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Painful piezogenic pedal papules: response to local etectro‐acupuncture
Author(s) -
WOODROW S.L.,
BRERETONSMITH G.,
HANDFIETDJONES S.
Publication year - 1997
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1046/j.1365-2133.1997.d01-1251.x
Subject(s) - medicine , acupuncture , heel , flesh , surgery , dermatology , anatomy , pathology , alternative medicine , chemistry , food science
Summary We report the case of a woman who had pain in both heels which was exacerbated by long periods of exercise. On examination, There were small flesh‐coloured papules which appeared over the medial and lateral aspects of the heels only on weight bearing. Coincidentally. she was noted to have larger flesh‐coloured papules over the anterior surface of the shins. The diagnoses of painful piezogenic pedal papules and bilateral tibialis anterior muscle herniation, respectively, were made. After many attempts to control the pain, a course of electro‐acupuncture was commenced. A good subjective clinical response was achieved which has been maintained by fortnightly treatments. We discuss the prevalence, pathogenesis and treatment of painful piezogenic pedal papules. We believe that our patient is the first to have ‘herniations’ at both heel and shin sites and the first to have successful sustained pain relief for painful piezogenic pedal papules