Hi all.
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Saw a patient a few days ago complaining of pain in her 2nd toe.
Pain was elicited by extension of the proximal phalanx and direct pressure to the dorsal aspect of the mtpj.She has reduced dorsiflexion stiffness of the 1st ray,met formula is fairly normal,no digital deformity.No history of direct trauma.Symptoms occur immediately on weight bearing,intense pain.
I applied a 2-4 s.c.f toe prop which gave much relief,but only for 1 day,pain returned.
I have sent her for x-ray to rule out a stress fracture but feel perhaps it is related to extensor hood,or extensor digitorum brevis tendinitis.
Any suggestions?
cheers
scott
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