case presentation(2) by priyanthi

CASE

PRESENTATION

UCP/AL/11/217

SUBJECTIVE EXAMINATION

• M.J.Nilantha, 41 yrs, manager in a restaurant

• C/O L/leg ankle pain at nights and after the activities like walking

and limitation of ROM in ankle due to pain

• PMH/PSH Fracture in tarsal bones due to RTA sep 19 2014 (when he was walking three whiller hit him) adimitted to Peradeniya Hospital, did an opearation,and the ankle kept immobilized for 2 months.

• He don’t have any other medical conditions

OBJECTIVE EXAMINATION

• Antaltic gait

• Oedema around the L/ankle and lower leg

• Tenderness in the medial side of the foot.

• A ROM Dorsi flexion 5 Plantar flexion 10 (patient complains about pain

during the dorsi flextion than plantar flextion)

• No significant reduction in ROM in knee

Treatments

• Efflurage (STM) is done to reduce edema

• Accessory movements and passive mobilization of left ankle joint is done to

reduce the joint stiffness

• Passive stretching is done to gain ROM

• Active stretching is encouraged as a home exercise

THANK YOU