Article

Exercise-related lower limb pain represents one of the most common presentations
in sports medicine practice. This is usually caused by musculoskeletal overuse
injuries but not uncommonly, a neuropathic cause may be suspected. A review of
the literature revealed that peripheral neuropathic pain has never been
documented in a child. It is possible that peripheral neuropathic pain of spinal
origin may be more prevalent in children than previously recognized. This case
report describes the presentation of a 12 year old tennis player with bilateral
dorsal foot pain, who presented with positive findings of peripheral nerve
sensitization which was successfully managed using neurodynamic treatment
techniques. Differential diagnoses are considered and treatment and management
described. A discussion of the clinical reasoning which led to the patient's
diagnosis is included. This case report suggests the effectiveness of
neurodynamic treatment in a child with bilateral foot pain who fulfilled
published criteria for peripheral nerve sensitization. However, the single case
methodology employed in this study limits generalization of its findings. Further
studies are warranted to investigate the role of neurodynamics in musculoskeletal
pain disorders in children.
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Langue : ANGLAIS