Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with insidious onset of dorsal midfoot pain, right foot, exacerbated by weight-bearing activities and athletic training. No acute trauma reported. Pain is localized to the N-spot, worsening with impact. No history of prior foot surgery or systemic inflammatory conditions.
Clinical Examination Findings
Right foot examination reveals localized tenderness upon palpation of the navicular bone (N-spot). Mild edema noted over the dorsal midfoot. No erythema or ecchymosis. Gait analysis demonstrates antalgic pattern with avoidance of midfoot loading. Neurovascular status intact distally; dorsalis pedis pulse 2+, capillary refill <2 seconds.
Treatment Protocol
Immediate non-weight-bearing status initiated. Immobilization via short leg cast or CAM boot. Referral for advanced imaging (MRI) to confirm stress fracture grade. Pain management with NSAIDs and ice application. Strict avoidance of impact activities. Follow-up scheduled in 2 weeks for reassessment.