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Damaged ligament between 3rd and 4th metatarsal heads

Discussion in 'General Issues and Discussion Forum' started by Greg Clark, Jun 16, 2019.

  1. Greg Clark

    Greg Clark Welcome New Poster


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    Hello,

    I have a patient suffering from pain between the third and fourth metatarsal heads in his left foot. He injured his foot by kicking a hard surface during an altercation. There are no fractures and an ultrasound has come up negative for Morton's Neuroma. I think his ligament connecting the two heads is damaged as there is much more slack between in the region than usual. I have showed him a few exercises to build up the intrinsic muscles of his foot, but his foot still hurts him and is progressively getting worse. Does anyone have any other treatment ideas?
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    7
    Strapping around the met heads to immobilize.
    Intrinsic exercises are unlikely to have any affect in the short to medium term.
     
  3. BEN-HUR

    BEN-HUR Well-Known Member

    A stick-on/removable (adhesive backing) metatarsal dome or metatarsal raise is also worth a try. Stick to an insole, just behind met. heads... may help offload stress to area.
     
  4. Dieter Fellner

    Dieter Fellner Well-Known Member

    My first reaction: why would this ligament cause pain?

    Need more information How long ago was this injury. What type of pain. What improves or makes it worse. IE what's the full report look like.
    Occult fracture / stress fracture?
    Bone edema?
    etc etc
     
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