Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right great toe pain following a hyperextension injury during athletic activity. Reports localized pain at the first metatarsophalangeal (MTP) joint, exacerbated by push-off during gait. Denies numbness, tingling, or history of prior injury to the right foot.
Clinical Examination Findings
Right foot examination reveals localized edema and ecchymosis over the plantar aspect of the first MTP joint. Tenderness to palpation noted at the joint line and plantar plate. Range of motion of the first MTP joint is limited by pain, particularly with passive dorsiflexion. Neurovascular status intact with palpable dorsalis pedis pulse and normal capillary refill.
Treatment Protocol
Initial management includes RICE protocol (Rest, Ice, Compression, Elevation). Immobilization provided via buddy taping of the first and second toes. Recommended stiff-soled shoe or walking boot to limit MTP joint dorsiflexion. Prescribed NSAIDs for pain and inflammation control. Follow-up in 1-2 weeks for reassessment.