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I have a patient that came in recently with a few concerns. One that baffled me

was bilateral soft bumps about

the size of a lima bean at the base of 4th and 5th digits. He has had many

different people look at it and the

concensious is " means your getting old. "

Any idea?

Namaste Chiropractic

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Are they mobile? do they move with the dermis or are they attached to the

fascia or tendons? soft-fluid soft or mushy soft? present & or past

occupation?

Dr. Charlie Caughlin DC

155 NW 1st Ave

Day, Or 97845

off 541-575-1063

hm 541-575-1103

fax 541-575-5554

----- Clinical question

> I have a patient that came in recently with a few concerns. One

> that baffled me was bilateral soft bumps about the size of a lima

> bean at the base of 4th and 5th digits. He has had many different

> people look at it and the concensious is " means your getting old. "

>

> Any idea?

>

>

> Namaste Chiropractic

>

>

> OregonDCs rules:

>

> 1. Keep correspondence professional; the purpose of the listserve is

> to foster communication and collegiality. No personal attacks on

> listserve members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print,

> forward, or otherwise distribute correspondence written by another

> member without his or her consent, unless all personal identifiers

> have been removed.

>

>

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It is most likely tenosynovitis that has developed into a ganglion cyst.

Charlie's questioning is right on, if it is mobile and attached to a

tendon this is a dead give-away for a ganglion.

Yours,

DR. COBY L. HANES

991 NE THIRD STREET

PRINEVILLE, OR 97754

voice: 541.447.7230

fax: 541.447.5775

dochanes@...

Clinical question

I have a patient that came in recently with a few concerns. One that

baffled me was bilateral soft bumps about

the size of a lima bean at the base of 4th and 5th digits. He has had

many different people look at it and the

concensious is " means your getting old. "

Any idea?

Namaste Chiropractic

OregonDCs rules:

1. Keep correspondence professional; the purpose of the listserve is to

foster communication and collegiality. No personal attacks on listserve

members will be tolerated. 2. Always sign your e-mails with your first

and last name. 3. The listserve is not secure; your e-mail could end up

anywhere. However, it is against the rules of the listserve to copy,

print, forward, or otherwise distribute correspondence written by

another member without his or her consent, unless all personal

identifiers have been removed.

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  • 1 month later...

You might try an AFO brace or hinged ankle brace to derease the foot drop

which might help the swing phase of his gait and need for excess psoas

recruitment

Dr. Charlie Caughlin DC

155 NW 1st Ave

Day, Or 97845

off 541-575-1063

hm 541-575-1103

fax 541-575-5554

----- clinical question

> I have a new patient that suffered a stroke 23 years ago. He has

> very little use of his right arm and diminished use of his right

> leg. He has been training for a 13 mile walk and has had to stop

> due to pain in the groin which is increased with hip flexion. He

> walks with a foot drop, but recently obtained a knee brace which is

> intended to help him heel strike.

>

> I have never worked with someone who had a stroke. Psoas is

> obviously involved. There are the obvious things that I can do for

> a tight psoas, but I am wondering if there is anything else that I

> need to take into consideration with the stroke.

>

> Thank you,

>

>

>

> Dr. Bingham

> Namaste Chiropractic

> 1809 NW St.

> Portland, OR 97211

> (503) 226-8010

>

> Dr. Bingham

> Namaste Chiropractic

> 1809 NW St.

> Portland, OR 97211

> (503) 226-8010

>

> Dr. Bingham

> Namaste Chiropractic

> 1809 NW St.

> Portland, OR 97211

> (503) 226-8010

>

> Dr. Bingham

> Namaste Chiropractic

> 1809 NW St.

> Portland, OR 97211

> (503) 226-8010

>

> OregonDCs rules:

>

> 1. Keep correspondence professional; the purpose of the listserve is

> to foster communication and collegiality. No personal attacks on

> listserve members will be tolerated.

> 2. Always sign your e-mails with your first and last name.

> 3. The listserve is not secure; your e-mail could end up anywhere.

> However, it is against the rules of the listserve to copy, print,

> forward, or otherwise distribute correspondence written by another

> member without his or her consent, unless all personal identifiers

> have been removed.

>

>

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