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dc.contributor.authorCashley, David G.
dc.contributor.authorCochrane, Lynda
dc.date.accessioned2018-06-29T21:48:32Z
dc.date.available2018-06-29T21:48:32Z
dc.date.issued2015-06
dc.identifierER3987
dc.identifier.citationCashley, D. & Cochrane, L. (2015) Manipulation in the Treatment of Plantar Digital Neuralgia: A Retrospective Study of 38 Cases, Journal of Chiropractic Medicine, vol. 14, , pp. 90-98,
dc.identifier.issn15563707
dc.identifier.urihttp://dx.doi.org/10.1016/j.jcm.2015.04.003
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/3987
dc.description.abstractObjective: The purpose of this retrospective case series is to describe treatment outcomes for patients with plantar digital neuralgia (PDN) (Morton's neuroma) who were treated using foot manipulation. Methods: Charts were reviewed retrospectively for patients with a diagnosis of PDN and who received a minimum of 6 treatments consisting of manipulation alone. Visual analogue pain scales (VAS) and pressure threshold meter readings (PTM) were extracted as outcome measures. Results: Thirty-eight cases met inclusion criteria. Mean pretreatment duration of pain was 28 months. Mean pretreatment VAS was 69.5/100 mm. Mean pretreatment PTM was 2.54 Kp. By the sixth treatment, 30 (79%) of the 38 patients scored a VAS of 0 mm and a further 4 (10%) were below 10 mm. Contralateral limb PTM showed a mean pre-treatment score of 5.5 Kp, which rose slightly to 5.85 Kp. This compared to a pre-treatment score of 2.54 Kp rising to 5.86 Kp in the affected limb. This represents a 126% increase in the affected side compared to 6.5% in the unaffected limb. Statistical analysis demonstrated a significant linear trend between decreasing VAS and manipulation (. P < .001). Conclusion: The patients with PDN who were included in this case series improved with conservative care that included only foot manipulation. 2015 National University of Health Sciences.
dc.format.extent90-98
dc.relation.ispartofJournal of Chiropractic Medicine
dc.titleManipulation in the Treatment of Plantar Digital Neuralgia: A Retrospective Study of 38 Cases
dc.typearticle
dcterms.accessRightsrestricted
dc.description.facultysch_pod
dc.description.volume14
dc.identifier.doihttp://doi:10.1016/j.jcm.2015.04.003
dc.description.ispublishedpub
dc.description.eprintid3987
rioxxterms.typearticle
qmu.authorCashley, David G.
dc.description.statuspub
dc.description.number2


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