A painful foot with diagnostic and therapeutic consequences

Scand J Pain. 2019 Jul 26;19(3):615-618. doi: 10.1515/sjpain-2019-0015.

Abstract

Background A wide range of patients are referred to multidisciplinary pain clinics. An important part of the work-up is a thorough pain analysis that might reveal a specific cause for chronic pain. Method We describe a patient with chronic pain in one foot after a light trauma and repeated surgery. However, careful examination revealed symptoms and clinical finings in both feet. This led to referral to a University Hospital and the diagnosis of a chronic neurologic condition explaining both symptoms and findings. The diagnosis of this condition has implications both for further follow-up for this patient and possibly also other family members. Implications Professionals working in the pain-field should be aware of diagnosis that might partly explain increased pain or complications after surgery.

Keywords: Charcot Marie Tooth; chronic pain in feet: foot pain; neuropathic pain in feet; pain in feet after surgery; polyneuropathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Charcot-Marie-Tooth Disease / diagnosis*
  • Chronic Pain / etiology*
  • Female
  • Foot / surgery*
  • Humans
  • Neuralgia / etiology*