Hi everyone,
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I was hoping to find the answer to a very simple problem I cannot solve:wacko:
I have a patient who I visit regularly for nails/corns/callous, who is suddlenly c/o a strong pain (aching) in apex of her RD1. The pain is so intense it is waking her up in her sleep.
She has OG BD1, and also cal apex of RD1, approx 5-10mm distal to the nail tip where she is c/o pain.
The cal from what I can see is not formed due to her shoes or abnormal wear patterns etc, I cannot find an obvious reason for her callous formation. Reducing OG nail has no effect on the pain. The toe itself is not red and looks 'normal' and I couldnt think of a reason as to why suddenly the pain would be occuring and why the callous would be there?
Hx of laminectomy ~10 years and back pain 37years. She is on methodone and morphine treatment for the pain in her back. She is unsure of the details of her back operation, however I was wondering if this would be some how related.
BD2-5 clawed toes and BPMA atrophy. She is wearing low density formies and slow release poron as PMA padding in lace up homy peds outdoors and slippers around home. Both shoes fit well
I was hoping someone had a simple answer to the callous formation and pain??
Thankyou :)
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