Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, progressive deep ankle pain localized to the talar neck. Pain is characteristically worse at night, causing sleep disturbance, and demonstrates significant, rapid relief following the administration of NSAIDs. No history of acute trauma or constitutional symptoms.
Clinical Examination Findings
Physical examination reveals localized tenderness upon deep palpation over the talar neck region. Range of motion may be restricted due to pain, particularly with forced dorsiflexion or plantarflexion. No overlying erythema, warmth, or soft tissue swelling noted. Neurovascular status intact distally.
Treatment Protocol
Initial management includes scheduled NSAID therapy for symptomatic control. Definitive treatment options discussed include CT-guided radiofrequency ablation (RFA) or surgical excision of the nidus. Patient advised on activity modification and monitoring for symptom progression.