Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute pain at the first metatarsophalangeal (MTP) joint of the left foot following a hyperextension injury. Reports localized swelling, tenderness, and difficulty with push-off during gait. No history of prior trauma or chronic instability.
Clinical Examination Findings
Left foot examination reveals localized edema and ecchymosis at the plantar aspect of the first MTP joint. Tenderness to palpation at the plantar plate and sesamoid complex. Range of motion is limited by pain, particularly in dorsiflexion. Stability testing demonstrates intact collateral ligaments with no gross laxity. Neurovascular status is intact distally.
Treatment Protocol
Initiate RICE protocol (Rest, Ice, Compression, Elevation). Immobilization with a stiff-soled shoe or walking boot. Non-steroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation management. Referral for physical therapy to focus on range of motion and strengthening once acute symptoms subside.