title: Adult onset primary focal dystonia of the foot: an orthopaedic intervention.
abstract: A 54-year-old woman presented to a foot centre with a chief symptom of cramping in her toes, which, she believed, was of a secondary cause originating from a bunion. She was treated conservatively; however, she returned a month later as the symptoms had progressed to painful cramping of toes, toe-curling and instability while walking, due to involuntary movement of her toes. It was believed that the patient presented with a rare case of primary adult onset focal foot dystonia. This case report explains dystonia further in detail and delves into the different treatment and management options available today, including the unique orthopaedic intervention provided for this patient.
authors.affiliation: Department of Orthopedics & Pediatrics, New York College of Podiatric Medicine, New York, New York, USA.
authors.forename: Loretta
authors.initials: L
authors.lastname: Logan
authors.affiliation: Department of Orthopedics & Pediatrics, New York College of Podiatric Medicine, New York, New York, USA.
authors.forename: Barbara
authors.initials: B
authors.lastname: Resseque
authors.affiliation: New York College of Podiatric Medicine, New York, New York, USA.
authors.forename: Monica Sakshi
authors.initials: MS
authors.lastname: Dontamsetti
mesh_terms: D001418:Baclofen / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D020821:Dystonic Disorders / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D061826:Foot Orthoses; D005684:Gait; D006801:Humans; D008875:Middle Aged; D009125:Muscle Relaxants, Central / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D009125:Muscle Relaxants, Central; D001418:Baclofen