Foot Spine Syndrome or RAFFET Syndrome

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It is not totally clear what Foot Spine Syndrome or RAFFET Syndrome is. It was first referred to as a thing in this clinical trial registration in December 2023 as:

This case series aimed to describe a new clinical condition for the first time in the medical literature called Foot Spine Syndrome or “RAFFET Syndrome”. This syndrome was reported in 11 patients (6 males and 5 females) out of 4000 patients with a history of chronic low back pain (CLBP) throughout 2 to 6 years in an outpatient clinic in Egypt from 2016 to 2022. The patients suffered from CLBP that did not respond to physical therapy or any medication for long. They all had clinical spinal instability, hallux rigidus, foot abnormalities and tightness of hip flexors and adductors accompanied with weakness of hip extensors and abductors on the affected side. Manual therapy for the big toe including; Maitland mobilization (Grade 3,4), Mulligan mobilization with movement techniques, muscle energy techniques, manual therapy for plantar fascia, strengthening exercises and self-stretching exercises was performed.

No other mentions can be found in the literature at this time (December, 2023) nor is it known what “RAFFET” means.

Commentary:
This does perhaps bear some resemblance to the well documented issues of functional hallux limitus and low back issues in the context of sagittal plane theory.

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