Hi All
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I have a Female patient 53 years old active tennis player that over the last 9 months has developed and indentation of around 20mm across and 15mm deep with a position slightly superior /posterior to the medial malleolus. She is c/o general non discript foot pain and a tightness in the met heads and toes. There are no signs of inflammation or pigmentation but The FDL TA and PT are all tender on palpation. She has now started to develop an "indentation" on the other ankle and is getting similar symptoms in that foot causing her now to be unable to do any exercise.
I have been through the obvious shoes /boots etc looking for a causative factor but I cannot believe that anyone wound tolerate anything that can cause this type of tissue damage and be unaware of it.
Has anyone got any idea's as to what could be causing this ??
Cheers
Derek
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