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July 3, 1915


JAMA. 1915;LXV(1):26. doi:10.1001/jama.1915.02580010034010

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Referred pain in flatfoot and weak feet is being constantly overlooked, especially when the referred pain is in a remote part of the body or when the arches to all appearances and tests seem normal and may even be higher than normal. The pain, however, must indisputably be a symptom of arch strain, since the proper support of the arches brings relief from the pain which heretofore resisted firmly all known therapeutic means.

Lately I met a striking example of such a case.

Case 1.  —Man, aged 26, baker, for two weeks was compelled to give up his work entirely because of a distressing lumbago which had been plaguing him for some time. An examination showed that the spine was not in the least tender, nor was there any spasm of muscles. Seated in a chair, he could easily bend far forward so that inflammation of the vertebrae was ruled

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