What is Strunsky Test?
A strunsky test is a provocation test that is used to assess metatarsalgia. Now you people have encountered two new words: “provocation test” and metatarsalgia. Let’s understand both these terms
What is the provocation test?
A provocation test places stress on the joint to get a response or reproduce the symptoms.
What is Metatarsalgia?
Metatarsalgia is a condition in which the ball of your foot becomes inflamed and painful.
The most common symptom of metatarsalgia is
- Pain at the end of one or more metatarsal bones. These are the bones (metatarsal bones) that are located in the ball of your foot, closest to your toes.
- The pain worsens when you run, stand, bend or flex your feet or walk – mainly walking barefoot on a hard surface, and the pain improves when you rest.
- You may feel like you are stepping or walking on a pebble.
- You’ll feel a sharp or shooting pain. You can also feel the sensation of numbness or tingling in your toes.
The procedure of performing the Stransky Test
Let’s understand the procedure for performing the Strunsky test.
- The patient lies in a supine position with their feet hanging over the edge of the examining table.
- Now the examiner grasps the patient’s left leg’s toe between his right hand’s thumb and the index finger (pincher grip).
Note – What is a pincher grip?
Pincher grip is also known as pincher grasp. It refers to the action or process of closing the thumb and index finger together in order to hold an object.
- Therefore, in the same way, the examiner grasps the patient’s right leg’s toe between his left hand’s thumb and the index finger (pincher grip).
- After grasping both the patient’s toes between his thumb and the index finger (pincher grip) with both hands, the examiner now forcefully flexes the metatarsophalangeal joints.
Test Results of the Strunsky Test
If there is a chronic irritation of the metatarsophalangeal joint due to metatarsalgia, Stransky test significantly increases symptoms as a result of high (increased) pressure placed on the metatarsophalangeal joints.
While subsequent palpation of the metatarsophalangeal joint can then determine the painful joint.
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Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup