Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with right-sided foot pain and fatigue, localized to the medial longitudinal arch. Symptoms are exacerbated by prolonged standing or weight-bearing activities and relieved by rest. Patient reports no history of acute trauma. Arch collapse is noted to be progressive over [Time Period].
Clinical Examination Findings
Right foot examination reveals a flattened medial longitudinal arch in a non-weight-bearing position that reconstitutes upon toe-standing (Jack’s test positive). No fixed deformity or rigidity noted. Hindfoot valgus is present but passively correctable. Neurovascular status is intact; distal pulses palpable, sensation intact to light touch.
Treatment Protocol
Conservative management initiated including: 1) Custom-molded or over-the-counter orthotic inserts for medial arch support. 2) Physical therapy focusing on intrinsic foot muscle strengthening and posterior tibialis tendon conditioning. 3) Activity modification and supportive footwear with adequate arch support. 4) NSAIDs as needed for symptomatic relief.