Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with insidious onset of dorsal midfoot pain in the right foot, exacerbated by weight-bearing activities and high-impact sports. Pain is localized to the "N-spot" (dorsal navicular). No history of acute trauma; symptoms are progressive over [X] weeks.
Clinical Examination Findings
Physical exam reveals localized tenderness to palpation over the dorsal aspect of the right navicular. No significant erythema or edema noted. Pain reproduced with resisted inversion of the foot. Gait analysis demonstrates antalgic pattern favoring the lateral column. Neurovascular status intact distally.
Treatment Protocol
Strict non-weight bearing (NWB) status for 6-8 weeks via crutches or knee scooter. Immobilization in a short leg cast or CAM boot. Follow-up imaging (X-ray/MRI) scheduled for [Date] to assess callus formation. Referral to physical therapy for non-impact conditioning.