Author: Foot Doc
Date: 5/30/2008 6:42 am PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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As both diagnoses mentioned are most often clinical in nature, meaning that they are likely based entirely on patient's descriptions and complaints rather than visual or test evidence, it would require the skill and experience of the examining doctor to differentiate which, if either, is correct. Short of nerve conduction testing and/or clear evidence of electrical type symptoms, numbness or paresthesias, entrapment of small nerves is particularly difficult to conclude. Sesamoiditis is merely a catch-all term which has come to mean pain in the sesamoid area, but does not indicate a specific cause. Without knowing the details of what diagnostic methods have been attempted and their specific results, I really cannot offer a road map to an accurate determination. It might be helpful if you could think over what, if any difference, there might have occurred which could have contributed to the relief you received during the month or two of remission which you mentioned. |
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