Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive medial prominence of the right first metatarsophalangeal (MTP) joint, associated with localized pain, inflammation, and difficulty with shoe wear. Symptoms exacerbated by activity and narrow-toed footwear. Denies trauma, numbness, or paresthesia.
Clinical Examination Findings
Right foot examination reveals a prominent medial exostosis at the first MTP joint with lateral deviation of the hallux. Tenderness to palpation over the medial eminence. Range of motion of the first MTP joint is restricted with crepitus. No signs of infection or ulceration. Neurovascular status intact distally.
Treatment Protocol
Conservative management initiated: recommendation for wide-toe box footwear, orthotic inserts, and activity modification. Non-steroidal anti-inflammatory drugs (NSAIDs) prescribed for pain management. Referral for physical therapy to address biomechanics. Surgical consultation discussed if conservative measures fail.