Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain at the plantar aspect of the right first metatarsophalangeal (MTP) joint, exacerbated by weight-bearing and dorsiflexion of the hallux. Onset is insidious, associated with recent increase in physical activity. Denies trauma, numbness, or paresthesia.
Clinical Examination Findings
Inspection of the right foot reveals no erythema or edema. Palpation demonstrates focal tenderness over the medial and lateral sesamoids beneath the first metatarsal head. Pain is elicited upon passive dorsiflexion of the hallux. Range of motion of the first MTP joint is preserved but painful at end-range. Neurovascular status is intact distally.
Treatment Protocol
Conservative management initiated: activity modification, offloading via metatarsal pad or orthotic inserts, and application of ice packs for 15 minutes three times daily. Prescribed NSAIDs for inflammation control. Advised to wear stiff-soled shoes to limit MTP joint motion. Follow-up in 4 weeks if symptoms persist.