Hi everyone, my name is James.
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Got a bit of a brain teaser for you...
Bilateral MPJ pain on first few steps in the morning or if seated. Pain disappears once he has taken a few steps and “warmed up”.
He is male 52 yrs, engineer works at a building site on his feet only a few hours a day, normal BMI and doesnt exercise. 9 month history of pain.
plantar fasciitis?
Plantar plate tear?
rheumatoid arthritis?
osteoarthritis?
gout...?
Thoughts?
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