Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive medial arch collapse of the right foot, associated with localized pain and fatigue during weight-bearing activities. Symptoms are exacerbated by prolonged standing and walking. No history of acute trauma. Patient reports a gradual change in foot shape and difficulty with footwear comfort.
Clinical Examination Findings
Physical examination of the right foot reveals loss of the medial longitudinal arch in both weight-bearing and non-weight-bearing positions. Hindfoot valgus deformity noted. Tenderness elicited upon palpation of the posterior tibial tendon. Forefoot abduction present. Gait analysis shows increased pronation during the stance phase. Neurovascular status intact.
Treatment Protocol
Conservative management initiated, including the use of custom-molded orthotic insoles to support the medial longitudinal arch. Prescription of physical therapy focusing on strengthening the posterior tibial tendon and intrinsic foot muscles. Recommendation for supportive, motion-control footwear. Non-steroidal anti-inflammatory drugs (NSAIDs) as needed for pain management.