I'm sorry Bairdy. I used up everything I have on the response to vaccines.
But, the Talus is the large bone that the two bones of the lower leg (the tibia and fibula) rest on. It sits on top of the long heel bone, the calcaneous.
The sub-talar joint is the joint between the talus and the heel bone.
<< ankle joint range is slightly limited in dorsi-flexion"
This means you can't bring your toes up toward your knees very well. The report states that this is true for both ankels. Reasons for this could be a tight Achilles tendon or spasticity in the calf muscles which act to pull the toes down. Do you tend to stumble over your toes when you walk?
<< slight increased muscle tone was noticable on examination and there is clonus to the right leg when the heel is not in plantar grade.
This indicates the podiatrist found evidence of slight spasticity in your lower legs and/or feet on exam. This may explain the resistance to pulling your toes up.
<< There is weakness to the left foot and ankle in dorsi/plantar flexion, inversion/eversion.
When she asked you to point the toes up or down and roll your ankle inward (inversion) or outward (eversion) the muscles were weak. This would most likely be due to neurological impairment or disuse (like if you had had both feet in a cast) Did you notice any time when both feet were casted? This can happen to the best of us and sometimes we don't notice, lol.
<< there is clonus to the right leg when the heel is not in plantar grade.
This a pathologically hyper tendon reflex and is caused by a lesion in the spinal cord - whether or not a lesion has been seen. These two Health Pages discuss evaluating the Muscle Tone, Spasticity, and Tendon Reflexes. The heel being in "plantar grade" means the foot is in a position that points the toes down.
<< i measeured a 2cm shortness to the left tibia but from umbilicus leg lenght was near enough equal. (but ther is a functional scoliosis).
I'm a little unsure about this. It sounds like your left lower leg is shorter than the right by 2cm (this is a lot) but, by assuming a posture that bends the back sideways you compensate for it.
<< there is excessive stj pronation with calcaneal evertion to both feet throughout gait but more so to the left.
When you walk your ankles roll inward to the center. This is often associated with flat feet and weakness of the side ankle muscles. The left is worse.
<< the hips remain reltively level when bringing the left limb through swing,
because of this i am not incorperating a heel raise to the anti-pronatory, supportive insoles that are being made
You are able to keep your hips level, especially the left leg as you swing it forward as you walk, so she is not going to compensate for the shorter left lower leg by giving you a taller portion in the shoe insert (the orthotic) she is making.
Now, the part to take to the neuro is that the podiatrist found slight spasticity in both lower legs which was accompanied by the clonus. The clonus was when she jerked the forefoot upward and the toes bounced back down one or more times. Do you rmember this happening?
Along with the spasticity you can't bring your toes upward well enough. this could cause you to stumble on flat ground as your toes drop and catch the floor/ground. If this happens to you it should definitely be mentioned to the neuro.
If you notice that your foot "bounces" up and down in certain positions under pressure, you should tell the neuro.
I hope this helps.
good night :))