Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive deformity of the left first metatarsophalangeal (MTP) joint. Reports localized pain, tenderness, and inflammation over the medial eminence, exacerbated by narrow footwear. Denies history of trauma, infection, or systemic inflammatory arthropathy. Pain is described as [dull/aching/sharp] and is relieved by rest and wider shoes.
Clinical Examination Findings
Left foot examination reveals a prominent medial eminence at the first MTP joint with associated bursitis. Hallux valgus deformity noted with lateral deviation of the hallux. First MTP joint range of motion is [full/restricted] with crepitus noted on passive range of motion. No signs of neurovascular compromise. Second toe shows [no/mild/severe] overlapping or clawing.
Treatment Protocol
Conservative management initiated: recommendation for wider, accommodative footwear, orthotic inserts, and activity modification. Non-steroidal anti-inflammatory drugs (NSAIDs) prescribed for pain management. Referral for physical therapy to address biomechanical imbalances. If conservative measures fail, surgical consultation for potential bunionectomy/osteotomy will be considered.