Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic left foot pain, localized to the midfoot/hindfoot, exacerbated by physical activity and uneven terrain. Reports progressive stiffness and occasional locking sensations. No history of acute trauma. Symptoms are refractory to conservative management including activity modification and orthotics.
Clinical Examination Findings
Left foot examination reveals limited subtalar joint motion with palpable bony prominence along the medial/lateral midfoot. Pes planus deformity noted. Tenderness elicited upon palpation of the talonavicular/calcaneonavicular joint. Gait analysis demonstrates restricted hindfoot eversion/inversion. Neurovascular status intact distally.
Treatment Protocol
Initiate conservative management with custom orthotic inserts, activity modification, and NSAIDs. If symptoms persist, consider diagnostic imaging (CT/MRI) to confirm coalition type. Surgical consultation for potential resection or arthrodesis may be required if conservative measures fail to provide symptomatic relief.