee is gone. Thank you, Vesa!”

Nina Ekström

“For three years, I have had problems with one of my feet. A lot of pain when I got up from lying/sitting to standing. So bad that I was close to falling from time to time. Sometimes also pain when walking. After two treatments, the foot is problem-free! Four months ago, I had acute problems with the other foot. It was very sore, stiff ankle, difficult to get up, walked upstairs, and often difficult to walk. After four treatments, I am now pain-free, soft, and mobile in the foot, and I walk as fast as before. It is only on stairs that it can feel a little tight. Vesa, big and warm thank you for the help I received and receive from you. It has raised my quality of life considerably!”

Agneta Madsen

“After having problems for several years getting down in a real squat, the problem is finally starting to drop. I always thought that my mobility in my legs was the problem and stretched without results. After two weeks, Stretchpower has already given me more results than two years of stretching! The twist I had at the bottom of the squat is now almost completely gone due to increased mobility in the ankle.”

Viktor Pettersson