On gout as a peripheral neurosis / by Willoughby Francis Wade.

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On gout as a peripheral neurosis / by Willoughby Francis Wade. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    There is another part in which I have found tenderness. In most accounts of gout we find mention of pain and tenderness in the sole of the foot as occurring in certain cases. This tender- ness is always described as being situated in the plantar fascia. Nor would I deny that such may be the case. But on the other hand I have found a line of tenderness near the inner margin of the sole of the foot. On referring to Swan (pi. XXV., fig. 3, No. 8), we find that jusfc in this situabion lies a slender nerve which he thus describes. A branch of the branch five of the inner plantar nerve, to terminate in the joint of the great toe between the metatarsal bone and the first phalanx. Branch five is the nerve which has been referred to as running on the inner side of the inferior aspect of the great toe. It may be argued that if the in- flammation of the great toe-joint depended upon a morbid condition of this nerve, it should in all cases be found to be tender. I shall deal with this argument hereafter. I have repeatedly verified in other persons the fact that tenderness supposed to be in the