Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left first metatarsophalangeal (MTP) joint pain following a hyperextension injury during athletic activity. Reports localized swelling, tenderness, and restricted range of motion. Denies numbness, tingling, or inability to bear weight.
Clinical Examination Findings
Inspection of the left foot reveals localized edema and ecchymosis over the plantar aspect of the first MTP joint. Palpation demonstrates significant tenderness at the base of the proximal phalanx. Passive dorsiflexion of the hallux reproduces pain. Neurovascular status is intact with palpable dorsalis pedis pulse and normal capillary refill.
Treatment Protocol
Initiated RICE protocol (Rest, Ice, Compression, Elevation). Applied buddy taping of the first and second toes for stabilization. Prescribed NSAIDs for pain and inflammation management. Recommended rigid-soled shoe or orthotic insert to limit MTP joint flexion. Follow-up in 1-2 weeks to assess healing progress.