i would be very grateful if anyone could guide me on a new pt today. A 12 year old boy presented with a worried mum. he has an obvious apparent bony enlargement of the medial malleoi on the right which has only been noticed since his last shoe fitting. increased by 2 sizes in 6 months. presented with tight calf muscle on the right and a slight leg differnece. right shorter. during gait extendor hallucis longus very prominent on both and marked overpronation on both. when standing the only obvious abnormality is the enlarged medial malleoi. the main problem is discomfort when wearing shoes no other pain or problems. i have prescribed an inital stretching regime and footwear advice but am a loss as to why the maleio is bigger, not swollen or bursae.??? i am recently qualified and at a loss. thank a lots for any thoughts you have. bradley
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