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14 Possible Causes for Inability to Stand on Tiptoes, Low Back Pain

  • Lumbar Disk Herniation

    The patient initially suffered from unilateral low back pain and nonradicular/nonlancinating referral to the ipsilateral lower extremity.[] DISCUSSIONS: Our findings suggest that the MMP1 rs1799750 2G/2G genotype may contribute to low back pain, sciatica, and disability after lumbar disk herniation.[] Further study is warranted into the treatment of chronic low-back pain with chiropractic biophysics methods.[]

  • Sacral Radiculopathy

    A 52-year-old man presented with low back pain with left lower extremity weakness and distal radiation.[] A patient who had received hemostatic clips to the aqueductal stenosis 31 years ago presented with low back pain and sacral radiculopathy.[] Low back pain guideline recommendations can inform a decision in primary care to refer for surgical assessment.[]

  • Fracture

    PATIENT CONCERNS: A 38-year-old man presented with severe low back pain after an accident when he was building a house.[] The most common finding on physical examination is low back pain and pain with extension of the lumbar spine.[] pain.[]

  • Morton's Metatarsalgia

    The pain had begun to cause her to have an abnormal gait and, in turn, had caused her low back to begin to bother her.[] back factors.[] Foot Neuroma: Differential Diagnosis Acute contusion Low Back Pain Sciatica Metatarsal fracture Metatarsal subluxation/ malposition Figure 2.[]

  • Osteomyelitis

    Abstract A 13-year-old adolescent girl presented to the emergency department with low back pain of acute onset after bending forward.[] Osteomyelitis can affect any region of the spinal column—cervical (neck), thoracic (mid back), lumbar (low back) and/or sacral (sacrum).[] back Chronic osteomyelitis can cause bone pain, recurring infections in the soft tissue over the bone, and pus drainage through the skin.[]

  • Achilles Tendon Rupture

    Inability to stand on tiptoe. If the tendon is completely torn, you may feel a gap just above the back of the heel.[] […] shoes Very gradual Late 40s Pain in back of heel, worsening with initiation of activity, improving with rest; pain while wearing shoes; limp develops over time Tender, palpable[] Patients may notice an inability to stand on tiptoe and altered gait (inability to push off with the affected foot). Examination Observe gait.[]

  • Sciatic Neuropathy

    We report the case of a 55-yr-old woman with a history of chronic low back pain who presented with progressive right buttock and posterolateral right lower limb pain associated[] He complained of low back pain, left buttock pain, and left leg numbness and weakness.[] Back and Neck Pain: The Facts. New York : Oxford University Press, 2000. Fishman, Lauren, and Carol Ardman. Back Pain: How to Relieve Low Back Pain and Sciatica.[]

  • Achilles Tendinitis

    Patients may notice an inability to stand on tiptoe and altered gait (inability to push off with the affected foot). Examination Observe gait.[] Pain is generally felt low on the back of the heel due to the low vascularity and susceptibility for inflammation.[] back pain and sciatica, and the remaining patient could not be traced.[]

  • Multiple Sclerosis

    Oxytrex minimizes physical dependence while providing effective analgesia: a randomized controlled trial in low back pain. J Pain 2006 ; 7: 937 - 946.[] Acupuncture for low back pain (Cochrane Review). In: The Cochrane Library, issue 4. Chichester, UK : John Wiley & Sons, 2004.[] Spasticity may also produce feelings of pain or tightness in and around joints, and can cause low back pain. These symptoms also occur in MS, but much less frequently.[]

  • Heel Bursitis

    .) * Pain series, all by Rene Cailliet, MD - Foot and Ankle Pain - Low Back Pain syndrome - Knee: Pain and Disability - Hand: Pain and Impairment - Neck and Arm Pain - Shoulder[] Gait asymmetry leading to low back pain or other symptoms. Edited September 5, 2017 (Previously edited by Lance Silverman MD and Tim Charlton MD ) mf/ 5.21.18[] First, wear wide shoes or shoes with a low back. Try the RICE regimen (rest, ice, compression, and elevation) first, along with a nonprescription pain reliever.[]

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