Mrs. Watson, being a schoolteacher, means being on her feet for long periods of time and as she mostly wears slip on shoes her feet and ankles will not be receiving an adequate amount of support. That along with no reported trauma and no significant medical history or abnormal test results leads me to believe that the cause of injury is overuse/gradual onset and could possibly be a form of tendinitis.
As there is no specific area mentioned as to where the pain is located, it is difficult to pinpoint which exact tendinitis it could be.
Tibialis Anterior Tendinitis: Tibialis anterior (tib ant) is primarily responsible for dorsiflexion of the foot and ankle and controlling the foot as it lowers to the ground during walking or running. Whenever …show more content…
- Pitting/discoloration of fingernails and/or toenails
- Pain and swelling in one or more joints. Usually the distal joints of the fingers or toes, the wrists, knees or ankles. Some people with psoriatic arthritis may have only one joint affected, while in others it may resemble rheumatoid arthritis (Gardener & Matsen, 2014).
Inflammatory forms of arthritis cause prolonged stiffness in the night and morning along with joint swelling and pain and generally improve with activity. Although Mrs. Watson’s reports limping at the end of the day, her psoriasis could always be a factor.
By testing (x-ray of joints, joint fluid testing, blood tests) Mrs. Watson for psoriatic arthritis, it will help determine whether it is actually psoriasis linked or muscular as previously mentioned (Gardener & Matsen, 2014).
It may take some time to determine if Mrs. Watson has psoriatic arthritis, as usually if the nails and skin are affected along with joints a concrete diagnosis can be made. I would consider referral to a rheumatologist to get a second opinion, as they would be more able to recognize the features of psoriatic arthritis and make a diagnosis (Gardener & Matsen,
As there is no specific area mentioned as to where the pain is located, it is difficult to pinpoint which exact tendinitis it could be.
Tibialis Anterior Tendinitis: Tibialis anterior (tib ant) is primarily responsible for dorsiflexion of the foot and ankle and controlling the foot as it lowers to the ground during walking or running. Whenever …show more content…
- Pitting/discoloration of fingernails and/or toenails
- Pain and swelling in one or more joints. Usually the distal joints of the fingers or toes, the wrists, knees or ankles. Some people with psoriatic arthritis may have only one joint affected, while in others it may resemble rheumatoid arthritis (Gardener & Matsen, 2014).
Inflammatory forms of arthritis cause prolonged stiffness in the night and morning along with joint swelling and pain and generally improve with activity. Although Mrs. Watson’s reports limping at the end of the day, her psoriasis could always be a factor.
By testing (x-ray of joints, joint fluid testing, blood tests) Mrs. Watson for psoriatic arthritis, it will help determine whether it is actually psoriasis linked or muscular as previously mentioned (Gardener & Matsen, 2014).
It may take some time to determine if Mrs. Watson has psoriatic arthritis, as usually if the nails and skin are affected along with joints a concrete diagnosis can be made. I would consider referral to a rheumatologist to get a second opinion, as they would be more able to recognize the features of psoriatic arthritis and make a diagnosis (Gardener & Matsen,