Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, localized pain in the right forefoot, specifically at the second metatarsal head. Symptoms are exacerbated by weight-bearing and physical activity. No history of acute trauma. Reports stiffness and occasional swelling at the MTP joint.
Clinical Examination Findings
Physical examination of the right foot reveals localized tenderness upon palpation of the second metatarsal head. Mild swelling and restricted range of motion noted at the second MTP joint. No signs of erythema or warmth. Gait analysis demonstrates antalgic pattern favoring the lateral aspect of the foot.
Treatment Protocol
Conservative management initiated: offloading via metatarsal pad or orthotic inserts, activity modification to low-impact exercises, and NSAIDs for pain management. Referral for physical therapy to address joint stiffness. If refractory, consider surgical consultation for joint debridement or osteotomy.