Kevin
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As you were so quick and if your still looking in:
I have a friend coming in to see me who has a dorsal foot pain that radiated to the big toe. She is extremely overweight and does karate so sits in a kneeling position frequently and also kicks things a lot. The pain is worse when wearing high heel shoes, is painful walking or any activity and when resting and can be elicited by dorsiflexion and plantarflexion and longitudinal compression of the 2nd and 3rd metatarsal and direct compression just proximal to the base of 2nd 3rd metatarsals.
I suspected a combination of compression syndrome and involvement of the deep peroneal nerve. Saw here last night at a martial arts function and the relevant joints did not appear to have any swelling or osseous changes that might have occured due to direct trauma. What do you think?
Cheers Dave
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