Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic right foot pain, localized to the midfoot/hindfoot, exacerbated by activity and uneven terrain. Reports progressive stiffness and frequent ankle sprains. No history of acute trauma. Pain is described as dull, aching, and non-radiating.
Clinical Examination Findings
Right foot examination reveals limited subtalar joint motion and rigid pes planus. Tenderness noted over the talonavicular or calcaneonavicular joint. Gait analysis demonstrates decreased hindfoot eversion/inversion. Neurovascular status is intact distally.
Treatment Protocol
Initial management includes activity modification, orthotic inserts with medial arch support, and physical therapy for range of motion. NSAIDs as needed for pain. If conservative measures fail, consider surgical consultation for resection or arthrodesis.