:hat Hi Radhia

1) What surgical procedure was done on her?
2) When was the surgery?
3) When did she start feeling pain? Before or after surgery?
4) When you say her wound has healed, do you mean she had a compound # or the wound from surgery?
5) Does she pain all the time/ sometimes/ only during mvt?
6) Have you excluded the neurological involvement?


Where does her pain come from?

It can be a lot of things!

Step 1: Come up with differential diagnosis/ possible causes
from the Subjective Exam.
Any structure that has nociceptors (including the
skin) around that area can be possibly causing her
pain! do ur assessment and pin point ur diagnosis.
I agree with Alophysio but do your Assessment!

Step 2: Treat the source pain. If it is Adhesive scar tissue,
Mobilize the scar. If it is a Shortened muscle, stretch
the hams. If you think the Nail is too short then
reduce weight on the affected leg. if you are not sure
what really causes the pain consult with your Doctors.

I see a lot of patients from the Orthopaedic wards with different kinds of pain but i always pin point my source and deal with it and it works for me.

You can write again with a detailed assessment of your patient and we will help you pin point the source!

hope this will help! Cheers :hat