FysioOVER9000 @thomasroth91@qoto.org

I am trying to figure out what to do.

F, 51, 2 yr history of lumbar- and R. glute pain after L5/S1 herniation. 4/5 weakness tibialis anterior and GMed, sens. deficits, complete loss of plantar reflex.

Here is the tricky bit.

She is globally hyper-reflexive, 2 beats clonus on R. biceps when reflex testing, bilateral pos. Hoffman, neg. ankle clonus, and negative Babinski. Also, general R. leg weakness iliopsoas, quadriceps, plantar flexors.

Incidental finding? Of importance?

@Retlouping @adamdobson

F, 83. 4/52 medial achilles pain. Acute pain in calf while walking down stairs. Felt like someone kicked her, no sound.

Today she is much improved, still some swelling, but able to do single leg calf raise.

Plantaris tear 👇