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Since I am in training we had a pt the other day come in with what appears to be a metarsal callus. Film looks good for metatarsal joint locations according to my mentor. The photo shows the callus to be larger than it really is it is only about 50% the size of what is appearing (SEE ATTACHED). If there is no metatarsal head problem and this is a individual callus what is the best approach?? patient is 52 years old, non-diabetic, overall good health, good pulse in ankle/foot. What are the best next steps. Keep in mind the photo shows the callus to be larger that it really is. Foot and joint area looks good on films. Patient also stated that about a year ago the callus was trimmed back via minor surgery but it returned. How should we progress from here. Patient states the callus is sore from time to time deep in the tissue.

 

Bit of a small picture but looks to me like a "smokers corn" / Deep seated soft VP.

Better resolution picture would help. But £ to a p. its not just callus.

 

Deja vu, Tim?

Wouldn`t happen to be the same patient that you keep requesting advice on in different threads, yet ignore all helpful replies, would it? :rolleyes:

I`ve asked this of you before; Why did you take `films`?

 

Bel on the ball

As opposed to Belle of the Ball(which I'm sure you are)

 

OFFS.

Tim, thats just rude. Is this your foot by any chance?

 

Errr, thanks :confused: I think?

 

Definately. Somethings are just lost written down. I've seen you do that a few times where people have posted the same problem 2 or 3 times with different back stories. It amazes me. Principly because I can't even remember what I had for my lunch!

:drinks

Robin

 

Nuffin` amazing about it. I just need to get out more :eek:

Cheers,
Bel

 

Cut it out with a rusty pen-knife. I'm not putting that forward as best practice, just providing some options.:rolleyes:

 

This forum is so entertaining - even when it looks as though it's going to be a simple question. BTW - how is the corn a different size to how it appears in the photo, considering we can see the toes?? Mybad again ;O

 

Or just tell the patient to suck it up and for Gods sake Harden up !!

£ 30.oo Thanks and Next Patient :D

 

Best Approach - Plantar!

 

Y`know, I just knew that someone would come up with that one :rolleyes:

 

"Best Approach - Plantar!"

I'd attack it dorsally personally. Not saying this is best tx either...

 

is this a trick question?...debride enucleate and met dome or if you want, orthotics with a PMP lol