Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right 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 history of prior trauma to the hallux.
Clinical Examination Findings
Right foot examination reveals localized edema and ecchymosis at the plantar aspect of the first MTP joint. Tenderness to palpation at the sesamoid complex and plantar plate. Passive dorsiflexion of the hallux elicits pain. Neurovascular status intact; distal pulses palpable, capillary refill < 2 seconds.
Treatment Protocol
Initiate RICE protocol (Rest, Ice, Compression, Elevation). Immobilization via stiff-soled shoe or walking boot. NSAIDs for pain and inflammation management. Referral for physical therapy to focus on range of motion and strengthening once acute symptoms subside.