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Semmes-Weinstein monofilament testing

Procedure: - pressure is applied to the plantar surface of the distal hallux & the 1st, 3rd & 5th metatarsals of the foot with a 5.07 monofilament* A 10 gram monofilament is suggested under diabetic foot. Clinical significance: - failure to detect pressure is associated with a high risk of developing foot injury in patients with peripheral neuropathy.

General

physical examination technique

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 1046
  2. NEJM Knowledge+ Endocrinology
  3. Feng Y, Schlosser FJ, Sumpio BE. The Semmes Weinstein monofilament examination as a screening tool for diabetic peripheral neuropathy. J Vasc Surg. 2009 Sep;50(3):675-82, 682.e1. PMID: 19595541 Free article. Review.