case study

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Hi everyone, my name is James.
Got a bit of a brain teaser for you...

Bilateral MPJ pain on first few steps in the morning or if seated. Pain disappears once he has taken a few steps and “warmed up”.

He is male 52 yrs, engineer works at a building site on his feet only a few hours a day, normal BMI and doesnt exercise. 9 month history of pain.

plantar fasciitis?
Plantar plate tear?
rheumatoid arthritis?
osteoarthritis?
gout...?

Thoughts?

 

when i was reading i thort of RA!
does you patient have any famialy history of RA? also are there any other joints affected? like in the hads? it may be worth getting him tested for RA if only to rule it out!
its a good one tho! im not two sure!
be sure to let us know!
thanks
Zuse

 

What's the footwear type? Steel cap?

 

Hi James :welcome: to Podiatry Arena. You may want to post this question in the Biomechanical forum , but before you do I would suggest you put together a lot more info. With the information you have provoided there is little change of anyone helping with a diagnosis. If you have xrays you can post them up as well.

Goodluck