Hi I have a case of a 59 year old man who was referred for left calf pain which occurred intermittently and only whilst running.
imaging were negative for any DVT or stress fractures. No pain was felt whilst walking or cycling.
on observation it was noted that he had slight atrophy of left calf, an anterior pelvis tilt and lumbar lordosis. During walking the left lower extremity was excessively rotated externally and a left medial heel turn.
He had a slight right trunk deviation during flexion and hip flexors limitations. In addition repetitive prone lumbar extension caused central low back pain.
What could be the cause of this? I was thinking that it might be a postural syndrome that is leading to a dysfunction syndrome with the main problem being at the back which alters biomechanics of the feet. What are the views on this?
Thanks
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