This test is performed if the patient complains about ‘shooting’ pains in the toes.

Procedure

  • The patient should sit on the examination table with the lower legs dangling down (knees in 90° flexion) and no weight on the feet.
  • Hold the forefoot with one hand and use this hand to exert lateral and medial compression [Figure 139]. Compare the findings from the left and the right foot.

Figure 139

The outcome is positive if the patient experiences the same shooting pain during the test as previously reported. Aetiology: compression of digital nerves (e.g. by a neurinoma).
NB: Be wary of false-negative results.