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Hi,
I have a pt who came in complaining of pain on the lateral border of the 5th MPJ. It's quite enlarged but no signs of infection. I'm thinking bursitis.
I've padded around the area to prevent more friction to the area, but not sure of long term treatment. Any good ideas? Either of a long term padding solution or something else that would work?

He wears extra wide shoes and is no longer working, but at the moment is in so much pain he's finding it hard to walk. There is no history of trauma and the joint itself is quite flexible.

Any help would be really appreciated!!

Thanks,

Lucy

 

Ice, reduce weight bearing and shoe wear pressure.

Get an x-ray before you start anything else if he can´t walk because of the pain- which I assume is barefoot as well. Rule out bone problems its even though no history of trauma.

my 2 cents

 

Also Lucy think Gout a bit of reading for you - http://www.gout-pal.com/wp-content/gout-without-hyperuricemia.pdf

They discuss 5th problems re Gout something to consider.

 

Well, the most common underlying pathology is, of course, a Tailor's bunion.
Does he have one?
If so, correct it.
Steve