Run Over By A Water Buffalo: Perineural Prolotherapy For Refractory Pain

Home
About Us
- - About Us
  - About AMSSM
  - FAMSSM Designation
  - Awards
  - Founders
  - Past Presidents
  - Board of Directors
  - Committees
  - Contact Us
  - Bylaws/Policy & Committee Handbooks
- - FAMSSM Applications
  - Application submission is now closed for the 2025 Class of AMSSM Fellows. New Fellows will be announced to the AMSSM membership after the first of the year and honored at the 2025 Annual Meeting.
    
    Applications for the FAMSSM Designation will be available on an annual basis. Please contact Ellen Glasgow with any questions regarding the FAMSSM application.
- - We Understand You

Communications
- - Online AMSSM Community for Members
  - AMSSM Collaborate online community provides a forum for year-long connection, giving members the chance to have conversations, share resources and make connections with your peers.
- - AMSSM Informational Brochures
  - Find informational brochures about sports medicine physicians geared toward coaches, parents and other healthcare professionals.
Education
- - AMSSM Sports Medcasts
  - Find all current and past AMSSM Sports Medcast episodes in one convenient location.
- - AMSSM Fellow Online Lecture Series
  - The AMSSM National Fellow Online Lecture Series features talks from national experts on fundamental sports medicine topics pertinent to fellowship training and sports medicine board certification. Go to the collaborate.amssm.org site and view the available lectures in the Upcoming Events area.
Research
Advocacy
- - Legislative and Policy Issues
  - AMSSM is the go-to organization for legislative and policy issues related to sports medicine and athlete health and safety.
- - Legislation by State
  - AMSSM offers a variety of advocacy resources, including a map that tracks legislation important to sports medicine physicians.
Sports US
- - Sports Ultrasound Online Didactics
  - These 35 educational modules cover all of the didactic instructional session topics recommended for sports medicine fellows by the AMSSM.
- - Sports Ultrasound Committee
  - Find all the resources, materials and guidelines from the AMSSM Sports Ultrasound Committee
Patients
- - Need a Sports Medicine Physician?
  - FindADoc
- - SportsMedToday.com
  - Your comprehensive sports medicine resource for athletes, coaches and parents.
Additional Information
- - Additional Information
  - Sports Med Today
  - Journals
  - Weekly Digests
  - Store
  - Careers
  - Industry
Foundation

Run Over By A Water Buffalo: Perineural Prolotherapy For Refractory Pain - Page #1

Author: Benjamin Buchanan, MD Senior Editor: Warren Bodine, DO, FAMSSM Senior Editor: Margaret Gibson, MD, FAMSSM Editor: Rathna Nuti, MD Patient Presentation: A previously healthy 33 year old female patient reports 5 months of severe left foot pain after a military water buffalo rolled over her left foot and ankle. History: Aside from the initial injury, patient reports no previous injury or pain to the left foot. She reports diffuse pain, hypersensitivity, minor swelling, and temperature changes to dorsum of the foot since initial incident. Pain is 2/10 at rest but ambulation or any significant touch to the area causes pain to be 8/10. Pain is described as sharp and also like pins and needles. She notes that she has been able to tolerate more pressure gradually but this effect has plateaued. NSAIDs/Tylenol have not had any effect. She reports resting and avoiding significant exertion for over a month without any noticeable improvement. She also reports doing some physical therapy but unable to tolerate due to level of pain. Physical Exam: Foot exam (left): Inspection: antalgic gait, no swelling, erythema, bruising, or atrophy Palpation: Diffuse allodynia over dorsum of the foot Strength/ROM: 5/5 muscle strength throughout and full ROM of ankle and all toes, movement painful Neurovascular: full sensation and proprioception Special Tests: unable to reliably perform due to level of sensitivity/pain Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

Back	Top

UPCOMING EVENTS

FIND A SPORTS DOC