Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain in the left forefoot, specifically at the 2nd intermetatarsal space. Describes symptoms as burning, tingling, and numbness radiating into the 2nd and 3rd toes, exacerbated by narrow footwear and weight-bearing activities. Reports sensation of "walking on a pebble."
Clinical Examination Findings
Physical examination of the left foot reveals tenderness upon palpation of the 2nd intermetatarsal space. Mulderโs click test is positive, eliciting reproduction of symptoms and a palpable click. No signs of erythema, edema, or skin lesions noted. Neurological status intact for distal sensation.
Treatment Protocol
Conservative management initiated: transition to wide-toe-box footwear, metatarsal pad placement to offload the 2nd intermetatarsal space, and activity modification. Consider corticosteroid injection if symptoms persist. NSAIDs prescribed for pain management as needed.