Hi folks,
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I am treating a middle aged lady, carrying some extra weight who is complaining of pain to her 5th mpj. There is some minor visible swelling and the lady has been in pain for some months and had physio treatment. This appears to be an injury whilst playing tennis and is identical to a previous incident some years ago for which she was given orthoses that she reports did help, but does not have anymore. MRI shows no fractures, no mortens, no arthritic involvement, but a small amount of fluid around the joint. I do not want to prescribe orthoses whilst I am unsure of the diagnosis, however there is a reduced arch profile and I suspect the previous insole would have been anti pronatory. Any ideas gratefully appreciated. Thanks Kath
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